CD90 is a diagnostic marker to differentiate between malignant pleural mesothelioma and lung carcinoma with immunohistochemistry

Am J Clin Pathol. 2013 Oct;140(4):544-9. doi: 10.1309/AJCPM2Z4NGIIPBGE.

Abstract

Objectives: To pathologically distinguish mesothelioma from lung carcinoma, particularly adenocarcinoma.

Methods: We conducted immunohistochemical analyses on clinical specimens, including 26 cases of mesothelioma, 28 cases of lung adenocarcinoma, and 33 cases of lung squamous cell carcinoma.

Results: We found that CD90 expression was useful in making a differential diagnosis between epithelioid mesothelioma and lung adenocarcinoma, whereas sarcomatoid mesothelioma and lung carcinoma specimens, irrespective of the histologic types, were negative in general. The sensitivity and specificity of CD90 expression in epithelioid mesothelioma and lung adenocarcinoma were comparable to those of well-established markers used for the differential diagnosis.

Conclusions: These data collectively indicate that CD90 is a novel diagnostic marker that contributes to a diagnosis of epithelioid mesothelioma.

Keywords: CD90; Immunohistochemistry; Lung carcinoma; Mesothelioma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenocarcinoma / diagnosis*
  • Adenocarcinoma / metabolism
  • Adenocarcinoma / surgery
  • Biomarkers, Tumor / metabolism
  • Carcinoma, Squamous Cell / diagnosis*
  • Carcinoma, Squamous Cell / metabolism
  • Carcinoma, Squamous Cell / surgery
  • Cell Line, Tumor
  • Cell Surface Extensions / metabolism
  • Cell Surface Extensions / pathology
  • Humans
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / metabolism
  • Lung Neoplasms / surgery
  • Mesothelioma / diagnosis*
  • Mesothelioma / metabolism
  • Mesothelioma / surgery
  • Pleural Neoplasms / diagnosis*
  • Pleural Neoplasms / metabolism
  • Pleural Neoplasms / surgery
  • Sensitivity and Specificity
  • Thy-1 Antigens / metabolism

Substances

  • Biomarkers, Tumor
  • Thy-1 Antigens