Abstract
We examined ten cases of extrapulmonary lymphangioleiomyoma/lymphangioleiomyomatosis (LAM; all patients female; median age 46.5 years) for immunohistochemical labeling with a monoclonal antibody against podoplanin (D2-40), which is specific for lymphatic endothelial lining. We found positive staining in thin-wall branching vessels reflecting the lymphatic nature of tumor vessels in all cases tested. In contrast, perivascular (HMB-45 positive) myoid cells were not detected by D2-40. The D2-40 labeling confirms the current concept of lymphangiogenic origin of the tumor vessels in LAM. In addition, this study makes a further contribution to the immunohistochemical mapping of this antibody in vascular tumors. Finally, the use of this commercially available antibody provides an additional help in the differential diagnosis of LAM from other soft tissue tumors.
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Acknowledgements
We thank Mrs. Bergholz, Mrs. Dietrich, and Mrs. Pelzer (Institute of Pathology, Jena) as well as Mrs. Roth (Institute of Pathology, Mainz) for the excellent technical assistance.
We are very grateful to all pathologists who sent case material and clinical details from patients included in this study.
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Hansen, T., Katenkamp, K., Bittinger, F. et al. D2-40 labeling in lymphangiomyoma/lymphangiomyomatosis of the soft tissue: further evidence of lymphangiogenic tumor histogenesis. Virchows Arch 450, 449–453 (2007). https://doi.org/10.1007/s00428-007-0376-9
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DOI: https://doi.org/10.1007/s00428-007-0376-9