If it's not CK5/6 positive, TTF-1 negative it's not a squamous cell carcinoma of lung

APMIS. 2008 Jun;116(6):526-9. doi: 10.1111/j.1600-0463.2008.00932.x.

Abstract

Novel targeted treatment of non-small cell lung cancer (NSCLC) requires accurate classification of NSCLC as squamous cell carcinoma (SCC) and adenocarcinoma (AC). This study details the CK5/6 and TTF-1 immunoprofile of surgical resections of 45 NSCLCs (24 ACs and 21 SCCs) in tissue microarrays. All SCCs were CK5/6 positive, TTF-1 negative. 20 of 24 adenocarcinomas had the reverse pattern. In conclusion, all SCCs in this study were CK5/6 positive and TTF-1 negative, and therefore tumours that do not display this phenotype are unlikely to be SCCs. CK5/6 and TTF-1 is therefore a practical panel for the distinction between pulmonary SCC from AC in routine histopathology practice.

MeSH terms

  • Adenocarcinoma / chemistry*
  • Adenocarcinoma / classification
  • Adenocarcinoma / diagnosis
  • Biomarkers, Tumor / analysis
  • Carcinoma, Non-Small-Cell Lung / chemistry*
  • Carcinoma, Non-Small-Cell Lung / classification
  • Carcinoma, Non-Small-Cell Lung / diagnosis
  • Carcinoma, Squamous Cell / chemistry*
  • Carcinoma, Squamous Cell / classification
  • Carcinoma, Squamous Cell / diagnosis
  • DNA-Binding Proteins / analysis*
  • DNA-Binding Proteins / immunology
  • Humans
  • Immunohistochemistry
  • Keratins / analysis
  • Keratins / immunology
  • Lung Neoplasms / chemistry*
  • Lung Neoplasms / classification
  • Lung Neoplasms / diagnosis
  • Tissue Array Analysis
  • Transcription Factors

Substances

  • Biomarkers, Tumor
  • DNA-Binding Proteins
  • TTF1 protein, human
  • Transcription Factors
  • Keratins