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Comparison of seven immunohistochemical markers in melanoma

Comparison of seven immunohistochemical markers in melanoma
  S-100 MART-1/Melan-A HMB-45 MITF-1 Tyrosinase SOX10 PRAME
Antigen makeup Calcium-binding protein Melanocyte differentiation antigen expressed as a transmembrane protein Part of gp 100 complex (premelanosome complex) Transcription regulator of tyrosinase gene Key enzyme in melanin biosynthesis Transcription factor: SRY-related HMG-box 10 (SOX10) protein Membrane-bound protein involved in autologous cytotoxic T cell response
Staining targets Melanoma, benign nevic cells (activated junctional nevi, dermal nevic cells in patients with HIV, blue nevi, and deep penetrating nevi), schwannomas, neurofibromas, and malignant peripheral nerve sheath tumors, among others Cells of melanocytic lineage, modified perivascular smooth muscle cells of lymphangiomyomatosis, clear cell sugar tumor of the lung, renal angiomyolipoma, adrenocortical tumors, and tumors of the ovary Most melanomas, fetal and neonatal melanocytes, intraepidermal and superficial dermal components of benign nevi, blue nevi, and deep penetrating nevi Melanoma, benign melanocytes, some perivascular epithelioid cell carcinoma, and clear cell carcinoma Melanoma, normal melanocytes, and nevi Neural crest cells, including melanocytes, breast myoepithelial cells Melanoma, head and neck cancer, breast cancer, renal cell carcinoma, non-small-cell lung cancer, hematologic malignancies
Staining location Nucleus Cytoplasm Cytoplasm Nucleus Cytoplasm Nucleus Nucleus
Comments Very high sensitivity but low specificity Sensitive and specific for melanocytes but is not a marker of malignant transformation Does not react with spindle cell melanomas A promising marker that may be more sensitive and specific than other commercially available markers May have higher sensitivity for metastatic tumors than HMB-45 or MART-1 Nuclear staining pattern offers easier distinction from cytoplasmic melanin Diffuse staining in over 90% of nondesmoplastic melanomas
MITF: microphthalmia transcription factor.
Graphic 68372 Version 12.0

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