Expression and clinical significance of H-caldesmon in gastrointestinal stromal tumor: is it a specific marker for myogenic differentiation?

GIST H-caldesmon differential diagnosis

Journal

International journal of clinical and experimental pathology
ISSN: 1936-2625
Titre abrégé: Int J Clin Exp Pathol
Pays: United States
ID NLM: 101480565

Informations de publication

Date de publication:
2019
Historique:
received: 20 04 2019
accepted: 22 05 2019
entrez: 15 1 2020
pubmed: 15 1 2020
medline: 15 1 2020
Statut: epublish

Résumé

To investigate the expression and clinical significance of H-caldesmon which is considered a myogenic marker in GIST. The clinical information of 105 patients diagnosed with GIST was obtained from Yantai Yuhuangding Hospital and Rambam Health Care Campus. Morphology, the results of immunohistochemical staining and available molecular detection were reviewed. The expression of H-caldesmon was detected for each specimen by immunohistochemical staining. Comparative analysis was carried out between H-caldesmon expression and clinicopathologic parameters. H-caldesmon was expressed in all patients with GIST including tumors outside the gastrointestinal tract and with CD117-negative expression. Although the pattern of expression was different, the positive rate in our study group was 100%. There was no statistically difference between H-caldesmon expression and parameters such as gender, age, location, morphology, risk, immunologic markers, and molecular mutation. H-caldesmon is expressed positively in GIST and might not be a specific marker for smooth muscle and associated tumors. GIST outside the gastrointestinal tract or with CD117-negative expression should not be misdiagnosed assmooth muscle tumor because of the positive expression of H-caldesmon in the differential diagnosis. Comprehensive analysis combined with other immunological markers and molecular detection is needed.

Identifiants

pubmed: 31934084
pmc: PMC6949537

Types de publication

Journal Article

Langues

eng

Pagination

2566-2571

Informations de copyright

IJCEP Copyright © 2019.

Déclaration de conflit d'intérêts

None.

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Auteurs

Guohua Yu (G)

Department of Pathology, Affiliated Yantai Yuhuangding Hospital, Qingdao University Yantai, China.

Jianfeng Xu (J)

Department of Internal Medicine, Affiliated Yantai Yuhuangding Hospital, Qingdao University Yantai, China.

Lei Jiang (L)

Department of Pathology, Affiliated Yantai Yuhuangding Hospital, Qingdao University Yantai, China.

Li Cai (L)

Department of Pathology, Affiliated Yantai Yuhuangding Hospital, Qingdao University Yantai, China.

Yaniv Zohar (Y)

Department of Pathology, Rambam Health Care Campus Haifa, Israel.

Shishou Wu (S)

Department of Pathology, Affiliated Yantai Yuhuangding Hospital, Qingdao University Yantai, China.

Ping Yang (P)

Department of Pathology, Affiliated Yantai Yuhuangding Hospital, Qingdao University Yantai, China.

Sagee Tal (S)

Department of Pathology, Rambam Health Care Campus Haifa, Israel.

Jinchen Hu (J)

Department of Surgery, Affiliated Yantai Yuhuangding Hospital, Qingdao University Yantai, China.

Classifications MeSH