Neurofibroma laboratory findings: Difference between revisions
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{{CMG}}; {{AE}}{{S.M.}} | {{CMG}}; {{AE}}{{S.M.}} | ||
==Overview== | ==Overview== | ||
[[Immunohistochemistry]] | On [[Immunohistochemistry]], [[neurofibroma]] [[Stain|stains]] positive for [[S100A1|S100]], [[SOX10]], [[CD34]], factor XIIIa, [[neurofilament]], [[GFAP]] and [[calretinin]] and negative for EMA, [[keratin]], [[smooth muscle]] [[actin]], [[desmin]], [[calponin]], [[caldesmon]] and [[p53]]. | ||
==Laboratory Findings== | ==Laboratory Findings== | ||
Line 9: | Line 9: | ||
*Positive for: | *Positive for: | ||
**[[S100A1|S100]] | **[[S100A1|S100]] | ||
** | **[[SOX10]] | ||
**[[CD34]] (focal) | **[[CD34]] (focal) | ||
**Factor XIIIa (focal) | **Factor XIIIa (focal) | ||
**Neurofilament (and Bielshowsky) | **[[Neurofilament]] (and Bielshowsky) | ||
**GFAP | **[[GFAP]] | ||
**Calretinin (focal) | **[[Calretinin]] (focal) | ||
*Negative for: | *Negative for: | ||
**EMA (except in [[Plexiform neurofibroma|plexiform neurofibromas]]) | **EMA (except in [[Plexiform neurofibroma|plexiform neurofibromas]]) | ||
**Keratin | **[[Keratin]] | ||
**Smooth muscle actin | **[[Smooth muscle]] [[actin]] | ||
**Desmin | **[[Desmin]] | ||
**Calponin | **[[Calponin]] | ||
**Caldesmon | **[[Caldesmon]] | ||
** | **[[P53]] | ||
{| class="wikitable" | {| class="wikitable" | ||
|+Immunohistochemical differences between Neurofibroma and Schwannoma | |+Immunohistochemical differences between Neurofibroma and Schwannoma | ||
!Immunohistochemical stain | ! style="background:#4479BA; color: #FFFFFF;" align="center" + |Immunohistochemical stain | ||
!Neurofibroma | ! style="background:#4479BA; color: #FFFFFF;" align="center" + |Neurofibroma | ||
!Schwannoma | ! style="background:#4479BA; color: #FFFFFF;" align="center" + |Schwannoma | ||
|- | |- | ||
|'''S-100 and | | style="background:#DCDCDC;" align="center" + |'''[[S-100]] and [[SOX10]]''' | ||
|Moderate positivity | |Moderate [[Positivity effect|positivity]] | ||
|Strong, diffuse positivity | |[[Strong]], [[diffuse]] [[Positivity effect|positivity]] | ||
|- | |- | ||
|'''CD34''' | | style="background:#DCDCDC;" align="center" + |'''[[CD34]]''' | ||
|Moderate | |Moderate | ||
|Scattered cells in Antoni B areas | |Scattered [[Cells (biology)|cells]] in Antoni B [[Area|areas]] | ||
|- | |- | ||
|'''Neurofilament (and Bielshowsky)''' | | style="background:#DCDCDC;" align="center" + |'''[[Neurofilament]] (and Bielshowsky)''' | ||
|Stains entrapped axons within lesion | |[[Stain|Stains]] entrapped [[axons]] within [[lesion]] | ||
|Stains peripherally located axons of parent nerve | |[[Stain|Stains]] peripherally located [[axons]] of parent [[nerve]] | ||
|- | |- | ||
|'''Factor XIIIa''' | | style="background:#DCDCDC;" align="center" + |'''Factor XIIIa''' | ||
|Moderate | |Moderate | ||
|Negative to focal | |Negative to focal | ||
|- | |- | ||
|'''Calretinin''' | | style="background:#DCDCDC;" align="center" + |'''[[Calretinin]]''' | ||
|Negative to focal | |Negative to focal | ||
|Moderate | |Moderate | ||
|- | |- | ||
|'''GFAP''' | | style="background:#DCDCDC;" align="center" + |'''[[GFAP]]''' | ||
|Variable, weak | |Variable, weak | ||
|Variable, moderate | |[[Variable|Variable,]] moderate | ||
|} | |} | ||
Latest revision as of 21:48, 28 April 2019
Neurofibroma Microchapters |
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Neurofibroma laboratory findings On the Web |
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Risk calculators and risk factors for Neurofibroma laboratory findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]
Overview
On Immunohistochemistry, neurofibroma stains positive for S100, SOX10, CD34, factor XIIIa, neurofilament, GFAP and calretinin and negative for EMA, keratin, smooth muscle actin, desmin, calponin, caldesmon and p53.
Laboratory Findings
Immunohistochemistry of neurofibroma is as follows:
- Positive for:
- S100
- SOX10
- CD34 (focal)
- Factor XIIIa (focal)
- Neurofilament (and Bielshowsky)
- GFAP
- Calretinin (focal)
- Negative for:
- EMA (except in plexiform neurofibromas)
- Keratin
- Smooth muscle actin
- Desmin
- Calponin
- Caldesmon
- P53
Immunohistochemical stain | Neurofibroma | Schwannoma |
---|---|---|
S-100 and SOX10 | Moderate positivity | Strong, diffuse positivity |
CD34 | Moderate | Scattered cells in Antoni B areas |
Neurofilament (and Bielshowsky) | Stains entrapped axons within lesion | Stains peripherally located axons of parent nerve |
Factor XIIIa | Moderate | Negative to focal |
Calretinin | Negative to focal | Moderate |
GFAP | Variable, weak | Variable, moderate |