The expression pattern of CD10 and CD31 identifies fine fibrovascular stroma of grade 1-endometrial endometrioid carcinomas in cytology

© 2021 John Wiley & Sons Ltd..

INTRODUCTION: The objective of this study was to assess the diagnostic utility of CD10 in the differential diagnosis of grade 1-endometrial endometrioid carcinoma (G1-EEC) and the metaplastic changes associated with the endometrial glandular and stromal breakdown (EGBD) on liquid-based cytological (LBC) samples.

METHODS: (1) The type and distribution of CD10-positive cells in EGBD and G1-EEC patients were evaluated. (2) Based on the results from (1), histological and cytological specimens were double-immunostained with CD31 and CD10 to confirm whether CD10-positive tubular-canalicular material found in (1) was represented by fine threads of endometrial-type fibrovascular stroma. (3) Based on the results from (2), additional immunostaining of histological specimens was performed for CD146 and αSMA as markers of perivascular cells.

RESULTS: (1) CD10 positive cells showed two main patterns of expression: cytoplasmic immunoreactivity in the form of dense brown granules in EGBD and tubular-canalicular branching patterns in G1-EEC. (2) The tubular-canalicular material observed in cytological specimens of G1-EEC samples co-expressed CD10 and CD31, and was interpreted as representing fine threads of endometrial fibrovascular stroma in the corresponding histological samples. Conversely, metaplastic changes in EGBD cases, only a few CD31-positive signals were found inside the condensed stromal clusters with CD10-positive. (3) Cells surrounding the CD31-positive vascular endothelial cells expressed CD146 and αSMA; moreover, some of the thin CD10-positive fibrous stromal strands also co-expressed αSMA.

CONCLUSIONS: CD10 is a very useful immunomarker for distinguishing between G1-EEC and the metaplastic changes of EGBD in LBC samples.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

Cytopathology : official journal of the British Society for Clinical Cytology - 33(2022), 3 vom: 15. Mai, Seite 362-373

Sprache:

Englisch

Beteiligte Personen:

Norimatsu, Yoshiaki [VerfasserIn]
Nishikawa, Takeshi [VerfasserIn]
Suzuki, Hisae [VerfasserIn]
Hosokawa, Sho [VerfasserIn]
Yano, Hiroko [VerfasserIn]
Maeda, Yoshinobu [VerfasserIn]
Kurokawa, Tetsuji [VerfasserIn]
Shinagawa, Akiko [VerfasserIn]
Kobayashi, Tadao K [VerfasserIn]
Fulciniti, Franco [VerfasserIn]

Links:

Volltext

Themen:

CD10 and CD31
CD146 Antigen
EC 3.4.24.11
Endometrial liquid-based cytology
Fine fibrovascular stroma
Grade 1-endometrial endometrioid carcinoma
Immunocytochemistry
Journal Article
Neprilysin
PECAM1 protein, human
Platelet Endothelial Cell Adhesion Molecule-1

Anmerkungen:

Date Completed 12.04.2022

Date Revised 22.06.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/cyt.13070

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM332294773