Lung Cancer diagnostic solutions

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1 Lung Cancer diagnostic solutions

2 1 Lung Cancer diagnostic solutions 1 ALK D5F c-met SP SP CD56 MRQ CEA TF3H CEA CEA LK2H Cytokeratin 5 SP /6 D5/16B Cytokeratin 5/14 EP1601Y/LL / Cytokeratin 14 SP SP SP Cytokeratin CAM EGFR 3C EGFR 5B EGFR E746-A750 del SP EGFR L858R SP EMA E Epithelial Related Antigen, ERA MOC Epithelial Specific Antigen, Ep-CAM Ber-EP IGF-1R G Mesothelial Cell HBME Napsin A MRQ NSE MRQ p40 BC P63 4A Cytokeratin Pan-keratin AE1, AE3, PCK Synaptophysin MRQ TAG-72 B TTF-1 SP WT-1 6F-H I-VIEW CEA TF3H AMX ultraview CEA TF3H AMX I-VIEW Cytokeratin Pan-keratin AE1,AE3,PCK AMX ultraview Cytokeratin Pan-keratin AE1,AE3,PCK AMX

3 Lung Cancer diagnostic solutions % NSCLC80 85% 1 SCLC15 20% 1 3 EGFR ALK 4 15% 2 NSCLC SCLC 15% 1 NSCLC 85% % H&E 6 60% 1 40% 1 EGFR ALK KRAS PD-L1 ROS1

4 3 Lung Cancer diagnostic solutions NSCLC Squamous cell carcinoma stained with p40 BC28 using OptiView DAB IHC detection Squamous cell carcinoma stained with CK 5/6 D5/16B4 p40bc28 5/6D5/16B4 p40 ( BC28) P63 7,8 p40 BC28 Cytokeratin 5/6 TTF-1 Napsin A 9 5/6D5/16B Squamous cell carcinoma stained with P63 4A4 Squamous cell carcinoma stained with CK 5/14 EP1601Y/LL002 P634A4 P634A4 p63 Cytokeratin 5/14 EP1601Y/LL

5 Lung Cancer diagnostic solutions 4 NSCLC Adenocarcinoma stained with TTF-1 SP141 Adenocarcinoma stained with Napsin-A MRQ-60 TTF-1SP141 Napsin AMRQ-60 TTF-1 TTF-1SP141 Napsin A Napsin A Napsin A TTF-1SP141 SP141 8G7G3/1 YeNapsin A Napsin A TTF Dr. Shalini Singh Ventana Medical Systems

6 5 Lung Cancer diagnostic solutions NSCLC ALK c-met Adenocarcinoma stained with ALK D5F3 Adenocarcinoma stained with c-met SP44 ALKD5F3 c-metsp44 ALKD5F3 ALK c-metsp44 c-met ALKD5F3 NSCLC ALK ALK296 D5F3 ALK FISH 100% 11 HGF MET ADC70% SCC 40% c-met c-met 12 IHC SP % IHCALK FFPEMET FISH 11

7 Lung Cancer diagnostic solutions 6 NSCLC EGFR Adenocarcinoma stained with EGFR 3C6 Adenocarcinoma stained with EGFR 5B7 Adenocarcinoma stained with EGFR E746-A750 del SP111 Adenocarcinoma stained with EGFR L858R SP125 EGFR EGFR EGFR E746-A750 del EGFR L858R 3C6 5B7 SP111 SP125 EGFR3C6 EGFR5B7 EGFR E746-A750 del EGFR L858R 170 kd EGFR EGFR SP111 SP125 IgG1 145 kd III EGFR EGFR EGFR E746-A750 del EGFR L858R EML4-ALK EGFR 11,12 ALK EGFR EGFR EGFR 17

8 7 Lung Cancer diagnostic solutions NSCLC p40 BC28 P63 4A4 5/6 D5/16B4 Cytokeratin 5/14 EP1601Y/LL002

9 Lung Cancer diagnostic solutions 8 TTF-1 SP141 Napsin A MRQ-60 ALK ALK D5F3

10 9 Lung Cancer diagnostic solutions SCLC CD56MRQ-42 SP65 CD56MRQ-42 NK NK T LK2H10 7SP52 C 7SP NSEMRQ-55 20SP33 NSE 20SP33 18 SynaptophysinMRQ-40 WT16F-H2 SynaptophysinMRQ-40 WT111p13 WT16F-H2

11 Lung Cancer diagnostic solutions 10 1., ganjoho.jp 2. National Cancer Institute. General Information About Small Cell Lung Cancer. 2013; healthprofessional. 3. NCCN Clinical Practice Guidelines in Oncology, Non-Small Cell Lung Cancer. Version Pao W, Hutchinson KE. Chipping Away at the Lung Cancer Genome. Nat Med 18 3 : Tacha D, Yu C, Bremer R, Qi W, Haas T. A 6-antibody panel for the classification of lung adenocarcinoma versus squamous cell carcinoma. Appl Immunohistochem Mol Morphol. 2012;20: Koivunen JP, Mermel C, Zejnullahu K, et al. EML4-ALK fusion gene and efficacy of an ALK kinase inhibitor in lung cancer. Clin Cancer Res. 2008;14: Inamura K, Takeuchi K, Togashi Y, et al. EML4-ALK lung cancers are characterized by rare other mutations, a TTF-1 cell lineage, an acinar histology, and young onset. Mod Pathol. 2009;22: Wong DW, Leung EL, So KK, et al. The EML4-ALK fusion gene is involved in various histologic types of lung cancers from nonsmokers with wild-type EGFR and KRAS. Cancer. 2009;115: Leong AS, Phillips GE, Pieterse AS, Milios J.Criteria for the diagnosis of primary endocrinecarcinoma of the skin Merkel cell carcinoma. A histological, immunohistochemical andultrastructural study of 13 cases. Pathology. 1986;18: Ou SH, Zell JA. Carcinoma NOS is a common histologic diagnosis and is increasing in proportion among non-small cell lung cancer histologies. J Thorac Oncol. 2009;4: Bishop, Justin A, Julie Teruya-Feldstein, William H Westra, Giuseppe Pelosi, William D Travis and Natasha Rekhtman. p40np63 is superior to p63 for the diagnosis of pulmonary squamous cell carcinoma. Modern Pathology Chen, Xiangbai, Yunhau Bao, Rebecca Wong, Katerina Politi, Lizhuo Jiao, Scott Gettinger, Robert Homer, David Chieng, Guoping Cai. [351] The Role of p40 Immunostain in the Cytological Differential Diagnosis of Squamous Cell Carcinoma and Adenocarcinoma of the Lung. USCAP Abstract Wei Zhao, Hui Wang, Yan Peng, Bo Tian, Lei Peng, Da-Chuan Zhang. Np63, CK5/6, TTF-1 and napsin A, a reliable panel to subtype non-small cell lung cancer in biopsy specimens. Int J Clin Exp Pathol 2014;7 7 : Ye et al. Combination of napsin A and TTF-1 immunohistochemistry helps in differentiating primary lung adenocarcinoma from metastaticcarcinoma in the lung. Appl Immunohistochem Mol Morphol Jul;19 4 : doi: / PAI.0b013e318205b Minca et al. ALK Status Testing in Non Small Cell Lung Carcinoma Correlation Between Ultrasensitive IHC and FISH. J Mol Diagn. 2013; jmoldx Tsuta K, Kozu Y, Mimae T, et al. c-met/ phospho-met protein expression and MET gene copy number in non-small cell lung carcinomas. J Thorac Oncol. 2012;7: Koeppen H, Januario T, Filvaroff E. Characterization and clinical validation of an immunohistochemical assay for Met in non-small cell lung cancer. Mod. Pathol. 2012; 25; 480A. 14. Shaw AT, Yeap BY, Mino-Kenudson M, et al. Clinical features and outcome of patients with non-small-cell lung cancer who harbor EML4-ALK. J Clin Oncol. 2009;27:

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