Decouvelaere Anne-Valérie
Département de biopathologie, centre Léon-Bérard, 28, rue Laennec, 69373 Lyon cedex 08, France.
Ann Pathol. 2015 Jan;35(1):98-106. doi: 10.1016/j.annpat.2014.11.006. Epub 2014 Dec 17.
Immunohistochemistry (IHC) is essential in the diagnosis of soft tissue tumor and must rely on good quality technic. Among useful antibodies, it is important to distinguish those with a poor specificity required in order to establish the broad lineage, from those with high specificity, which may lead straightforward towards the entity. Diagnostically useful antibodies such as myogenin, ALK1 and DOG1 have been recently completed by MUC4 and STAT6 which show good sensitivity and specificity in the diagnosis of low-grade fibromyxoid sarcoma and solitary fibrous tumor respectively. ERG is also an interesting antibody. However, it is not completely specific of vascular tumors. Moreover, available material is often limited because of the increase of microbiopsy specimens. Therefore, it is mandatory to optimize this precious tissue by using these new antibodies, especially because molecular technics are increasingly performed in addition to IHC.
免疫组织化学(IHC)在软组织肿瘤的诊断中至关重要,且必须依赖高质量的技术。在有用的抗体中,区分用于确定广泛谱系所需的特异性差的抗体和可直接导向特定实体的高特异性抗体很重要。诊断上有用的抗体,如肌生成素、ALK1和DOG1,最近又增加了MUC4和STAT6,它们分别在低级别纤维黏液样肉瘤和孤立性纤维性肿瘤的诊断中显示出良好的敏感性和特异性。ERG也是一种有趣的抗体。然而,它并非血管肿瘤完全特异性的。此外,由于微生物活检标本的增加,可用材料往往有限。因此,必须通过使用这些新抗体来优化这种珍贵的组织,特别是因为除了免疫组织化学外,分子技术的应用越来越多。