Molecular Pathology Laboratory Network

Keratin/Epithelial Markers by Immunohistochemistry

Test Synonyms
HMW, LMW, Pankeratin
Associations
I CEA: CEA carcinoembryonic antigen
I CDX2: CDX2 colorectal carcinoma
I CK5/6: Cytokeratinj 5/6, positive squamous, mesothelial
I CK7: I CK HMW: 34BE12, Cytokeratin high molecular weight
I CK7: Cytokeratin 7, 54kD
I CAM5.2: Cytokeratin 8 (CAM5.2)
I CK8: Cytokeratin 8, 35BH11
I CK8/18: Cytokeratin 8/18
I CK19: Cytokeratin 19
I CK20: Cytokeratin 20
I D2 40: D2-40, Podoplanin
I GALECT: Galectin-3, thyroid neoplasm, anaplastic LCL
I THYRGLB: Thyroglobulin
I TTF1: Thyroid transcription factor-1, lung, thyroid
I GCDFP15: Gross cystic disease fluid protein 15
I HEPAR1: Hepatocyte antigen (HEP-Par-1), liver
I INHIB: Inhibin, adrenal cortical, sex chord stromal,
I PLAP: Placental alkaline phosphatase, germ cell tumors,
I RCC: Renal cell carcinoma
Methodology
Immunohistochemistry
CPT Codes
88342 each marker
Turnaround Time
Less than 2 days
Specimen Requirements
  • Formalin fixed tissue
  • Formalin fixed paraffin embedded tissue (preferred)
Specimen Stability
Indefinitely at room temperature
Storage & Handling
  • Ship ambient.
  • In extreme hot weather, ship with a cool pack.
  • Causes for Rejection
    Inadequate fixation; Improper labeling
    Reference Range
    Marker and tissue specific
    Description
    Results are reviewed by a board-certified pathologist to determine if tissues are positive or negative for the marker. These results may be used to assist in determining appropriate patient therapy or treatment. Immunohistochemistry combines the principles of histochemistry with the high degree of molecular specificity of the antibody-antigen reaction. The use of an enhanced-polymer detection system provides many benefits including increased sensitivity, fewer procedural steps as compared to conventional techniques, and a reduction in non-specific background staining.

    MPLN offers a range of markers by Immunohistochemistry including hematologic, tissue specific, infectious agents and proliferation antigens.
    References
    1. Press M et al. (2002). Steroids. 67:799-813.
    2. Perttschuk et al. (1996). Cancer. 77:2514-15.
    3. Battifora et al. (1993). Appl Immunohistochem. 1:39-45.

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