Utility of immunohistochemistry in the diagnosis of pleuropulmonary and mediastinal cancers: A review and update

Kai Zhang, Hongbin Deng, Philip T. Cagle

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Context.-Immunohistochemistry has become an indispensable ancillary tool for the accurate classification of pleuropulmonary and mediastinal neoplasms necessary for therapeutic decisions and predicting prognostic outcome in the era of personalized medicine. Diagnostic accuracy has significantly improved because of the continuous discoveries of tumor-associated biomarkers and the development of effective immunohistochemical panels. Objective.-To increase the accuracy of diagnosis and classify pleuropulmonary neoplasms through immunohistochemistry. Data Sources.-Literature review, authors' research data, and personal practice experience. Conclusions.-This review article has shown that appropriately selecting immunohistochemical panels enables pathologists to effectively diagnose most primary pleuropulmonary neoplasms and differentiate primary lung tumors from a variety of metastatic tumors to the lung. The discovery of new mutation-specific antibodies identifying a subset of specific gene-arranged lung tumors provides a promising alternative and cost-effective approach to molecular testing. Knowing the utilities and pitfalls of each tumor-associated biomarker is essential to avoiding potential diagnostic errors.

Original languageEnglish (US)
Pages (from-to)1611-1628
Number of pages18
JournalArchives of Pathology and Laboratory Medicine
Volume138
Issue number12
DOIs
StatePublished - Jan 1 2014

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Medical Laboratory Technology

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