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5 Cards in this Set

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Aims of immunomolecular analyses

-Diagnostic application (define origin of metastases from unknown primary tumours, to better classify it)


-Prognostic application (evaluation of proliferative index of a neoplasm, e.g. genetic lesion)


-Therapeutic application (molecular defect identification, e.g. monoclonal Ab, Kinase inhibitors)

What are Cytokeratins (CK)?

Intermediate filaments expressed in all epithelial cells and epithelial-derived neoplasm. 19 different types specific in different epithelial. Identification can help in diagnosis of epithelial neoplasm

Differential CK expression in diagnosis of solid tumours

-> CK7+/CK20+ Bladder epithelium


-> CK7+/CK20- Lung, breast, ovary


-> CK7-/CK20+ Colon, stomach


-> CK7-/CK20-/CK8+ Liver, prostate, kidney

Applications of Immunohistochemistry

- Comfirmation of morphological diagnosis


- Differential diagnosis


- Search from prognostic markers


- Identification of minimal residual disease (after therapy)


- Search for potential therapeutic agent

Methods of molecular biology analysis

- In situ hybridization


- PCR


- Sequence analysis (Sanger, NGS, ...)


- Gene expression with microarrays