Staining of eccrine and apocrine neoplasms and metastatic adenocarcinoma with IKH-4, a monoclonal antibody specific for the eccrine gland

The histogenesis of apocrine and eccrine neoplasms has always interested dermatopathologists. In addition, the histologic differential diagnosis of eccrine carcinoma from metastatic adenocarcinoma is of practical importance. We describe a novel monoclonal antibody IKH‐4 which stains the eccrine secr...

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Bibliographic Details
Published in:Journal of cutaneous pathology Vol. 25; no. 2; pp. 100 - 105
Main Authors: Ishihara, Masabiko, Mehregan, Darius R., Hashimoto, Ken, Yotsumoto, Shinichi, Toi, Yoichiro, Pietruk, Teresa, Mehregan, Amir H., Mehregan, David A.
Format: Journal Article
Language:English
Published: Oxford, UK Blackwell Publishing Ltd 01-02-1998
Blackwell
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Summary:The histogenesis of apocrine and eccrine neoplasms has always interested dermatopathologists. In addition, the histologic differential diagnosis of eccrine carcinoma from metastatic adenocarcinoma is of practical importance. We describe a novel monoclonal antibody IKH‐4 which stains the eccrine secretory coil, but not the apocrine secretory segment. Positive staining was observed in eccrine hidradenoma, eccrine poroma, eccrine spiradenoma, papillary eccrine adenoma, eccrine hidrocystoma, syringoma, eccrine carcinoma, and in 1 case of syringocystadenoma papilliferum. Negative staining was observed in apocrine adenocarcinoma, hidradenoma papilliferum, erosive adenomatosis of the nipple, and primary and metastatic adenocarcinomas. IKH‐4 antibody was useful in differentiating eccrine from apocrine neoplasms and in differentiating eccrine carcinoma from metastatic adenocarcinomas.
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ISSN:0303-6987
1600-0560
DOI:10.1111/j.1600-0560.1998.tb01697.x