Microtubule-associated protein-2 immunoreactivity: a useful tool in the differential diagnosis of low-grade neuroepithelial tumors.

Details

Serval ID
serval:BIB_4BC346BA2763
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Microtubule-associated protein-2 immunoreactivity: a useful tool in the differential diagnosis of low-grade neuroepithelial tumors.
Journal
Acta Neuropathologica
Author(s)
Blümcke I., Müller S., Buslei R., Riederer B.M., Wiestler O.D.
ISSN
0001-6322 (Print)
ISSN-L
0001-6322
Publication state
Published
Issued date
2004
Volume
108
Number
2
Pages
89-96
Language
english
Abstract
Complex and variable morphological phenotypes pose a major challenge to the histopathological classification of neuroepithelial tumors. This applies in particular for low-grade gliomas and glio-neuronal tumors. Recently, we and others have identified microtubule-associated protein-2 (MAP2) as an immunohistochemical marker expressed in the majority of glial tumors. Characteristic cell morphologies can be recognized by MAP2 immunoreactivity in different glioma entities, i.e., process sparse oligodendroglial versus densely ramified astrocytic elements. Here, we describe MAP2-immunoreactivity patterns in a large series of various neuroepithelial tumors and related neoplasms (n = 960). Immunohistochemical analysis led to the following conclusions: (1) specific pattern of MAP2-positive tumor cells can be identified in 95% of glial neoplasms; (2) ependymal tumors do not express MAP2 in their rosette-forming cell component; (3) tumors of the pineal gland as well as malignant embryonic tumors are also characterized by abundant MAP2 immunoreactivity; (4) virtually no MAP2 expression can be observed in the neoplastic glial component of glio-neuronal tumors, i.e. gangliogliomas; (5) malignant glial tumor variants (WHO grade III or IV) exhibit different and less specific MAP2 staining patterns compared to their benign counterparts (WHO grade I or II); (6) with the exception of melanomas and small cell lung cancers, MAP2 expression is very rare in metastatic and non-neuroepithelial tumors; (7) glial MAP2 expression was not detected in 56 non-neoplastic lesions. These data point towards MAP2 as valuable diagnostic tool for pattern recognition and differential diagnosis of low-grade neuroepithelial tumors.
Keywords
Biopsy/methods, Brain Neoplasms/diagnosis, Brain Neoplasms/metabolism, Diagnosis, Differential, Female, Humans, Immunohistochemistry, Male, Microtubule-Associated Proteins/metabolism, Neoplasms, Neuroepithelial/classification, Neoplasms, Neuroepithelial/diagnosis, Tumor Markers, Biological/metabolism
Pubmed
Web of science
Create date
24/01/2008 15:35
Last modification date
20/08/2019 14:59
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