Malignant peripheral nerve sheath tumors and spindle cell sarcomas: an immunohistochemical analysis of multiple markers

Appl Pathol. 1989;7(2):134-44.

Abstract

An immunocytochemical study using a panel of commercially available antisera, has been performed to distinguish on the basis of their immunoreactivity a series of spindle cell sarcomas diagnosed solely on the histologic features: 11 malignant schwannomas (MS), 8 leiomyosarcomas (LMS) and 3 malignant fibrous histiocytomas (MFH). The results have been compared with those obtained in 12 benign and 8 malignant peripheral nerve sheath tumors (MPNST) in which the microscopic diagnosis was supported by their origin in a nerve trunk and/or in von Recklinghausen's (vR) disease. The following antisera were used: anti-S-100 protein, anti-Leu-7, anti-neuron specific enolase (NSE), anti-myelin basic protein (MBP), anti-glial fibrillary acidic protein (GFAP) and anti-actin. S-100 protein was present in 100% of benign and malignant peripheral nerve tumors and in 7/11 (63%) of MS diagnosed on histological basis only and in 3/8 (37%) LMS. MFH were negative. Leu-7 positivity was observed in 8/12 (66%) and 6/8 (75%), respectively, in benign and malignant PNS neoplasms, in 5/11 (45%) MS, 4/8 (50%) LMS and 2/3 (66%) MFH. NSE was present in 7/12 (58%) and 6/8 (75%), respectively, in benign and malignant PNS tumors, in 6/11 (54%) MS and in 1/8 (12%) LMS. MFH were negative. MBP resulted negative in peripheral nerve neoplasms and spindle cell sarcomas. GFAP positivity was observed in 2/12 (16%) and 1/8 (12%), respectively, in benign and malignant PNS neoplasms. All spindle cell sarcomas were negative. All cases of MPNST and spindle cell sarcomas showed actin immunoreactivity. These results indicate that: (1) MBP, Leu-7 and NSE do not represent markers of schwannian differentiation; (2) GFAP, although rarely expressed, may indicate schwannian differentiation, and (3) malignant peripheral nerve neoplasms and LMS share immunoreactivity for S-100, Leu-7, NSE and actin, therefore they cannot be differentiated on immunocytochemical basis using commercially available antisera.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Actins / analysis
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antigens, Differentiation / analysis
  • Biomarkers, Tumor / analysis*
  • CD57 Antigens
  • Child
  • Child, Preschool
  • Diagnosis, Differential
  • Female
  • Glial Fibrillary Acidic Protein / analysis
  • Histiocytoma, Benign Fibrous / analysis*
  • Histiocytoma, Benign Fibrous / diagnosis
  • Histiocytoma, Benign Fibrous / pathology
  • Humans
  • Immunohistochemistry
  • Leiomyosarcoma / analysis
  • Leiomyosarcoma / diagnosis
  • Leiomyosarcoma / pathology
  • Male
  • Middle Aged
  • Neurilemmoma / analysis*
  • Neurilemmoma / diagnosis
  • Neurilemmoma / pathology
  • Peripheral Nervous System Neoplasms / analysis*
  • Peripheral Nervous System Neoplasms / diagnosis
  • Peripheral Nervous System Neoplasms / pathology
  • Phosphopyruvate Hydratase / analysis
  • S100 Proteins / analysis
  • Sarcoma / analysis*
  • Sarcoma / diagnosis
  • Sarcoma / pathology

Substances

  • Actins
  • Antigens, Differentiation
  • Biomarkers, Tumor
  • CD57 Antigens
  • Glial Fibrillary Acidic Protein
  • S100 Proteins
  • Phosphopyruvate Hydratase