2020
DOI: 10.31557/apjcp.2020.21.3.699
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The Value of H3K27me3 Immunohistochemistry in Differentiating Malignant Peripheral Nerve Sheath Tumour with Its Histologic Mimickers

Abstract: 21 (3), 699-705 2006). This soft tissue neoplasm has gained an interest due to its diversity of histologic appearances, overlapping pattern, the rarity of the tumour, and the need of supportive and confirmatory tests which often renders MPNST as diagnostically challenging neoplasm. All these may justify to the delay in diagnosis. MPNST is rare, aggressive soft tissue sarcomas associated with poor prognosis. The diagnosis of MPNST relies on morphology and IHC interpretation. Differentiating MPNST from other typ… Show more

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Cited by 8 publications
(4 citation statements)
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“…Staining intensity was graded on a 0-3 scale: 0, absence of staining; 1, weakly stained; 2, moderately stained; and 3, intensely stained. The percentage of positive tumor cells was scored as follows: 0, absence of tumor cells; 1, <33% of tumor cells; 2, 33-66% of tumor cells; and 3, >66% of tumor cells (Mustapar et al, 2020).…”
Section: Immunochemistrymentioning
confidence: 99%
“…Staining intensity was graded on a 0-3 scale: 0, absence of staining; 1, weakly stained; 2, moderately stained; and 3, intensely stained. The percentage of positive tumor cells was scored as follows: 0, absence of tumor cells; 1, <33% of tumor cells; 2, 33-66% of tumor cells; and 3, >66% of tumor cells (Mustapar et al, 2020).…”
Section: Immunochemistrymentioning
confidence: 99%
“…It is also useful in differentiating between ANNUBP and MPNST as it is not lost in AN-NUBP. 8 Since our case showed positivity to the S-100 protein and was associated with NF1, we considered there was no need to do the H3K27me3 staining.…”
Section: Discussionmentioning
confidence: 80%
“…In our case, there was focal positivity for S-100 staining, although S-100 may show decreased sensitivity for MPNST. 8 The current most specific marker of MPNST is the loss of H3K27me3 (trimethylated histone 3 at lysine residue 27), which has been reported to occur in 61% of MPNST cases, including those associated with NF1. It is also useful in differentiating between ANNUBP and MPNST as it is not lost in AN-NUBP.…”
Section: Discussionmentioning
confidence: 99%
“…Additionally, the loss of staining with the antibody H3K27me3 is a new sensitive and specific marker for conventional high grade MPNST ( Figure 3 d). However, retained staining can also be seen in lower grade tumors [ 50 , 51 , 52 ]. H3K27me3 is an epigenetic DNA packaging protein that modifies histone H3 by tri-methylating the 27th lysine residue.…”
Section: Malignant Peripheral Nerve Sheath Tumor (Mpnst)mentioning
confidence: 99%