1. Diagnostic value of glypican-1; a new marker differentiating pulmonary squamous cell carcinoma from adenocarcinoma: immunohistochemical study on Egyptian series.
- Author
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Adel I, Mahmoud HA, Khater AI, and Hafez FS
- Subjects
- Humans, Retrospective Studies, Male, Middle Aged, Female, Aged, Diagnosis, Differential, Egypt, Adenocarcinoma diagnosis, Adenocarcinoma pathology, Adult, Adenocarcinoma of Lung diagnosis, Adenocarcinoma of Lung metabolism, Adenocarcinoma of Lung pathology, Aspartic Acid Endopeptidases metabolism, Aspartic Acid Endopeptidases analysis, Glypicans metabolism, Glypicans analysis, Biomarkers, Tumor analysis, Carcinoma, Squamous Cell diagnosis, Carcinoma, Squamous Cell metabolism, Carcinoma, Squamous Cell pathology, Lung Neoplasms diagnosis, Lung Neoplasms pathology, Immunohistochemistry, Sensitivity and Specificity
- Abstract
Lung cancer is one of the major causes of cancer morbidity and mortality. Subtyping of non-small cell lung cancer is necessary owing to different treatment options. This study is to evaluate the value of immunohistochemical expression of glypican-1 in the diagnosis of lung squamous cell carcinoma (SCC). This retrospective study included a total of 68 cases, of which 36 were diagnosed as SCC and 32 as adenocarcinoma (ADC). Furthermore, glypican-1 expression was compared with the expressions of p63, thyroid transcription factor-1 (TTF-1), and napsin A. All cases of SCC except one showed positive immunostaining to glypican-1; 35/36 (97.2%) cases, and predominantly scored 3 + . While only 5 cases of ADC showed positive immunostaining to glypican-1, having a score of 1 + or 2 + . The difference between glypican-1 expression of the two tumor types was highly significant (p value < 0.001). The sensitivity, specificity, and overall accuracy of glypican-1 expression for differentiating lung SCC from ADC were 97.2%, 84.4%, and 91.2%, respectively. The sensitivity of glypican-1 is more than p63 in the diagnosis of lung SCC. Glypican-1 can be added as a new diagnostic marker to help in the accurate discrimination between poorly differentiated lung SCC and solid predominant adenocarcinoma cases., Competing Interests: Declarations. Conflict of interest: They have no conflict of interest, financial or personal relationship related to the study., (© 2025. The Author(s).)
- Published
- 2025
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