Table 1 Immunohistochemical (IHC) staining characteristics in primary urinary bladder adenocarcinoma, urothelial carcinoma with glandular differentiation, secondary colorectal adenocarcinoma, and primary colorectal adenocarcinoma

From: Distinguishing primary adenocarcinoma of the urinary bladder from secondary involvement by colorectal adenocarcinoma: extended immunohistochemical profiles emphasizing novel markers

 

Primary urinary bladder adenocarcinoma (n=25)

Urothelial carcinoma with glandular differentiation (n=11)

Secondary involvement of bladder by colorectal carcinoma (n=25)

Primary colorectal carcinoma (n=22)

      

Urothelial component

Glandular component

          
 

IHC scoring a

IHC scoring

IHC scoring

IHC scoring

IHC scoring

 

0

1+

2+

3+

Total pos

0

1+

2+

3+

Total pos

0

1+

2+

3+

Total pos

0

1+

2+

3+

Total pos

0

1+

2+

3+

Total pos

Cadherin-17 (membranous)

2

2

5

16

23 (92%)

11

0

0

0

0

11

0

0

0

0

2

0

6

17

23 (92%)

1

0

2

19

21 (95%)

GATA3 (nuclear)

25

0

0

0

0

9

0

0

2

2 (18%)

10

0

1

0

1 (9%)

25

0

0

0

0

22

0

0

0

0

p63 (nuclear)

25

0

0

0

0

3

0

1

7

8 (73%)

11

0

0

0

0

25

0

0

0

0

22

0

0

0

0

β-Catenin (membranous)

2

0

1

22

23 (92%)

0

0

0

11

11 (100%)

0

0

0

11

11 (100%)

23

0

0

2

2 (8%)

21

0

1

0

1 (5%)

β-Catenin (nuclear)

23

0

0

2

2 (8%)

11

0

0

0

0

11

0

0

0

0

2

0

4

19

23 (92%)

1

0

0

21

21 (95%)

  1. aIHC scoring: 0 (negative)=0% tumor cell positivity; 1+ (focal)=1–10% tumor cell positivity; 2+ (moderate)=11–50% tumor cell positivity; and 3+ (diffuse)=>50% tumor cell positivity. Pos, positive. Expression of cadherin-17 showed a statistically significant difference when pure adenocarcinoma (colorectal or primary urinary bladder) was compared with urothelial carcinoma with glandular differentiation (P<0.001). Statistically significant differences were also detected in the staining pattern for β-catenin (nuclear vs cytoplasmic and membranous) in colorectal carcinomas when compared with urothelial carcinomas and primary urinary bladder adenocarcinomas (P<0.001). p63 labeled only the urothelial component of urothelial carcinoma with glandular differentiation (P<0.001).