Article ; Online: The Value of Immunohistochemical Expression of TOX, ICOS, and GATA-3 in the Diagnosis of Mycosis Fungoides.
Applied immunohistochemistry & molecular morphology : AIMM
2023 Volume 31, Issue 3, Page(s) 163–171
Abstract: Background: Mycosis fungoides (MF) is considered the commonest type of cutaneous T-cell lymphoma representing about 50% of all primary cutaneous lymphomas. Differentiation between MF and another inflammatory dermatitis (BIDs) is important to ensure ... ...
Abstract | Background: Mycosis fungoides (MF) is considered the commonest type of cutaneous T-cell lymphoma representing about 50% of all primary cutaneous lymphomas. Differentiation between MF and another inflammatory dermatitis (BIDs) is important to ensure proper management. Aim: We aimed to evaluate the immunohistochemical expression of T OX, ICOS, and GATA binding protein 3 (GATA-3) in early stages MF (stage IA and IB) to establish their diagnostic value and to guide the use of inhibitors in the treatment of cutaneous T-cell lymphomas. Materials and methods: A retrospective study of 75 skin paraffin blocks (punch biopsy) 40 cases of MF and 35 cases of eczematous dermatitis as a group representing other inflammatory dermatitis were retrieved from archives of the pathology department of our University, during the period from October 2017 to May 2021. Results: About 98% and 90% of patients in the MF group had positive T OX and ICOS, while 70% of them had positive GATA-3. High expression of T OX, ICOS, and GATA-3 was associated with higher stages. Conclusions: T OX is considered a diagnostic marker for early MF. The importance of identifying novel markers in MF expressed by immunohistochemistry, such as ICOS, has been established. According to our results, GATA-3 could be used as an accessory marker in the diagnosis of MF when combined with T OX and ICOS in a panel. |
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MeSH term(s) | Humans ; Retrospective Studies ; Skin Neoplasms/pathology ; Mycosis Fungoides/diagnosis ; Mycosis Fungoides/metabolism ; Mycosis Fungoides/pathology ; Lymphoma, T-Cell, Cutaneous/diagnosis ; Lymphoma, T-Cell, Cutaneous/pathology ; Dermatitis ; Inducible T-Cell Co-Stimulator Protein |
Chemical Substances | ICOS protein, human ; Inducible T-Cell Co-Stimulator Protein |
Language | English |
Publishing date | 2023-02-20 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 1473273-7 |
ISSN | 1533-4058 ; 1062-3345 ; 1541-2016 |
ISSN (online) | 1533-4058 |
ISSN | 1062-3345 ; 1541-2016 |
DOI | 10.1097/PAI.0000000000001110 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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