Combined small cell carcinoma

In combined small cell with non-small cell carcinoma of the lung, both components usually show the immunophenotype of small cell carcinoma.

Case1

 

synaptophysin

CD56

chromogranin

bcl-2

TTF-1

CK7

Pax-5

1

small cell component

strong

strong

negative

strong

strong

strong

weak focal

adenocarcinoma component

strong

strong

negative

strong

strong

strong

weak focal

2

small cell component

strong

strong

negative

strong

negative

negative

strong

adenocarcinoma component

strong

weak focal

negative

strong

negative

negative

strong

3

small cell component

strong

strong

strong

weak focal

strong

strong

weak focal

adenocarcinoma component

strong

strong

strong

weak focal

strong

strong

weak focal

4

small cell component

strong

strong

strong

 

strong

negative

negative

negative

squamous cell component

strong

strong

weak focal

weak focal

negative

negative

negative

5

small cell component

strong

strong

weak focal

strong

strong

strong

negative

squamous cell component

strong

strong

weak focal

weak focal

strong

strong

negative

6

small cell component

strong

strong

negative

weak focal

negative

strong

strong

large cell neuroendocrine component

strong

strong

negative

weak focal

negative

strong

strong

7

small cell component

strong

strong

negative

strong

strong

strong

negative

large cell neuroendocrine component

strong

strong

negative

strong

strong

strong

strong

References

1 Wagner PL, Kitabayashi N, Chen YT, et al. Combined small cell lung carcinomas: genotypic and immunophenotypic analysis of the separate morphologic components. Am J Clin Pathol 2009; 131:376-82

This page last revised 23.4.2009

©SMUHT/PW Bishop