GPC-3 may be a useful serum marker in patients with hepatocellular carcinoma or melanoma2,4.
Normal tissues:
Fetal liver
Trophoblast: syncytiotrophoblast stains more strongly than does cytotrophoblast7.
Normal tissues negative for GPC-3:
Normal hepatocytes
Testes: germ cells, Sertoli cells, Leydig cells7
Neoplasms positive for GPC-3:
Malignant liver tumours:
|
GPC-3 |
HSP70 |
Glutamine synthetase |
|||||||
Liver |
Normal hepatocytes |
0/92 , 0/256 |
0/456 |
45/456 |
|
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Fetal liver |
9/96 |
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|
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Fulminant hepatitis |
0/32 , 0/96 |
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|
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Regenerative nodule in fulminant hepatitis |
1/16 |
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|
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|
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Autoimmune hepatitis |
0/26 |
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|
|
|
|
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Primary sclerosing cholangitis |
0/16 |
|
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|
|
|
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Chronic viral hepatitis |
0/136 |
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|
|
|
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Primary biliary cirrhosis |
0/26 |
|
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|
|
|
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Cirrhotic liver |
|
|
0/1510 |
|
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Focal nodular hyperplasia |
|
|
|
|
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Hepatic adenoma |
0/72, 0/76, 0/198 |
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|
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Dysplastic nodule, low grade |
0/72, 2/86 , 0/1411, 2/6512 |
|
|
|
0/1510 |
|
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Dysplastic nodule, high grade |
|
|
|
1/2210 |
9/2210 |
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Hepatocellular carcinoma |
ordinary |
4/162, 17/456 |
38/456 |
39/5310 |
37/5310 |
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fibrolamellar |
1/32, 1/512 |
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|
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sarcomatoid |
0/36, 1/18 |
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Mixed hepatocellular carcinoma and cholangiocarcinoma |
1/32, 7/912 |
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|
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Cholangiocarcinoma |
0/12, 0/166, 0/148, 1/1012 |
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Hepatoblastoma |
6/62 |
|
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|
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Carcinoid |
0/16 |
|
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|
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Colonic carcinoma metastatic to liver |
1/236 |
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|
|
Testicular yolk sac tumour and choriocarcinoma:
|
GPC-3 |
||||||
Yolk sac tumour (11 ovary, 6 testis, 4 mediastinum, 3 abdomen, 5 brain/pineal, 2 retroperitoneum, 1 supraclavicular, 1 uterine) |
pure |
16/161 |
1/161 |
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mixed |
14/171 |
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Testis |
|
|
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2/103 , 6/367 |
|
|
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Syncytiotrophoblastic giant cell component |
10/143 |
|
|
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Choriocarcinoma |
1/33 , 7/77 |
|
|
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Intracellular germ cell neoplasia unclassified |
0/333 |
|
|
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0/613, 0/427 |
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|
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0/193, 3/377 |
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various |
2/148 |
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|
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Ovary |
clear cell carcinoma |
7/421, 1/28 |
12/421 |
42/421 |
|||
Endometrioid carcinoma |
2/321, 1/78 |
|
|
||||
1/1571, 0/58 |
|
|
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Serous tumor of low malignant potential |
0/591 |
|
|
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Mucinous carcinoma |
0/101 |
|
|
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Sex cord stromal tumour |
0/161 |
|
|
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Carcinosarcoma |
0/41 |
|
|
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Undifferentiated carcinoma |
0/21 |
|
|
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Peritoneum |
0/381 |
|
|
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Melanoma:
Melanocytic naevus |
|||
Other tumours are almost all negative for Glypican-3:
Adrenal |
cortical carcinoma |
0/108 |
||
Bladder |
urothelial carcinoma |
0/158 |
||
Breast |
adenocarcinoma |
0/58 |
||
Colon |
adenocarcinoma |
0/108 |
||
Gastrointestinal tract and lung |
carcinoid |
3/158 |
||
Kidney |
renal cell carcinoma |
0/108 |
||
Lung |
adenocarcinoma |
0/118 |
||
Pancreas |
adenocarcinoma |
0/138 |
||
Prostate |
adenocarcinoma |
0/118 |
||
Pleura/peritoneum |
0/78 |
|||
Salivary gland |
pleomorphic adenoma and Warthin tumour |
0/108 |
||
Skin |
basal cell carcinoma |
0/108 |
||
Soft tissue |
0/108 |
|||
Stomach |
adenocarcinoma |
0/88 |
||
Thyroid |
various |
0/288 |
||
Uterus |
adenocarcinoma |
0/108 |
||
Differentiation of yolk sac tumour from clear cell carcinoma of the ovary.
Diagnosis of hepatocellular carcinoma: its differentiation from benign lesions and from other malignancies. A "complete" staining pattern for CD34 complements positivity for Glypican-3.
References
6 Yamauchi N, Watanabe A, Hishinuma M, et al. The glypican 3 oncofetal protein is a promising diagnostic marker for hepatocellular carcinoma. Mod Pathol 2005; 18:1591-8 FULL TEXT
9 Nakatsura T, Kageshita T, Ito S, et al. Identification of glypican-3 as a novel tumor marker for melanoma. Clin Cancer Res 2004; 10:6612-21 FULL TEXT
This page last revised 29.4.2008.
©SMUHT/PW Bishop