When presenting in the pleura, there is a differential between synovial sarcoma and mesothelioma. One paper has specifically compared synovial sarcoma (mainly of the extremity) with mesothelioma.
|
Synovial sarcoma |
Mesothelioma |
|||||
biphasic |
monophasic |
poorly differentiated |
epithelioid |
sarcomatoid |
|||
2/14 |
0/7 |
||||||
0/7 |
|||||||
4/7 |
|||||||
1/11 |
20/21 |
5/7 |
|||||
22/29 |
21/23 |
1/7 |
|||||
23/23 |
7/7 |
||||||
23/23 |
7/7 |
||||||
0/18 |
0/31 |
0/11 |
12/17 |
0/7 |
|||
BerEP4 and WT1 appear to be useful in the differentiation of synovial sarcoma from mesothelioma. Cytokeratins 7 and 19 are more extensively expressed in mesothelioma than in synovial sarcoma. Bcl-2, positive in synovial sarcoma, may also be useful.
This page last revised 28.3.2005.