Synovial sarcoma vs mesothelioma

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

Calretinin

29/41

23/44

10/18

23/23

7/7

HBME-1

28/28

8/20

2/14

20/23

0/7

BerEP4

27/30

2/28

1/16

3/23

0/7

CD15

3/32

1/33

1/17

5/17

4/7

CD141

7/20

11/33

1/11

20/21

5/7

CK5/6

22/29

12/40

3/17

21/23

1/7

CK7

41/41

32/41

9/18

23/23

7/7

CK14

29/44

11/40

1/12

12/23

4/7

CK19

41/41

25/41

11/18

23/23

7/7

WT1

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.

1Miettinen, M., J. Limon, et al. (2001). "Calretinin and other mesothelioma markers in synovial sarcoma: analysis of antigenic similarities and differences with malignant mesothelioma." Am J Surg Pathol 25(5): 610-7.

 

This page last revised 28.3.2005.