[The usefulness of immunohistochemical methods for the anatomopathologic diagnosis]

F C Schmitt1, P A Kimaid, P F Campos

  • 1Departamento de Patologia, Faculdade de Medicina de Botucatu, UNESP.

Insights

Immunohistochemical staining methods are valuable for diagnosing histologic specimens. These techniques confirmed diagnoses, aided differential diagnoses, and provided unexpected findings in over 75% of cases.

Area of Science:

  • Pathology
  • Immunohistochemistry
  • Histology

Background:

  • Morphologic diagnosis is crucial in pathology.
  • Immunohistochemical staining offers advanced diagnostic capabilities.
  • The utility of these methods requires evaluation.

Purpose of the Study:

  • To assess the value of immunohistochemical staining in morphologic diagnosis.
  • To determine the impact of immunohistochemistry on diagnostic outcomes.
  • To evaluate its role in differential diagnosis.

Main Methods:

  • Analysis of 949 histologic specimens submitted for consultation.
  • Application of immunoperoxidase staining techniques (PAP or ABC).
  • Comparison of immunohistochemical results with original morphologic diagnoses.

Main Results:

  • Immunohistochemical stains confirmed original diagnoses in 49.3% of cases.
  • Definitive diagnoses were made from differential lists in 25.7% of cases.
  • Contributory or unsuspected diagnoses were rendered in 13% of cases, with non-contributory results in 12%.

Conclusions:

  • Immunohistochemical staining provides essential information for definitive diagnosis.
  • The technique is particularly useful for differentiating between carcinoma, lymphoma, and melanoma.
  • Fixation methods may influence antigen preservation and diagnostic contribution.