Diagnosis of HPV-negative, gastric-type adenocarcinoma of the endocervix

Methods Mol Biol. 2015:1249:213-9. doi: 10.1007/978-1-4939-2013-6_16.

Abstract

Gastric-type adenocarcinoma of the cervix (GAS) is a novel, recently described subtype of endocervical adenocarcinoma. The clinical importance of accurate diagnosis of GAS stems from the observation that it confers worse prognosis than the usual-type endocervical adenocarcinoma. There are two unique characteristics of GAS: the tumor cells contain voluminous amounts of gastric-type mucins, and the tumor pathogenesis is not related to infection with high-risk human papillomavirus types. The histopathologic diagnosis of GAS is difficult; however, it may be confirmed by demonstration of intra-cytoplasmic gastric-type mucins using immunohistochemical staining with monoclonal antibody HIK1083. A protocol for HIK1083 immunostaining is described.

MeSH terms

  • Adenocarcinoma / diagnosis*
  • Adenocarcinoma / pathology
  • Adenocarcinoma / virology
  • Antigens, Viral / immunology
  • Automation
  • Cervix Uteri / pathology
  • Cervix Uteri / virology*
  • Epitopes / immunology
  • Female
  • Humans
  • Immunohistochemistry / methods*
  • Papillomaviridae / immunology
  • Papillomaviridae / physiology*
  • Staining and Labeling
  • Stomach / pathology*
  • Uterine Cervical Neoplasms / diagnosis*
  • Uterine Cervical Neoplasms / pathology
  • Uterine Cervical Neoplasms / virology

Substances

  • Antigens, Viral
  • Epitopes