Molecular Heterogeneity of Canine Cutaneous Peripheral Nerve Sheath Tumors: A Drawback in the Diagnosis Refinement

In Vivo. 2016;30(6):819-827. doi: 10.21873/invivo.11000.

Abstract

Background/aim: Peripheral nerve sheath tumors (PNSTs) belong to a very heterogeneous group of neoplasms occurring both in dogs and humans. The aim of the present study was to evaluate the histological and immunohistochemical features of canine cutaneous PNSTs contributing to further refine their diagnosis.

Materials and methods: The histopathological phenotype and biological behavior of 40 canine cutaneous PNSTs were evaluated and vimentin, S-100, glial fibrillary acidic protein (GFAP), neuron-specific enolase (NSE), desmin, alpha-smooth muscle actin (α-SMA) and Ki-67 immunoreactivity were assessed.

Results: Respectively, 17 and 23 lesions were classified as benign and malignant PNSTs. The malignant lesions were more often positive for S-100 and presented a proliferation index significantly higher when compared to the benign ones (p<0.05).

Conclusion: The differential diagnosis of PNST on routine stained samples is difficult and the immunohistochemical examination may contribute to the final diagnosis. However, these lesions present a complex histogenesis and show very variable individual features; thus, an unequivocally immunohistochemical panel that could have supported the PNST diagnostic was not achieved. Nevertheless, we concluded that Ki-67 can be a useful marker helping to discriminate the biological behavior of canine PNST.

Keywords: Alpha-smooth muscle actin (α-SMA); Ki-67; S-100; desmin; dog; glial fibrillary acidic protein (GFAP); immunohistochemistry (IHC); neuron-specific enolase (NSE); peripheral nerve sheath tumor (PNST); vimentin.

MeSH terms

  • Actins / metabolism
  • Animals
  • Biomarkers, Tumor / metabolism*
  • Desmin / metabolism
  • Diagnosis, Differential
  • Dog Diseases / diagnosis*
  • Dog Diseases / metabolism
  • Dogs
  • Female
  • Glial Fibrillary Acidic Protein / metabolism
  • Immunohistochemistry
  • Ki-67 Antigen / metabolism
  • Male
  • Nerve Sheath Neoplasms / diagnosis
  • Nerve Sheath Neoplasms / metabolism
  • Nerve Sheath Neoplasms / veterinary*
  • Phosphopyruvate Hydratase / metabolism
  • S100 Proteins / metabolism
  • Skin Neoplasms / diagnosis
  • Skin Neoplasms / metabolism
  • Skin Neoplasms / veterinary*
  • Vimentin / metabolism

Substances

  • Actins
  • Biomarkers, Tumor
  • Desmin
  • Glial Fibrillary Acidic Protein
  • Ki-67 Antigen
  • S100 Proteins
  • Vimentin
  • Phosphopyruvate Hydratase