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Table 2 Differential diagnosis of Merkel cell carcinoma based on the tumor cells immunoprofile [234]

From: Unexpected maspin immunoreactivity in Merkel cell carcinoma

IHC marker

MCC

BCC with neuroendocrine differentiation

Melanoma

SCLC - skin metastasis

AE1/AE3 Keratin

+

+

±

+

Keratin 20

±

-

-

-

Keratin 7

±

-

-

+

EMA

+

+

-

+

CEA

-

-

-

-

Chromogranin

±

±

-

±

Synaptophysin

+

±

-

±

NSE

±

±

-

±

CD56

±

±

-

+

CD99

+

-

-

-

Bcl-2

±

-

-

-

S-100 protein

+

-

+

-

TTF-1

±

-

-

+

Vimentin

-

-

+

-

TDT

±

-

-

±

DOG-1

-

±

-

-

HMB45

-

-

±

-

Melan A

-

-

+

-

E-cadherin

-

+

-

-

Maspin

±

±

±

±

CD57

±

-

±

±

PAX-5

±

-

-

-

c-KIT

±

-

±

-

  1. Abbreviations: BCC basal cell carcinoma, CD cluster of differentiation, CEA carcinoembryonic antigen, EMA epithelial membrane antigen, IHC immunohistochemistry, MCC Merkel cell carcinoma, NSE neuron specific enolase; Maspin-mammary serine protease inhibitor, SCLC-small cell lung carcinoma, TDT terminal deoxynucleotidyl transferase, TTF thyroid transcription factor