Case Report
A Biphasic Pleural Tumor with Features of an Epithelioid and Small Cell Mesothelioma: Morphologic and Molecular Findings
Table 1
Immunostaining results for large and small cell components of biphasic tumor.
| Immunostain | Mesothelial areas | Small blue cell areas |
| MyoD1 | Positive, diffuse | Positive, punctate Golgi | Manufacturer: Dako | Clone: 5-8A |
| CD99 | Positive, diffuse | Positive, punctate Golgi | Manufacturer: Dako | Clone: MIC2 |
| Myogenin | Negative | Negative | Manufacturer: Dako | Clone: FSD |
| CK7 | Positive | Predominantly negative, few focal punctate positive cells | Manufacturer: Dako | Clone: OV-TL-12/30 |
| CK20 | Focal positive | Negative | Manufacturer: Dako | Clone: Kg20-8 |
| TTF-1 | Negative | Negative | Manufacturer: Leica | Clone: SPT24 |
| CK5/6 | Positive, membranous/cytoplasm | Negative | Manufacturer: Dako | Clone: D5/16 B4 |
| Napsin | Negative | Negative | Manufacturer: Leica | Clone: 1P64 |
| Synaptophysin | Negative | Negative | Manufacturer: Dako | Clone: DAK-Synap |
| Chromogranin | Negative | Negative | Manufacturer: Dako | Clone: DAK-A3 |
| LCA (CD45) | Negative | Negative | Manufacturer: Dako | Clone: 2B11 P07/26 |
| D2-40 | Positive | Negative | Manufacturer: Dako |
| Calretinin | Positive | Negative | Manufacturer: Dako | Clone: Dako-Calret1 |
| CK (cocktail) | Positive, membranous | Positive, punctate | Manufacturer: Dako and Life technologies | Clone: AE1/AE3 and Mak-6 |
| A103 | Negative | Negative | Manufacturer: Dako |
| S100 | Negative | Focal positive | Manufacturer: Dako |
| Desmin | Negative | Negative | Manufacturer: Dako | Clone: D33 |
| BCL2 | Negative | Weak positive | Manufacturer: Dako | Clone: 124 |
| CD15 | Negative | Positive, focal punctate | Manufacturer: Dako | Clone: Carb3 |
| PLAP | Negative | Negative | Manufacturer: Dako | Clone: 8A9 |
| HMB45 | Negative | Negative | Manufacturer: Dako |
| CD200 | Positive | Positive | Manufacturer: R&D systems |
| FLI1 | Positive, patchy nuclear | Positive, nuclear | Manufacturer: BD Bioscience | Clone: G146-222 |
| WT1 | Positive, weak nuclear and focal cytoplasmic | Positive, weak nuclear and focal cytoplasmic | Manufacturer: Biocare Medical | Clone Number: 6F-H2 |
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