Review Article

Density of Langerhans Cells in Nonmelanoma Skin Cancers: A Systematic Review

Table 3

The summary of the studies in which the number of LCs was measured in BCC and SCC.

First author, dateNo of cases (SCC/BCC/)The purpose(s) of the studyLangerhans cells immunostaining measurement methodMeasurement locationCell numbers

Yin, 2012 [41]10/10Analysis of difference in count of CD1a+ and HLA-DR+ cells in different tumours of skin associated with solar radiationAnti-CD1a and HLA-DR antibody calculation per 1000 keratinocytes in five different fileds of view of the specimenNABCC: per 1000 KC
SCC: per 1000 KC
Yamaji, 1987 [38]9/6Analysis of the number of LC in skin tumoursAnti-CD1a and anti-S100ß antibody
Calculation per 100 basal cells in three random fields of each specimen
Epidermis overlying the tumoursSCC: per 100 BC for CD1a+ and for S-100ß+
BCC: per 100 BC for CD1a+ and for S-100ß+
Schreiner, 1995 [40]10/13Analysis of LC number in skin cancersAnti-CD1a and CD4 antibodies
Calculation in 10 randomly selected areas per 1 mm2
Epidermis overlying the tumoursSCC: mean 47/mm2
BCC: mean 197/mm2
Liebau, 1986 [36]9/6Comparison of density and morphology of LCs in the head and neck skin tumoursAnti-CD1, HLA-DR antibody
Calculation in 20 HPFs in each analysed tissue layer as percentage of total number
Epithelium, basement membrane zone and connective tissueEpithelium: 16% in SCC and 21% in BCC
Connective tissue: 9% in SCC and 4% in BCC
Chen, 1988 [39]4/10Analysis of class II antigen expression in cutaneous tumoursAnti-CD1a, anti-HLA-DR, anti-HLA-DQ and anti-OKIa1 antibodies
Calculation per 1,000 keratinocytes or as percentage of mononuclear cells
Intra- and peritumouralBCC: IT:
PT skin: (when stained with CD1a). Different stains: OKIa1: ; HLA-DR: ; HLA-DQ:
SCC: PT:
Shevchuk 2014 [17]40/40Comparison of LC quantification assessing either CD1A or CD207Anti-CD1a and anti-CD207 antibodies
Calculation of CD1A and CD207 cells per total 1000 cells
IntratumouralSCC: CD1a: per 1000 cells
CD207: per 100 cells
BCC: CD1a: per 1000 cells
CD207: per 1000 cells
Smolle, 1986 [37]6/5Analysis of correlation between number of tumour intraepithelial LC, periumoural infiltrate and epithelial differentiationAnti-CD1a antibody
Calculation in 5 consecutive fields and extrapolated to per 1 mm2
Intra- and peritumouralSCC: (range 9-242)
BCC: (range: 5-79)

BCC: basal cell carcinoma; CD: cluster of differentiation; HLA: human leukocyte antigen; HPF: high-power fields; IT: intratumoural; KC: keratinocyte; PT: peritumoural; SCC: squamous cell carcinoma. oral squamous cell carcinoma.