Pathology Resident Wiki
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Synonyms[]

Antibodies[]

Technical Info[]

Staining Pattern[]

Expression in Normal Tissues[]

  • Colon
  • Umbrella cells in urothelium[1]
  • Merkel cells

Expression in Neoplastic Entities[]

Benign[]
Tumor name % Positive Staining Number of Cases


Intermediate/Uncertain Malignant Potential[]
Tumor name % Positive Staining Number of Cases


Malignant[]
Tumor name % Positive Staining Number of Cases
Colonic Adenocarcinoma 100%[2] 20/20[2]
Merkel Cell Carcinoma 78%[2] 7/9[2]

Expression in Non-Neoplastic Entities[]

Pertinent Negatives[]

This antigen is typically NOT expressed by the following entities:

  • Usually negative in lung adenocarcinoma

Practical Uses / Panels[]

  • Often used with CK7 to determine the origin of a carcinoma:
    • Typically CK7+/CK20+ carcinomas:
      • Pancreatic origin
      • Ovarian origin (mucinous)
      • Bile duct origin (extrahepatic, including gallbladder)
    • Typically CK7+/CK20- carcinomas:
      • Breast origin
      • Lung origin
      • Bile duct origin (intrahepatic)
      • Endocervical/Endometrial origin
      • Thyroid origin
    • Typically CK7-/CK20+ carcinomas:
      • Colon origin
    • Typically CK7-/CK20- carcinomas:
      • Prostate origin
      • Adrenal cortex origin
  • Can be used to differentiate urothelial carcinoma in situ (cells below the umbrella cells are CK20+) from non-neoplastic urothelium (only the superficial umbrella cells are CK20+ [seen in normal urothelium])[3]

Common Pitfalls[]

Related Links/Other Resources[]

References[]

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