The use of a panel of monoclonal antibodies in the evaluation of cytologic specimens from the central nervous system.

Published

Journal Article

A panel of monoclonal antibodies was tested immunohistochemically to determine the utility of such reagents in distinguishing among metastatic carcinoma, lymphoma, leukemia and primary brain tumors. The monoclonal antibodies used were: (1) a cocktail comprised of three anti-glial fibrillary acidic protein antibodies (alpha-GFAP); (2) UJ13A, a panneuroectodermal antibody; (3) B72.3, which recognizes a carcinoma-distinctive tumor-associated glycoprotein complex; and (4) 2D1, a pan-leukocyte antibody. Fifty-three specimens (21 cerebrospinal fluids, 1 ventricular fluid, 2 brain cyst fluids, 12 needle washings, 15 imprints, 1 subdural fluid and 1 post-shunt fluid) were obtained from 21 gliomas, 2 meningiomas, 1 pineoblastoma, 11 metastatic tumors, 3 lymphomas, 1 leukemia and 14 cases without tumor. alpha-GFAP stained all 21 gliomas and 5 of 5 cases containing reactive brain fragments. UJ13A had a reactivity pattern similar to that of alpha-GFAP, but also stained the meningiomas, pineoblastoma, oat-cell carcinoma and embryonal rhabdomyosarcoma. B72.3 stained all adenocarcinomas and the large-cell carcinoma. 2D1 stained lymphoma and leukemia, all inflammatory cells and 4 of 12 glioblastomas. Although no single antibody was diagnostic of a specific tumor type, this panel accurately differentiated among most primary brain tumors, metastases, leukemias and lymphomas.

Full Text

Duke Authors

Cited Authors

  • Vick, WW; Wikstrand, CJ; Bullard, DE; Kemshead, J; Coakham, HB; Schlom, J; Johnston, WW; Bigner, DD; Bigner, SH

Published Date

  • November 1987

Published In

Volume / Issue

  • 31 / 6

Start / End Page

  • 815 - 824

PubMed ID

  • 3425142

Pubmed Central ID

  • 3425142

International Standard Serial Number (ISSN)

  • 0001-5547

Language

  • eng

Conference Location

  • Switzerland