CK20 and CK5/6 Immunohistochemical Staining of Urothelial Neoplasms: A Perspective

Cytokeratins belong to the family of intermediate filaments. They are expressed in a highly specific manner in epithelial cells where they play a crucial role in the integrity and mechanical stability of the cells. Several types of cytokeratins have been described in normal as well as neoplastic uro...

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Main Authors: Mohammed Akhtar, Sameera Rashid, Mohamed Ben Gashir, Noheir Mostafa Taha, Issam Al Bozom
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2020/4920236
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author Mohammed Akhtar
Sameera Rashid
Mohamed Ben Gashir
Noheir Mostafa Taha
Issam Al Bozom
author_facet Mohammed Akhtar
Sameera Rashid
Mohamed Ben Gashir
Noheir Mostafa Taha
Issam Al Bozom
author_sort Mohammed Akhtar
collection DOAJ
description Cytokeratins belong to the family of intermediate filaments. They are expressed in a highly specific manner in epithelial cells where they play a crucial role in the integrity and mechanical stability of the cells. Several types of cytokeratins have been described in normal as well as neoplastic urothelium. In the case of urothelial neoplasms expression of CK20 and CK5/6 has been shown in several studies to have diagnostic and prognostic implications. Thus, low-grade urothelial carcinoma manifests CK expression limited to the umbrella cells, while high-grade tumors usually have an expression in the entire thickness of the urothelium except for the basal layer. CK5/6 expression on the other hand is expressed in the basal cells in all low-grade and some high-grade urothelial carcinomas. Diffuse CK20 staining accompanied by loss of CK5/6-positive basal layer is usually associated with aggressive clinical behavior. Double staining of the slides for these cytokeratins may facilitate proper interpretation and correlation.
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id doaj-art-5247e8cf15134f07bf938a99c1221212
institution Kabale University
issn 1687-6369
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language English
publishDate 2020-01-01
publisher Wiley
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series Advances in Urology
spelling doaj-art-5247e8cf15134f07bf938a99c12212122025-02-03T06:43:30ZengWileyAdvances in Urology1687-63691687-63772020-01-01202010.1155/2020/49202364920236CK20 and CK5/6 Immunohistochemical Staining of Urothelial Neoplasms: A PerspectiveMohammed Akhtar0Sameera Rashid1Mohamed Ben Gashir2Noheir Mostafa Taha3Issam Al Bozom4Department of Laboratory Medicine and Pathology, Hamad Medical Corporation, Doha, QatarDepartment of Laboratory Medicine and Pathology, Hamad Medical Corporation, Doha, QatarDepartment of Laboratory Medicine and Pathology, Hamad Medical Corporation, Doha, QatarDepartment of Laboratory Medicine and Pathology, Hamad Medical Corporation, Doha, QatarDepartment of Laboratory Medicine and Pathology, Hamad Medical Corporation, Doha, QatarCytokeratins belong to the family of intermediate filaments. They are expressed in a highly specific manner in epithelial cells where they play a crucial role in the integrity and mechanical stability of the cells. Several types of cytokeratins have been described in normal as well as neoplastic urothelium. In the case of urothelial neoplasms expression of CK20 and CK5/6 has been shown in several studies to have diagnostic and prognostic implications. Thus, low-grade urothelial carcinoma manifests CK expression limited to the umbrella cells, while high-grade tumors usually have an expression in the entire thickness of the urothelium except for the basal layer. CK5/6 expression on the other hand is expressed in the basal cells in all low-grade and some high-grade urothelial carcinomas. Diffuse CK20 staining accompanied by loss of CK5/6-positive basal layer is usually associated with aggressive clinical behavior. Double staining of the slides for these cytokeratins may facilitate proper interpretation and correlation.http://dx.doi.org/10.1155/2020/4920236
spellingShingle Mohammed Akhtar
Sameera Rashid
Mohamed Ben Gashir
Noheir Mostafa Taha
Issam Al Bozom
CK20 and CK5/6 Immunohistochemical Staining of Urothelial Neoplasms: A Perspective
Advances in Urology
title CK20 and CK5/6 Immunohistochemical Staining of Urothelial Neoplasms: A Perspective
title_full CK20 and CK5/6 Immunohistochemical Staining of Urothelial Neoplasms: A Perspective
title_fullStr CK20 and CK5/6 Immunohistochemical Staining of Urothelial Neoplasms: A Perspective
title_full_unstemmed CK20 and CK5/6 Immunohistochemical Staining of Urothelial Neoplasms: A Perspective
title_short CK20 and CK5/6 Immunohistochemical Staining of Urothelial Neoplasms: A Perspective
title_sort ck20 and ck5 6 immunohistochemical staining of urothelial neoplasms a perspective
url http://dx.doi.org/10.1155/2020/4920236
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