PMID- 21411785 OWN - NLM STAT- MEDLINE DCOM- 20110512 LR - 20110317 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 135 IP - 4 DP - 2011 Apr TI - The diagnostic utility of p16 FISH and GLUT-1 immunohistochemical analysis in mesothelial proliferations. PG - 619-27 LID - 10.1309/AJCPP5R2ZJZKCLWN [doi] AB - Two promising ancillary tests used in the diagnosis of mesothelioma include GLUT-1 immunohistochemical analysis and fluorescence in situ hybridization (FISH) testing for the p16 deletion. This study compared the diagnostic usefulness of p16 FISH and GLUT-1 immunohistochemical analysis in the diagnosis of mesothelial proliferations in 158 cases with a diagnosis of benign (45.4%), atypical (10.4%), or malignant/mesothelioma (44.2%). Of the 70 benign cases, none had a deletion of p16 and 5 cases (7%) were positive for GLUT-1. Of the 68 mesotheliomas, 40 (59%) had a deletion of p16 (sensitivity, 59%; specificity, 100%) and 27 (40%) were positive for GLUT-1 (sensitivity, 40%; specificity, 93%). GLUT-1 showed lower sensitivity in pleural (56% vs 70%) and peritoneal (29% vs 51%) mesotheliomas (P = .004). Our results demonstrate that p16 FISH is a more sensitive and specific test than GLUT-1 immunohistochemical analysis and can be a more reliable ancillary tool to support the diagnosis of mesothelioma. FAU - Monaco, Sara E AU - Monaco SE AD - Dept of Pathology, University of Pittsburgh Medical Center, PA 15232, USA. FAU - Shuai, Yongli AU - Shuai Y FAU - Bansal, Mona AU - Bansal M FAU - Krasinskas, Alyssa M AU - Krasinskas AM FAU - Dacic, Sanja AU - Dacic S LA - eng PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (Glucose Transporter Type 1) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Cell Proliferation MH - Epithelium/metabolism/pathology MH - Female MH - *Gene Deletion MH - *Genes, p16 MH - Glucose Transporter Type 1/*metabolism MH - Humans MH - Immunohistochemistry/methods MH - In Situ Hybridization, Fluorescence MH - Male MH - Mesothelioma/*diagnosis/genetics/metabolism MH - Middle Aged MH - Peritoneal Neoplasms/*diagnosis/genetics/metabolism MH - Pleural Neoplasms/*diagnosis/genetics/metabolism MH - Predictive Value of Tests MH - Young Adult EDAT- 2011/03/18 06:00 MHDA- 2011/05/13 06:00 CRDT- 2011/03/18 06:00 PHST- 2011/03/18 06:00 [entrez] PHST- 2011/03/18 06:00 [pubmed] PHST- 2011/05/13 06:00 [medline] AID - 135/4/619 [pii] AID - 10.1309/AJCPP5R2ZJZKCLWN [doi] PST - ppublish SO - Am J Clin Pathol. 2011 Apr;135(4):619-27. doi: 10.1309/AJCPP5R2ZJZKCLWN.