PMID- 24711443 OWN - NLM STAT- MEDLINE DCOM- 20140812 LR - 20220317 IS - 1934-6638 (Electronic) IS - 1934-662X (Linking) VI - 122 IP - 6 DP - 2014 Jun TI - Usefulness of GATA3 and p40 immunostains in the diagnosis of metastatic urothelial carcinoma in cytology specimens. PG - 468-73 LID - 10.1002/cncy.21424 [doi] AB - BACKGROUND: GATA3 (GATA-binding protein 3) expression in urothelial carcinoma (UC) and mammary carcinomas has been recently reported. However, to the authors' knowledge, studies examining GATA3 staining of metastatic UC (MUC) in cytology specimens are lacking. Delta Np63 (p40) has been shown to be expressed highly selectively in squamous cell carcinomas (SCCs) but the literature concerning the expression of p40 in UC is limited and controversial. In the current study, the authors evaluated the usefulness of GATA3 and p40 in the diagnosis of MUC in cytology specimens. METHODS: Thirty-two MUC cytology cases and 44 controls (22 UC cases and 22 SCC cases) were stained for GATA3, p40, and p63 and nuclear staining intensity and the percentage of positive cells were recorded and compared. RESULTS: MUC cytology cases stained positive for GATA3, p40, and p63 in 78.13%, 80.65%, and 61.29% of cases, respectively, with moderate/strong staining intensity. MUC cases had a significantly higher percentage of GATA3 positivity compared with SCC controls (P<.001), but GATA3 positivity was not found to be significantly different from UC controls (90.91%) (P = .28). For p40 positivity, there was no significant difference observed between MUC cases, UC controls (95.45%), and SCC controls (90.91%) (P=.29). p63 positivity was found to be significantly lower in MUC cases compared with UC controls (95.45%) and SCC controls (95.45%) (P<.01). CONCLUSIONS: The results of the current study demonstrate that GATA3 is useful in confirming the diagnosis of MUC in cytology specimens and in distinguishing between MUC and SCC. p40 is a valuable adjunct to GATA3 in the diagnosis of MUC in cytology specimens, especially when SCC is not part of the clinical differential diagnosis. CI - (c) 2014 American Cancer Society. FAU - Brandler, Tamar C AU - Brandler TC AD - Department of Pathology, Hofstra North Shore-LIJ School of Medicine, Lake Success, New York. FAU - Aziz, Mohamed S AU - Aziz MS FAU - Rosen, Lisa M AU - Rosen LM FAU - Bhuiya, Tawfiqul A AU - Bhuiya TA FAU - Yaskiv, Oksana AU - Yaskiv O LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140407 PL - United States TA - Cancer Cytopathol JT - Cancer cytopathology JID - 101499453 RN - 0 (Biomarkers, Tumor) RN - 0 (GATA3 Transcription Factor) RN - 0 (GATA3 protein, human) RN - 0 (Immunodominant Epitopes) RN - 0 (P40, iodinated C-terminal peptide, human) RN - 0 (Peptide Fragments) RN - 0 (Protein Isoforms) RN - 0 (TP63 protein, human) RN - 0 (Transcription Factors) RN - 0 (Tumor Suppressor Proteins) SB - IM MH - Biomarkers, Tumor/immunology/*metabolism MH - Carcinoma, Squamous Cell/*diagnosis/metabolism MH - Case-Control Studies MH - Cytodiagnosis/methods MH - Follow-Up Studies MH - GATA3 Transcription Factor/immunology/*metabolism MH - Humans MH - Immunodominant Epitopes/immunology/*metabolism MH - Immunoenzyme Techniques MH - Logistic Models MH - Peptide Fragments/immunology/*metabolism MH - Prognosis MH - Protein Isoforms MH - Sensitivity and Specificity MH - Transcription Factors/immunology/*metabolism MH - Tumor Suppressor Proteins/immunology/*metabolism MH - Urologic Neoplasms/*diagnosis/metabolism OTO - NOTNLM OT - GATA3 (GATA-binding protein 3) OT - cytology OT - immunocytochemistry OT - p40 OT - urothelial carcinoma EDAT- 2014/04/09 06:00 MHDA- 2014/08/13 06:00 CRDT- 2014/04/09 06:00 PHST- 2014/02/11 00:00 [received] PHST- 2014/03/11 00:00 [revised] PHST- 2013/03/12 00:00 [accepted] PHST- 2014/04/09 06:00 [entrez] PHST- 2014/04/09 06:00 [pubmed] PHST- 2014/08/13 06:00 [medline] AID - 10.1002/cncy.21424 [doi] PST - ppublish SO - Cancer Cytopathol. 2014 Jun;122(6):468-73. doi: 10.1002/cncy.21424. Epub 2014 Apr 7.