PMID- 36805367 OWN - NLM STAT- MEDLINE DCOM- 20230310 LR - 20230922 IS - 1533-4058 (Electronic) IS - 1533-4058 (Linking) VI - 31 IP - 3 DP - 2023 Mar 1 TI - The Value of Immunohistochemical Expression of TOX, ICOS, and GATA-3 in the Diagnosis of Mycosis Fungoides. PG - 163-171 LID - 10.1097/PAI.0000000000001110 [doi] AB - BACKGROUND: Mycosis fungoides (MF) is considered the commonest type of cutaneous T-cell lymphoma representing about 50% of all primary cutaneous lymphomas. Differentiation between MF and another inflammatory dermatitis (BIDs) is important to ensure proper management. AIM: We aimed to evaluate the immunohistochemical expression of T OX, ICOS, and GATA binding protein 3 (GATA-3) in early stages MF (stage IA and IB) to establish their diagnostic value and to guide the use of inhibitors in the treatment of cutaneous T-cell lymphomas. MATERIALS AND METHODS: A retrospective study of 75 skin paraffin blocks (punch biopsy) 40 cases of MF and 35 cases of eczematous dermatitis as a group representing other inflammatory dermatitis were retrieved from archives of the pathology department of our University, during the period from October 2017 to May 2021. RESULTS: About 98% and 90% of patients in the MF group had positive T OX and ICOS, while 70% of them had positive GATA-3. High expression of T OX, ICOS, and GATA-3 was associated with higher stages. CONCLUSIONS: T OX is considered a diagnostic marker for early MF. The importance of identifying novel markers in MF expressed by immunohistochemistry, such as ICOS, has been established. According to our results, GATA-3 could be used as an accessory marker in the diagnosis of MF when combined with T OX and ICOS in a panel. CI - Copyright (c) 2023 Wolters Kluwer Health, Inc. All rights reserved. FAU - Atwa, Hanaa A AU - Atwa HA AD - Pathology Department, Faculty of Medicine, Zagazig University, Egypt. FAU - Abdelrahman, Doaa I AU - Abdelrahman DI LA - eng PT - Journal Article DEP - 20230220 PL - United States TA - Appl Immunohistochem Mol Morphol JT - Applied immunohistochemistry & molecular morphology : AIMM JID - 100888796 RN - 0 (ICOS protein, human) RN - 0 (Inducible T-Cell Co-Stimulator Protein) SB - IM MH - Humans MH - Retrospective Studies MH - *Skin Neoplasms/pathology MH - *Mycosis Fungoides/diagnosis/metabolism/pathology MH - *Lymphoma, T-Cell, Cutaneous/diagnosis/pathology MH - *Dermatitis MH - Inducible T-Cell Co-Stimulator Protein COIS- The authors declare no conflict of interest. EDAT- 2023/02/23 06:00 MHDA- 2023/03/11 06:00 CRDT- 2023/02/22 09:34 PHST- 2022/06/03 00:00 [received] PHST- 2023/01/22 00:00 [accepted] PHST- 2023/02/23 06:00 [pubmed] PHST- 2023/03/11 06:00 [medline] PHST- 2023/02/22 09:34 [entrez] AID - 00129039-202303000-00004 [pii] AID - 10.1097/PAI.0000000000001110 [doi] PST - ppublish SO - Appl Immunohistochem Mol Morphol. 2023 Mar 1;31(3):163-171. doi: 10.1097/PAI.0000000000001110. Epub 2023 Feb 20.