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Androgen Receptor Expression Helps to Differentiate BCC From Trichoblastoma and Trichoepithelioma

Identifieur interne : 008548 ( Main/Exploration ); précédent : 008547; suivant : 008549

Androgen Receptor Expression Helps to Differentiate BCC From Trichoblastoma and Trichoepithelioma

Auteurs : L. Izikson ; A. Bhan [États-Unis] ; A. Zembowicz

Source :

RBID : ISTEX:5CDEA88BEAEF255F391E3D52032C308DFBF64C3C

Abstract

Histological differentiation between basal cell carcinoma and benign trichoblastic neoplasms such as trichoepithelioma and trichoblastoma can be difficult on small biopsies. Therefore, several attempts have been made to identify immunohistochemical differences between these entities. Recent studies showed androgen receptor expression in a number of mature epithelial structures in the skin and in epithelial neoplasms including basal cell carcinoma. In contrast, androgen receptor expression was absent in mature hair follicles or the few trichogenic neoplasms studied to date. These findings suggested that androgen receptor expression might be a useful adjunct in the histological differential diagnosis between basal cell carcinoma and benign trichoblastic neoplasms. Therefore, we performed immunohistochemical analysis of androgen receptor expression in 32 basal cell carcinomas and 10 benign trichoblastic tumors (6 trichoepitheliomas and 4 trichoblastomas). In our study, expression of androgen receptor was detected in 78% of basal cell carcinomas. None of the trichoblastic tumors showed any androgen receptor immunoreactivity. These results confirm the lack of androgen receptor expression in benign trichoblastic neoplasms and indicate that finding of androgen receptor expression points to basal cell carcinoma as the most likely diagnosis.

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DOI: 10.1111/j.0303-6987.2005.320dd.x


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