Interobserver variation in CD30 immunohistochemistry interpretation; consequences for patient selection for targeted treatment.

Abstract:

AIMS:CD30 immunohistochemistry (IHC) in malignant lymphoma is used for selection of patients in clinical trials using brentuximab vedotin, an antibody drug-conjugate targeting the CD30 molecule. For reliable implementation in daily practice and meaningful selection of patients for clinical trials, information on technical variation and interobserver reproducibility of CD30 immunohistochemistry (IHC) staining is required. METHODS AND RESULTS:We conducted a three-round reproducibility assessment of CD30 scoring for categorised frequency and intensity, including a technical validation, a 'live polling' pre- and post-instruction scoring round and a web-based round including individual scoring with additional IHC information to mimic daily diagnostic practice. Agreement in all three scoring rounds was poor to fair (κ = 0.12-0.35 for CD30-positive tumour cell percentage and κ = 0.16-0.41 for staining intensity), even when allowing for one category of freedom in percentage of tumour cell positivity (κ = 0.30-0.61). The first round with CD30 staining performed in five independent laboratories showed objective differences in staining intensity. In the second round, approximately half the pathologists changed their opinion on CD30 frequency after a discussion on potential pitfalls, highlighting hesitancy in decision-making. Using fictional cut-off points for percentage of tumour cell positivity, agreement was still suboptimal (κ = 0.35-0.60). CONCLUSIONS:Lack of agreement in cases with heterogeneous expression is shown to influence patient eligibility for treatment with brentuximab vedotin, both in clinical practice and within the context of clinical trials, and limits the potential predictive value of the relative frequency of CD30-positive neoplastic cells for clinical response.

journal_name

Histopathology

journal_title

Histopathology

authors

Koens L,van de Ven PM,Hijmering NJ,Kersten MJ,Diepstra A,Chamuleau M,de Jong D

doi

10.1111/his.13647

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

473-482

issue

3

eissn

0309-0167

issn

1365-2559

journal_volume

73

pub_type

杂志文章
  • Lobular endocrine neoplasia in fibroadenoma of the breast.

    abstract::Four cases of endocrine neoplasia within fibroadenomas of the breast are described. The tumours are identifiable by light microscopic, silver impregnation and ultrastructural studies. Argyrophilia and the presence of dense-core granules establish the identity of this tumour type. The differential diagnosis from, and p...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1980.tb02936.x

    authors: Eusebi V,Azzopardi JG

    更新日期:1980-07-01 00:00:00

  • Diversion colitis in children: an iatrogenic appendix vermiformis?

    abstract:AIMS:Diversion colitis (DC) is a localized, relatively benign, iatrogenic condition which occurs in almost 100% of diverted colonic segments in patients who undergo ileostomy/colostomy for various reasons. The aim of this study was to establish histological features of DC in children. METHODS AND RESULTS:Twenty-three ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.2000.00803.x

    authors: Vujanić GM,Dojcinov SD

    更新日期:2000-01-01 00:00:00

  • Management of breast papillary lesions diagnosed in ultrasound-guided vacuum-assisted and core needle biopsies.

    abstract:AIMS:To assess the outcome of breast papillary lesions diagnosed by ultrasound-guided core needle biopsy (CB) or vacuum-assisted 'mammotome' biopsy (MT), the accuracy of these diagnoses, and whether it is justified not to undertake surgical excision of non-malignant papillary lesions so diagnosed. METHODS AND RESULTS:...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12477

    authors: Yamaguchi R,Tanaka M,Tse GM,Yamaguchi M,Terasaki H,Hirai Y,Nonaka Y,Morita M,Yokoyama T,Kanomata N,Naito Y,Akiba J,Yano H

    更新日期:2015-03-01 00:00:00

  • Expression of mutant p53 gene in squamous carcinoma arising in patients with recessive dystrophic epidermolysis bullosa.

    abstract::Epidermolysis bullosa, a rare genodermatosis, is characterized by increased skin fragility manifest as blistering and sometimes accompanied by scarring. The latter is particularly severe in the recessive dystrophic variant and may be complicated by the development of squamous carcinoma in up to 30% of patients. We hav...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1992.tb00962.x

    authors: Slater SD,McGrath JA,Hobbs C,Eady RA,McKee PH

    更新日期:1992-03-01 00:00:00

  • Gastrointestinal stromal tumours: an update.

    abstract::Recently, there has been intense interest in the study of gastrointestinal stromal tumour (GIST); one might call it a virtual GIST revolution. This is due largely to the realization that most GISTs express KIT and harbour activating c-KIT (KIT) or platelet-derived growth factor receptor-alpha (PDGFRA) receptor tyrosin...

    journal_title:Histopathology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2559.2005.02291.x

    authors: Rubin BP

    更新日期:2006-01-01 00:00:00

  • A33 shows similar sensitivity to but is more specific than CDX2 as an immunomarker of colorectal carcinoma.

    abstract:AIMS:CDX2 is widely used as a sensitive and specific immunomarker for colorectal carcinoma (CRC), but neither its sensitivity nor its specificity is absolute. The aim of this study was to compare CDX1 and A33 with CDX2 as immunomarkers for CRC. METHODS AND RESULTS:As a pilot study, whole sections of 51 cases of liver ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.13194

    authors: Wong NACS,Adamczyk LA,Evans S,Cullen J,Oniscu A,Oien KA

    更新日期:2017-07-01 00:00:00

  • Prognostic relevance of apoptotic cell death in non-Hodgkin's lymphomas: a multivariate survival analysis including Ki67 and p53 oncoprotein expression.

    abstract:AIMS:To evaluate the independent prognostic value of apoptotic versus proliferative fractions in a series of 92 patients with non-Hodgkin's lymphomas (NHL). METHODS AND RESULTS:Apoptotic fractions were quantified by use of the TdT (terminal deoxynucleotidyl-transferase)-mediated in-situ end-labelling technique (TUNEL)...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.1998.00489.x

    authors: Korkolopoulou P,Angelopoulou MK,Kontopidou F,Tsenga A,Patsouris E,Thomas-Tsagli E,Kittas C,Pangalis GA

    更新日期:1998-09-01 00:00:00

  • Inflammatory aetiology of primary oesophageal achalasia: an immunohistochemical and ultrastructural study of Auerbach's plexus.

    abstract:AIM:Achalasia is a disease of the oesophagus characterized by increased lower oesophageal sphincter (LOS) tone, absence of LOS relaxation with swallowing and aperistalsis of the body of the oesophagus. The aetiology and pathogenesis of idiopathic achalasia is still controversial. METHODS AND RESULTS:We examined 16 oes...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.1999.035005445.x

    authors: Raymond L,Lach B,Shamji FM

    更新日期:1999-11-01 00:00:00

  • The predictive value of histological classification into degrees of differentiation of squamous cell carcinoma of the larynx and hypopharynx compared with the survival of patients.

    abstract::In the course of running two clinical trials between 1966 and 1985, data became available for 1315 patients, 713 in the first trial and 602 patients in the second trial, which has allowed comparison between histological findings in laryngeal and hypopharyngeal carcinoma, the observed survival and the tumour-free rates...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1991.tb00230.x

    authors: Wiernik G,Millard PR,Haybittle JL

    更新日期:1991-11-01 00:00:00

  • Amyloidosis.

    abstract::Amyloidosis is a heterogeneous group of disorders characterized by extracellular deposition of abnormal protein fibrils which are derived from different proteins in different forms of the disease. Asymptomatic amyloid deposition in a variety of tissues is a universal accompaniment of ageing, and clinical amyloidosis i...

    journal_title:Histopathology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2559.1994.tb00001.x

    authors: Tan SY,Pepys MB

    更新日期:1994-11-01 00:00:00

  • A mutation analysis of the EGFR pathway genes, RAS, EGFR, PIK3CA, AKT1 and BRAF, and TP53 gene in thymic carcinoma and thymoma type A/B3.

    abstract:AIMS:Thymic carcinoma is rare and usually has a fatal outcome. Gene mutations in the epidermal growth factor receptor (EGFR) signalling pathway and TP53 have not been well analysed in thymic carcinoma. METHODS AND RESULTS:We examined a large cohort of thymic carcinoma and thymoma type A/B3 and looked for gene mutation...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.13936

    authors: Sakane T,Murase T,Okuda K,Saida K,Masaki A,Yamada T,Saito Y,Nakanishi R,Inagaki H

    更新日期:2019-11-01 00:00:00

  • Gleason drift in the NIHR ProtecT study.

    abstract:AIMS:There is increasing evidence of Gleason score (GS) drift in prostatic core biopsies during the last two decades. The ProtecT study is a randomized controlled study and provides an excellent cohort to study the effect of time, prostate-specific antigen (PSA) level, perineural invasion, tumour length and age on GS. ...

    journal_title:Histopathology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/his.12549

    authors: Oxley J,Simpkin A,Goepel J,Varma M,Griffiths D,Grigor K,Mayer N,Warren A,Deshmukh N,Bhattarai S,Dormer J,Hounsome L,Adamczyk LA,Metcalfe C,Lane JA,Davis M,Donovan JL,Neal DE,Hamdy FC,Robinson MC,ProtecT Study Grou

    更新日期:2015-02-01 00:00:00

  • Phenotypic and cytotoxic characteristics of peripheral T-cell and NK-cell lymphomas in relation to Epstein-Barr virus association.

    abstract:AIMS:We investigated the phenotypic and cytotoxic characteristics of different types of peripheral T-cell and NK-cell lymphomas and correlated the findings of cytotoxic phenotype with Epstein-Barr virus (EBV) association. METHODS AND RESULTS:Eighty cases of peripheral T-cell and NK-cell lymphomas, classified according...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.1999.00582.x

    authors: Chan AC,Ho JW,Chiang AK,Srivastava G

    更新日期:1999-01-01 00:00:00

  • Pulmonary B-cell non-Hodgkin's lymphomas. The value of immunohistochemistry and gene analysis in diagnosis.

    abstract::We reviewed 45 pulmonary B-cell non-Hodgkin's lymphomas to determine whether their morphology and immunohistochemical features were those of lymphomas arising from mucosa-associated lymphoid tissue (MALT), as described in other sites. The polymerase chain reaction was used to provide further information on clonality. ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1995.tb00246.x

    authors: Nicholson AG,Wotherspoon AC,Diss TC,Butcher DN,Sheppard MN,Isaacson PG,Corrin B

    更新日期:1995-05-01 00:00:00

  • Expression of CD44 in premalignant and malignant Barrett's oesophagus.

    abstract:AIMS:To establish the prevalence of CD44 protein expression in a large surgical series of Barrett's adenocarcinoma and associated preneoplastic lesions and to correlate this expression with clinicopathological data and prognosis. METHODS AND RESULTS:CD44H and variants (V4/V5, V6) expression was detected by immunohisto...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.1998.00316.x

    authors: Lagorce-Pages C,Paraf F,Dubois S,Belghiti J,Fléjou JF

    更新日期:1998-01-01 00:00:00

  • Glia maturation factor-beta is produced by thymoma and may promote intratumoral T-cell differentiation.

    abstract:AIMS:To investigate whether Glia maturation factor-beta (GMFB) is expressed in thymomas and is associated with T-cell development. METHODS AND RESULTS:We investigated the expression of GMFB by immunohistochemistry in 86 cases of thymoma classified into five type A, 35 type AB, 11 type B1, 26 type B2, and nine type B3 ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2005.02224.x

    authors: Yamazaki H,Tateyama H,Asai K,Fukai I,Fujii Y,Tada T,Eimoto T

    更新日期:2005-09-01 00:00:00

  • Neurofibroma with rhabdomyomatous differentiation: benign 'Triton' tumour of the vagina.

    abstract::The benign 'Triton' tumour is a neural tumour with benign rhabdomyomatous differentiation: it must be distinguished from the better known malignant counterpart. We describe the first case outside the peripheral soft tissues and the first to be studied ultrastructurally. It also represents the second lesion identified ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1983.tb02268.x

    authors: Azzopardi JG,Eusebi V,Tison V,Betts CM

    更新日期:1983-07-01 00:00:00

  • Stromal metachromasia: a marker for areas of incipient invasion in ductal carcinoma of the breast?

    abstract::This morphological study of small ducts with in situ breast carcinoma demonstrates the changes that occur in the adjacent stroma when it stains metachromatically with toluidine blue. They are indistinguishable from those reported in areas with infiltrative tumour growth, and are accompanied by progressive damage to th...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1987.tb02610.x

    authors: Sandstad E,Hartveit F

    更新日期:1987-01-01 00:00:00

  • Herpetic salpingitis and fallopian tube prolapse.

    abstract:AIM:We describe the unusual association of fallopian tubal prolapse and herpetic infection, an occurrence not previously reported to our knowledge. METHODS AND RESULTS:A 37-year-old woman presented with a small polypoid mass of the vaginal vault, 3 months after abdominal hysterectomy and abdominoplasty. The vaginal ma...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1999.00644.x

    authors: Lefrancq T,Orain I,Michalak S,Hourseau M,Fetissof F

    更新日期:1999-06-01 00:00:00

  • Delayed appearance of decorin in healing burn scars.

    abstract:AIMS:We have previously shown that hypertrophic scar tissue from burn patients contains abnormally high amounts of the proteoglycans versican and biglycan and reduced amounts of decorin, in comparison with normal dermis or mature scar. The lack of decorin may account for the poor organization of collagen fibrils in the...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2559.2000.00824.x

    authors: Sayani K,Dodd CM,Nedelec B,Shen YJ,Ghahary A,Tredget EE,Scott PG

    更新日期:2000-03-01 00:00:00

  • Comparative study of soft tissue perineurioma and meningioma using a five-marker immunohistochemical panel.

    abstract:AIMS:Owing to their close embryological relationship, soft tissue perineurioma and meningioma may closely mimic each other, not only histologically but also by immunohistochemistry. We aimed to compare the frequency of perineurial marker expression in these two entities, and to determine whether somatostatin receptor 2...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.12366

    authors: Agaimy A,Buslei R,Coras R,Rubin BP,Mentzel T

    更新日期:2014-07-01 00:00:00

  • Ki-67 immunostaining and survival in operable lung cancer.

    abstract::One hundred and eighty-seven operable lung tumours were immunostained with the monoclonal antibody Ki-67 and divided into groups of high, moderate or low proliferation. Patients have been followed clinically for up to 7 years to ascertain whether this immunocytochemical measurement reflected tumour behaviour in terms ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1991.tb01503.x

    authors: Tungekar MF,Gatter KC,Dunnill MS,Mason DY

    更新日期:1991-12-01 00:00:00

  • Glypican 3 has a higher sensitivity than alpha-fetoprotein for testicular and ovarian yolk sac tumour: immunohistochemical investigation with analysis of histological growth patterns.

    abstract:AIMS:Glypican 3 (GPC3) has been reported to be overexpressed in yolk sac tumour (YST), but the sensitivity has not been compared with alpha-fetoprotein (AFP). YST can form numerous growth patterns and the expression of GPC3 in these patterns has not been studied. The aim was to address these aspects. METHODS AND RESUL...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2010.03553.x

    authors: Zynger DL,McCallum JC,Luan C,Chou PM,Yang XJ

    更新日期:2010-05-01 00:00:00

  • Dilated (congestive) cardiomyopathy: a syndrome of severe cardiac dysfunction with remarkably few morphological features of myocardial damage.

    abstract::A review of 76 endomyocardial biopsies and 54 autopsies of patients with dilated cardiomyopathy (DCM) revealed features of hypertrophy and degenerative changes associated with long-standing hypertrophy. Long-term survivors had significantly heavier heart weights. Short-term survivors had heavier than normal right vent...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1985.tb02821.x

    authors: Rose AG,Beck W

    更新日期:1985-04-01 00:00:00

  • Granular cell tumours of the lower respiratory tract.

    abstract::Granular cell tumours rarely involve the lower respiratory tract. We report eight cases surgically resected at our institution. There were four females and four males, aged between 18 to 56 years (mean 40). One tumour associated with a peripheral lung adenocarcinoma was asymptomatic. The other lesions presented with o...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1995.tb00218.x

    authors: Thomas de Montpréville V,Dulmet EM

    更新日期:1995-09-01 00:00:00

  • Induction of the vascular endothelial growth factor pathway in the brain of adults with fatal falciparum malaria is a non-specific response to severe disease.

    abstract:AIMS:Pathological or neuroprotective mechanisms in the brain in severe malaria may arise from microvascular obstruction with malaria-parasitized erythrocytes. This study aimed to investigate the role of hypoxia and induction of the vascular endothelial growth factor (VEGF) pathway in the neuropathophysiology of severe ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2010.03619.x

    authors: Medana IM,Day NP,Roberts R,Sachanonta N,Turley H,Pongponratn E,Hien TT,White NJ,Turner GD

    更新日期:2010-08-01 00:00:00

  • Eosinophilic oesophagitis: relevance of mast cell infiltration.

    abstract:AIMS:Eosinophilic oesophagitis (EoE) is a chronic inflammatory disease characterised clinically by symptoms of oesophageal dysfunction and histopathologically by a prominent eosinophilic inflammation. Despite eosinophils having a histologically predominant position, their role in the immunopathogenesis of the disease i...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.13653

    authors: Strasser DS,Seger S,Bussmann C,Pierlot GM,Groenen PMA,Stalder AK,Straumann A

    更新日期:2018-09-01 00:00:00

  • Counting invasive breast cancer cells in the HER2 silver in-situ hybridization test: how many cells are enough?

    abstract:AIM:To evaluate the intraobserver and interobserver reproducibility of the HER2 in-situ hybridization (ISH) test in breast cancer by measuring the impact of counting different numbers of invasive cancer cells. METHODS AND RESULTS:A cohort of 101 primary invasive breast cancer cases were evaluated for HER2 gene amplifi...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/his.13208

    authors: Polónia A,Eloy C,Pinto J,Braga AC,Oliveira G,Schmitt F

    更新日期:2017-08-01 00:00:00

  • Congenital absence of insulin-secreting cells.

    abstract::A male infant was diagnosed as having diabetes mellitus 1 d after birth and died on the third day. Histological examination of the pancreas showed small and inconspicuous islets of Langerhans that were completely devoid of insulin-secreting cells. There was no evidence of insulitis. ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.1988.tb01974.x

    authors: Wong KC,Tse K,Chan JK

    更新日期:1988-05-01 00:00:00

  • The role of matrix metalloproteinases-2, -7 and -9 and beta-catenin in high grade endometrial carcinoma.

    abstract:AIMS:To determine the expression of matrix metalloproteinases (MMPs)-2, -7 and -9 and beta-catenin in uterine serous carcinoma (USC) and endometrioid endometrial carcinoma (EEC) and to investigate any difference in expression between EEC and USC which might explain the mechanism of invasion and aggressive behaviour of ...

    journal_title:Histopathology

    pub_type: 杂志文章

    doi:10.1111/j.1365-2559.2007.02612.x

    authors: Monaghan H,MacWhinnie N,Williams AR

    更新日期:2007-02-01 00:00:00