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Low-affinity nerve growth factor receptor (P75 NGFR) as a marker of perineural invasion in malignant melanomas
Journal of Cutaneous Pathology, 07/27/09
Chan MM et al. - P75 nerve growth factor receptor (NGFR) may play a mechanistic role in invasive malignant melanomas (MMs) demonstrating perineural invasion (PNI). Its expression may serve as a marker of PNI in those tumors that lack histological evidence of nerve involvement.
Methods- Study sought to investigate the mechanism of PNI that is associated with increased local recurrences and metastases
- Hypothesis that P75 NGFR, a nerve growth factor receptor, may be implicated in the pathogenesis of PNI was tested
- IHC staining for P75 NGFR was performed on 47 skin tumors with PNI including invasive squamous cell carcinomas (SCCs), basal cell carcinomas (BCCs), and malignant melanomas (MMs)
- These were compared with similar lesions w/o PNI
- P75 NGFR staining was absent in all invasive SCCs irrespective of the presence of PNI
- 2 BCCs with PNI and 3 w/o PNI showed focal P75 NGFR staining
- 8 of 10 invasive MMs with PNI had positive P75 NGFR expression vs only 1 of 9 w/o PNI
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