In a high-grade carcinoma of the female genital tract, which immunohistochemical marker pair would you expect to be positive?

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Multiple Choice

In a high-grade carcinoma of the female genital tract, which immunohistochemical marker pair would you expect to be positive?

Explanation:
High-grade neuroendocrine carcinomas of the female genital tract show neuroendocrine differentiation, which is best demonstrated by neuroendocrine markers such as CD56 and INSM1. INSM1 is a nuclear transcription factor that is highly sensitive and specific for neuroendocrine tumors, and CD56 (NCAM) is commonly expressed in these cancers. Their co-expression supports a neuroendocrine phenotype in a high-grade carcinoma. In contrast, CD79a and CD20 are B-cell markers; CK18 and EMA are general epithelial markers; S100 and HMB45 point to melanocytic lineage. Thus, the neuroendocrine marker pair is the most appropriate choice.

High-grade neuroendocrine carcinomas of the female genital tract show neuroendocrine differentiation, which is best demonstrated by neuroendocrine markers such as CD56 and INSM1. INSM1 is a nuclear transcription factor that is highly sensitive and specific for neuroendocrine tumors, and CD56 (NCAM) is commonly expressed in these cancers. Their co-expression supports a neuroendocrine phenotype in a high-grade carcinoma. In contrast, CD79a and CD20 are B-cell markers; CK18 and EMA are general epithelial markers; S100 and HMB45 point to melanocytic lineage. Thus, the neuroendocrine marker pair is the most appropriate choice.

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