Which marker is NOT part of the IHC panel for primary mixed thyroid tumor?

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Multiple Choice

Which marker is NOT part of the IHC panel for primary mixed thyroid tumor?

Explanation:
In a primary mixed thyroid tumor, the IHC panel is aimed at capturing both cell lineages present: thyroid follicular epithelium and neuroendocrine differentiation. Markers like TTF-1 and thyroglobulin confirm thyroid epithelial origin, while chromogranin highlights a neuroendocrine component such as medullary-like tissue. Cytokeratin 19 can be expressed in papillary thyroid carcinoma, but it is not specific or essential for identifying a mixed tumor’s two components, and its expression is variable across cases. Because it doesn’t add decisive information about the dual nature of the tumor, Cytokeratin 19 is not typically included in this panel.

In a primary mixed thyroid tumor, the IHC panel is aimed at capturing both cell lineages present: thyroid follicular epithelium and neuroendocrine differentiation. Markers like TTF-1 and thyroglobulin confirm thyroid epithelial origin, while chromogranin highlights a neuroendocrine component such as medullary-like tissue. Cytokeratin 19 can be expressed in papillary thyroid carcinoma, but it is not specific or essential for identifying a mixed tumor’s two components, and its expression is variable across cases. Because it doesn’t add decisive information about the dual nature of the tumor, Cytokeratin 19 is not typically included in this panel.

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