What is it about?

Hepatoblastomas are primary liver tumors in children composed of primitive embryonic cells. In our practice, we routinely conduct a panel of immunostains to better characterize these tumors. Herein, we performed a retrospective review of 62 hepatoblastomas allowing for assessment of EpCAM expression using a commercially available antibody.

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Why is it important?

The histotype-based expression patterns of EpCAM correspond with previous molecular studies suggesting its role in the identification of aggressive forms of hepatoblastomas and as a possible therapeutic target. Our series offers validation of these observations from an immunohistochemical perspective and underscores the value of this marker as a part of a panel of immunostains.

Perspectives

Something that always surprises me is how hepatoblastomas can exhibit such a diverse histopathologic spectrum. Understanding this curious amalgam of so many different morphologies within the same tumor is almost an art that one only starts to learn through repetition aided by ancillary studies. This article provides additional insights into our understanding of these enigmatic tumors.

Oscar Lopez-Nunez
Cincinnati Children's Hospital Medical Center

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This page is a summary of: Immunohistochemical Expression Analysis of EpCAM in Hepatoblastomas, Applied Immunohistochemistry & Molecular Morphology, December 2019, Wolters Kluwer Health,
DOI: 10.1097/pai.0000000000000826.
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