Enzyme histochemical characterization of chordomas

Am J Surg Pathol. 1984 Jun;8(6):443-7. doi: 10.1097/00000478-198406000-00005.

Abstract

The differential diagnosis of chordoma includes chondrosarcoma and ependymoma. We describe four cases of chordoma characterized by enzyme histochemistry in plastic-embedded sections. All the chordomas exhibited strong 5'-nucleotidase positivity localized on the plasma membrane. None of the fetal notochord remnants, chondrosarcomas, ependymomas, or chondroid chordomas tested showed such a reaction. The lack of similarity in enzyme staining between fetal notochord and chordomas is unexpected since notochord has been traditionally regarded as the source of chordomas. This staining pattern provides a marker that can be useful in differentiating chordoma from other neoplasms which have a similar appearance by light microscopy.

Publication types

  • Case Reports
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • 5'-Nucleotidase
  • Adult
  • Aged
  • Cell Membrane / enzymology
  • Chondrosarcoma / pathology
  • Chordoma / enzymology*
  • Diagnosis, Differential
  • Ependymoma / pathology
  • Female
  • Histocytochemistry
  • Humans
  • Male
  • Middle Aged
  • Notochord / enzymology
  • Nucleotidases / analysis

Substances

  • Nucleotidases
  • 5'-Nucleotidase