Lysozyme by IHC-12376 - Technical only, 12379 - Technical & interpretation

Test info

  
Lysozyme by IHC
  
12376 - Technical only, 12379 - Technical & interpretation
  
LAB12376
LAB12379
  
Muramidase
  
  • All IHC stains will include a positive control tissue
  
  • The bacteriolytic enzyme acts on walls of susceptible micro-organisms by cleavage of the bond between N acetyl muramic acid and N acetylglucosamine
  • Useful in the workup of myeloid leukemias. Variable staining pattern seen in normal and leukemic myeloblasts and monoblasts (range from positive to negative in various studies)1,2,4,6
  • Lymphoid cells and their malignancies are negative for lysozyme
  • Natural killer cells, red blood cells, erythroblasts and megakaryocytes are also negative1
  • Majority of epithelioid histiocytes associated with toxoplasmic lymphadenitis and granulomatous diseases show moderate to strong positivity for intracellular lysozyme 1
  • Lysozyme is a well known marker of benign reactive macrophages in tissue sections, but appears not to be a reliable marker of malignant histiocytes 2
  • A large number (26 of 29 and 2 of 2) of extramedullary myeloid cell tumors (granulocytic sarcomas) show strong cytoplasmic staining with lysozyme (helpful in diagnosing cases which lack histologic evidence of granulocytic differentiation and may be negative with CAE)3-5
  • Focal positivity for lysozyme seen in some cases of granular cell tumor

Specimen

  
Tissue
  

Submit a formalin-fixed, paraffin embedded tissue block

  

Formalin-fixed, paraffin embedded (FFPE) tissue block

  

FFPE tissue section mounted on a charged, unstained slide

  

Ambient (preferred)

  
  • Unlabeled/mislabeled block
  • Insufficient tissue
  • Slides broken beyond repair

Performance

  
AHL - Immunohistochemistry
  
Mo - Fr
  
1 - 2 days
  

Immunohistochemical staining and microscopic examination

Clinical and Interpretive info

  

If requested, an interpretive report will be provided

  

Specifications

  • Lysozyme (Muramidase) is an intracellular enzyme found in myeloid cells, monocytes and their precursors, histiocytes and some body fluids and secretions
  • Lysozyme is present in a variety of normal human tissues

 
Staining pattern

  • Diffuse granular cytoplasmic

References

  1. AJP 89:351-366, 1977.
  2. AJH 21:99-109, 1986.
  3. Archives of Pathol and Lab Medicine 120:62-67, 1996.
  4. Cancer 71:124-32, 1993.
  5. AJCP 102:55-60, 1994.
  6. AJCP 67:481-484, 1977.

Billing

  
88342 - 1st stain
88341 - each additional stain

Tracking

  
10/31/2017
  
10/19/2018
  
01/12/2024