Immunohistochemical expression of melan-A and tyrosinase in uveal melanoma

Bruno F Fernandes1, Alexandre N Odashiro2, Vinicius S Saraiva2, Patrick Logan2, Emilia Antecka2, Miguel N Burnier Jr1
1Department of Ophthalmology and Pathology, The McGill University Health Center & Henry C, Witelson Ocular Pathology Laboratory, Montreal, Canada; Department of Ophthalmology, Federal University of São Paulo, UNIFESP/EPM, São Paulo, Brazil
2Department of Ophthalmology and Pathology, The McGill University Health Center & Henry C, Witelson Ocular Pathology Laboratory, Montreal, Canada
DOI: 10.1186/1477-3163-6-6

ABSTRACT

Background
Melan-A and tyrosinase are new immunohistochemical markers that can be used in the diagnosis of melanocytic lesions. The aim of this study was to investigate the correlation between radiotherapy or clinicohistopathological parameters and the expression of melan-A and tyrosinase in uveal melanoma.
Methods
Thirty-six enucleated cases of uveal melanoma were studied. The formalin-fixed, paraffin-embedded specimens were immunostained with monoclonal antibodies against melan-A and tyrosinase. The samples were classified as either positive or negative. The chi-square or the Student-t tests were used to test for the correlation of the expression rates of melan-A and tyrosinase with clinico-pathological parameters.
Results
Melan-A and tyrosinase were positive in 33 (91.7%) and 35 (97.2%) of the specimens, respectively. There was no significant association between the expression of melan-A or tyrosinase and radiotherapy or any clinico-pathological parameter. All specimens were positive for at least one of the immunohistochemical markers.
Conclusion
To the best of our knowledge this is the first study concluding that the expression of melanocytic markers such as melan-A and tyrosinase is not influenced by radiotherapy or any clinico-pathological parameter. Moreover, when tyrosinase and melan-A are used together, 100% of the formalin-fixed, paraffin-embedded uveal melanoma samples tested positive for one of those markers.