The Changes in the Expression Levels of Follicular Markers in Keratoacanthoma Depend on the Stage: Keratoacanthoma Is a Follicular Neoplasm Exhibiting Infundibular/Isthmic Differentiation Without Expression of CK15

    February 2014 in “ Journal of Cutaneous Pathology
    Noriyuki Misago, Toshihiro Takai, Shuji Toda, Yutaka NARISAWA
    TLDR Keratoacanthoma changes as it grows, showing different hair follicle characteristics at each stage.
    The study investigated the expression of follicular markers in keratoacanthoma (KA) across different stages, analyzing 67 tumors. It found that CK15 (clone C8/144B), CK19, and CD34 were not expressed at any stage, while CK1, CK10, CK16, CK17, CK15 (clone LHK15), and calretinin showed stage-dependent expression changes. The results indicated that KA is a follicular neoplasm with infundibular/isthmic differentiation, with early-stage tumors showing infundibular differentiation and well-developed tumors exhibiting isthmic differentiation. In the regressed stage, KAs lost follicular differentiation features and displayed epidermal characteristics. The absence of CK15 (clone C8/144B) expression did not entirely dismiss a connection between KA regression and the hair follicle cycle.
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