CK7+ / CK20-

 
Tumor
Breast Ca. (>95%)
+
= (0-16%+)
Lung Adenoca. (90%)
+
=
Ovarian Ca. (Serous) (>90%)
+
=
Pancreatic Ca. (Subset)
+
=
Mesothelioma
+
=
Endometrial Adenoca.
+
=
Lung Small Cell Ca. (60-80%)
+ (dot-like)
=
Cholangiocarcinoma
+
=
Thyroid Carcinoma
+
=
Gastric Carcinoma (subset)
+
=
Follow-up Markers CK7+/CK20=
Expression seen in lung adenocarcinoma, small cell carcinoma, and thyroid carcinoma (medullary, papillary and follicular)
Expression commonly seen in lung adenoma., but not mesothelioma.
CK5/6
Expression commonly seen in mesothelioma, but NOT lung adenoca.
Expression supports neuroendocrine origin or differentiation (small cell carcinoma).  Medullary thyroid ca. is also positive.
Expression Supports neuroendocrine origin or differentiation (small cell carcinoma).  Medullary thyroid ca. is also positive.
Expression may be seen in breast carcinoma, ovarian serous carcinoma, and endometrial adenocaricnoma.
Expression is fairly specific for breast carcinoma.
Mammaglobin
Expression is fairly specific for breast carcinoma.
Expression is often seen in mesothelioma and ovarian serous carcinomas.
Expression may be seen in cholangiocarcinoma, breast carcinoma, and lung adenocarcinoma.  Expression is NOT usually seen in ovarian serous carcinoma, endometrial adenocarcinoma, or mesothelioma.
Specific marker for follicular and papillary thyroid carcinoma.  Medullary ca. does not express Thyroglobulin.
Expression usually found in mesothelioma.
Expression is typical for medullary (thyroid) ca.
References
Arch Pathol Lab Med. Vol 134, February 2010.
 
Hadi, AIMM Annual Meeting, “Carcinomas of Unknown Primary”, presentation, 2011.