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Overview

IHC, Myoglobin Test

IHC, Myoglobin Test

Immunohistochemistry (IHC) is the process of selectively imaging antigens (for example Myoglobin) in cells of a tissue section by exploiting the principle of antibodies binding specifically to antigens in biological tissues. Myoglobin (symbol Mb or MB) is an iron- and oxygen-binding protein found in the muscle tissue of vertebrates in general and in almost all mammals. It is related to hemoglobin, which is the iron- and oxygen-binding protein in blood, specifically in the red blood cells. In humans, myoglobin is only found in the bloodstream after muscle injury.

It is recommended that you should either wear a sleeve-less or a short-sleeved shirt. Wearing a shirt with full- sleeves that can easily be rolled-up is also fine. There is no need to disturb your diet routine before the IHC test. You can eat and drink normally. Inform your doctor if you are on any medications or have any underlying medical conditions or allergies before undergoing the test. Your doctor depending on your condition will give specific instructions.

As mentioned above, the IHC test is used to detect the presence of antigens (for example Myoglobin) in cells of a tissue section. It can be confirmed from the test reports that: The range of normal results vary slightly based on the laboratory completing the analysis. In most instances, the normal range is 0 to 85 ng/mL. The abnormal (above 85 ng/mL) results can also be seen in: Muscular inflammation (myositis) Muscular dystrophy (hereditary disorders that have muscles wasting and weakness) Rhabdomyolysis (breakdown of muscle tissue from prolonged coma, certain drugs, inflammation, prolonged seizures, and alcohol or cocaine use)

The test involves the following procedures: A tissue or cells sample is collected from the patient. Formalin fix (10 percent neutral buffered formalin) and paraffin embed the sample (cells must be prepared into a cellblock). Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged slides in a tissue transport kit. Store the sample at room temperature or refrigerated.

Type Gender Age-Group Value
Myoglobin
Unisex
All age groups
< 90mcg/L
Average price range of the test is between Rs.800 to Rs.4000 depending on the factors of city, quality and availablity.

Table of Content

What is IHC, Myoglobin Test?
Preparation for IHC, Myoglobin Test
Uses of IHC, Myoglobin Test
Procedure for IHC, Myoglobin Test
Normal values for IHC, Myoglobin Test
Price for IHC, Myoglobin Test
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Popular Questions & Answers

My grandmother has suffered from breast cancer and in operation her right breast has been removed, before operation doctor recommended to have either no or one chemo but after operation and according to IHC doctor is advising 14 chemo n some injections. Please look on reports and kindly advice us.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology For Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), PG Diploma In Clinical Counseling, PG Diploma In Oncology & Haematology (A.M), Ayurveda (I) Certification, Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Certificate Course in Homeopathic Oncology
Alternative Medicine Specialist, Bhubaneswar
Hi lybrate-user, I appreciate you seeking help for your grandmother. Presumably, her oncologist must have decided the treatment approach basis a lot of factors including her IHC study. However, should you not be convinced, you can always take an expert second opinion from one another breast oncologist asap, and decide accordingly. An integrative treatment with alternative medicines is likely to help improve clinical outcomes, as contextually possible. You can connect with detailed diagnostics, treatment history etc all for a parallel naturopathic traction as appropriate. Do take care and all the very best.
1 person found this helpful

My mother suffering from breast cancer I want know about breast cancer what should I do for my mother.

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
The primary treatment of breast cancer is surgery. Depending on postoperative histopathology report adjuvant chemotherapy and radiotherapy also given (if indicated) after surgery. Hormone therapy is added based on ihc report of er and pr.
9 people found this helpful

My mother had a bleeding from right brest nipple. So she had an operation by general surgeon 2 months before. Then in biopsy test it found cancer. Then we consulted dr.in jaipur. He had done surgery to remove full breast. Now he said there is no need to have any treatment because in IHC report Er.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology For Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), PG Diploma In Clinical Counseling, PG Diploma In Oncology & Haematology (A.M), Ayurveda (I) Certification, Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Certificate Course in Homeopathic Oncology
Alternative Medicine Specialist, Bhubaneswar
Hi lybrate-user, I appreciate you seeking help. As I understand, your mother has undergone a radical mastectomy, right breast. Was the axillary lymph node dissected too as a part of the surgery? I hope that she is recovering well now. Nevertheless, adherence to a mediterranean diet is highly recommended now. Emphatically, try eating a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables and fresh fruits and maintain an ideal body weight. Steamed fresh water fish prepared with extra virgin olive oil should be included in the diet plan too. Apart from the above-mentioned, a proper & active lifestyle with due focus on de-stressing, exercises & relaxation, and a long term hormone therapy as contextually appropriate can help reduce the risk of a relapse. Hope this helps. Do take care and all the very best.

Patient of breast cancer pathologic grade 3 and no lymph node involvement size more than 3 cm but less than 5 cm .on upper inner part of left breast. Modified radical mastectomy done adjuvant chemotherapy going on .ER neg. PR neg. HER 2 by IHC method neg as reported by TATA Cancer hospital Mumbai .but same hospital showed last impression as uninterpretable when FISH method is used .

Registrar In Surgical Oncology, Fellowship In Gynaecologic Oncology, Masters In Advanced Oncology, Fellowship In advanced laparoscopy and robotic surgery, Fellowship In Gastrointestinal Oncology, Fellowship In CRS and HIPEC, Fellowship In PIPAC
Oncologist, Mumbai
It's a grade 3 tumour with size more than 3 cm. If mastectomy done and no lymph nodes positive patient does not need radiotherapy. However triple negative are aggressive cancers and for these chemotherapy is a must for any tumour greater than 0.5cm in size. You should complete all the prescribed doses of chemotherapy and be on regular follow up. That gives a best chance for cure/control.
1 person found this helpful

My in law has been diagnosed with ductal carcinoma. Breast./stage. 1a. T1c NO Mx/luminal B.(. ERPR- POSITIVE/Her 2 neu-negative). How many chemotherapy sessions approximately may be needed for this condition. Will this condition may require radiation therapy?

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
For early breast cancer surgery as breast conservation surgery or mastectomy is mainstay of treatment followed by 6-8 cycles of chemotherapy as per histopathology report. Adjuvant rt and adjuvant hormone therapy also depends on histopathology and ihc report.
4 people found this helpful

Popular Health Tips

Comparison Between Red Meat & White Meat

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Mumbai
Comparison Between Red Meat & White Meat

Meat forms an essential part of the daily diet of many people. But it often gets difficult to choose between white meat (chicken or fish) and red meat (beef or pork or mutton) due to the numerous health benefits offered by both. Moreover, both kinds of meat have some health risks as well, which should be kept in mind while consuming either of them.

Read on to find how each type of meat may affect your health, and, which will be more beneficial for your body.

Fat content

People who are more conscious about their weight often tend to choose white meat over red meat because of its lower fat content. For example, fat content in chicken is only about 11%, whereas pork contains about 45% fat. Moreover, the saturated fat content of red meat is about 2.64 times that of white meat.

Protein content

100 gm of chicken breast has about 29.80 gm of protein, whereas the same amount of lamb and pork contain 22.51 gm and 27.55 gm protein respectively. In this case, consumption of white meat will prove to be beneficial as your body can absorb only 74% of the protein in red meat and 80% of the protein in white meat.

Other nutrient content

Red meat is rich in niacin, vitamin b12, riboflavin and thiamine, iron and minerals like zinc and phosphorus. While vitamin b12 aids proper nerve health and ensures that the red blood cells function properly, zinc is responsible for strengthening your immune system.

White meat contains fewer nutrients in comparison to red meat. However, fish contains a high amount of omega-3 fatty acids, which help in improving lipid profiles and prevent cardiovascular diseases.

Health risks

Consumption of both types of meat has been long associated with increased risk of different diseases. The presence of myoglobin, a type of protein in red meat, is responsible for increasing the risk of certain types of cancer. Also, red meat has been often linked with increased chances of hypertension and heart diseases.

These days, feeding antibiotics to chicken for enlarging their size have become a common practice. So, consumption of this type of meat increases the amount of drug-resistant bacteria in your body and reduces the effect of useful drugs too.

While white meat still provides good health benefits, red is NOT RECOMMENDED!! If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.

3797 people found this helpful

Top 5 Benefits of Iron!

Masters in Endocrinology, MBBS, C.Diab, CCEBDM(DIABETOLOGY), CCMTD, DOMS
Diabetologist, Mumbai
Top 5 Benefits of Iron!

1. Energy

An iron deficiency can mean that you aren’t able to produce enough oxygen-carrying red blood cells — therefore your body struggles to transport oxygen to your brain, tissues, muscles and cells, leaving you feeling exhausted and weak. 

2. Muscle function

Iron is needed for muscle movement because it helps store the oxygen in muscles that allows them to move and strengthen. About 70 percent of your body’s iron can found in the red blood cells of your blood called hemoglobin along with muscle cells called myoglobin. It accepts, stores, transports and releases oxygen.

3. Brain function

The brain is very dependent on oxygen for proper function. If iron is not present, the brain does not receive the oxygen it needs, resulting in poor memory, decreased productivity and apathy. Children with iron deficiency tend to become irritable, restless and are unable to pay attention in class. These symptoms typically disappear once iron levels are restored.

4. Healthy pregnancy

Pregnant women should consume more iron-rich foods than anyone else since not only do they require iron, but they also need to meet the needs of the fetus and placenta. Pregnant women’s iron needs are around 27 milligrams daily, and this is often covered in a prenatal multivitamin

According to the world health organization, iron deficiency during a pregnancy can increase the risk of maternal and infant mortality, premature birth, and low birthweight. 

5. Restless leg syndrome

Restless leg syndrome is a condition characterized by uncomfortable feelings in your legs, giving you a strong urge to move them in order to find relief. Low iron levels are known to play a role in the occurrence of restless leg syndrome. 


 

15 people found this helpful

Iron Rich Foods For Iron Defficiency Anemia

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Iron Rich Foods For Iron Defficiency Anemia

How much iron do you need?
Iron plays an integral role in the formation of hemoglobin in blood and myoglobin in muscles, both of which carry oxygen to the cells. That's why fatigue and tiredness is the first symptom most people notice when they may be low in iron.

The recommended intake for iron is:

Kids 1-3 years old: 7 mg/day
Kids 4-8 years old: 10 mg/day
Teenagers 9 - 13: 8 mg/day
Teenagers 14 - 18: 11 mg/day for boys &amp; 15 mg/day for girls
Males 19+: 8 mg/day
Females 19-50: 18 mg/day
Females 51+: 8 mg/day
Pregnant females: 27 mg/day
Top high iron foods
Iron rich foods containing heme iron
Clams - 23.8 mg per 3 oz
Oysters - 7.8 mg per 3 oz
Liver per 3 oz
Chicken - 8 mg
Beef - 5.8 mg
Mussels - 5.7 mg per 3 oz
Sardines - 2.4 mg per 3 oz
Turkey - 1.6 mg per 3 oz
Beef per 3 oz
Extra lean ground - 2.5 mg
Prime rib - 2.1 mg
Short rib - 2 mg
Rib eye - 1.7 mg
Sirloin - 1.6 mg
Lamb chop - 2.1 mg per 3 oz
Egg - 1.2 mg per 2 large eggs
Iron rich foods containing non-heme iron
Pumpkin seeds - 8.6 mg per 1/4 cup
Firm tofu - 8 mg per 3/4 cup
Beans per 3/4 cup cooked
White beans - 5.8 mg
Red kidney beans - 3.9 mg
Soybeans: 3.4 mg
Lentils - 4.9 mg per 3/4 cup cooked
Some whole-grain breakfast cereals (per cup)
Total - 18 mg
Raisin bran - 10.8 mg
Cheerios - 8.9 mg
Special k - 8.7 mg

All-bran - 5.5 mg
Baked potato with skin - 2.7 mg 
Chickpeas - 2.4 mg per 3/4 cup cooked
Blackstrap molasses - 3.6 mg per tbsp
Prune juice - 3.2 mg per cup
Dried fruits per 1/2 cup
Peaches - 1.6 mg
Raisins - 1.4 mg
Plums - 1.3 mg
Apricots - 1.2 mg
Nuts per 1/4 cup:
Cashew: 1.7 mg
Almonds: 1.4 mg 
Pistachio: 1.2 mg
Walnuts: 0.9 mg
Pecan: 0.7 mg
Warning: pregnant women should not eat liver because of its high vitamin a content. Large amounts of vitamin a can be harmful to the baby.

The magic of iron-food pairing

The absorption of non-heme iron can be improved when a source of heme iron is consumed in the same meal. In addition, the iron absorption-enhancing foods can also increase the absorption of non-heme iron. While some food items can enhance iron absorption, some can inhibit or interfere iron absorption. Avoid pairing these iron-inhibiting foods when you're eating iron-rich foods in the same meal.

Iron absorption enhancers:

​Meat/fish/poultry
Fruits: orange, orange juice, cantaloupe, strawberries, grapefruit etc
Vegetables: broccoli, brussels sprouts, tomato, tomato juice, potato, green and red peppers
White wine

Iron absorption inhibitors:

Red wine, coffee and tea
Vegetables: spinach, chard, beet greens, rhubarb and sweet potato
Whole grains and bran
Isolated soy ingredients, like products made with soy flour and isolated soy protein concentrate.

4 people found this helpful

Red Meat Vs. White Meat - What's Better For You?

Diploma In Diet & Nutrition, Diploma In Dietitics, Health & Nutrition
Dietitian/Nutritionist, Delhi
Red Meat Vs. White Meat - What's Better For You?

Red meat vs. White meat - What's better for you?

Meat forms an essential part of the daily diet of many people. But it often gets difficult to choose between white meat (chicken or fish) and red meat (beef or pork or mutton) due to the numerous health benefits offered by both. Moreover, both kinds of meat have some health risks as well, which should be kept in mind while consuming either of them.

Read on to find how each type of meat may affect your health, and, which will be more beneficial for your body.

Red Vs White Fat content  

People who are more conscious about their weight often tend to choose white meat over red meat because of its lower fat content. For example, fat content in chicken is only about 11%, whereas pork contains about 45% fat. Moreover, the saturated fat content of red meat is about 2.64 times that of white meat.

Red Vs White Protein content

100gm of chicken breast has about 29.80 gm of protein, whereas the same amount of lamb and pork contain 22.51 gm and 27.55 gm protein respectively. In this case, consumption of white meat will prove to be beneficial as your body can absorb only 74% of the protein in red meat and 80% of the protein in white meat.

Red Vs White Nutrient Content

Red meat is rich in niacin, vitamin b12, riboflavin and thiamine, iron, and minerals like zinc and phosphorus. While vitamin b12 aids proper nerve health and ensures that the red blood cells function properly, zinc is responsible for strengthening your immune system.

White meat contains fewer nutrients in comparison to red meat. However, fish contains a high amount of omega-3 fatty acids, which help in improving lipid profiles and prevent cardiovascular diseases.

Health risks of Red Meat & White Meat

Consumption of both types of meat has been long associated with increased risk of different diseases. The presence of myoglobin, a type of protein in red meat, is responsible for increasing the risk of certain types of cancer. Also, red meat has been often linked with increased chances of hypertension and heart diseases.

These days, feeding antibiotics to chicken for enlarging their size has become a common practice. So, the consumption of this type of meat increases the amount of drug-resistant bacteria in your body and reduces the effect of useful drugs too.

White Meat and red meat both have their own health benefits and risks, so including small amounts of both in your diet will prove to be beneficial for your body. Determine the amount of each type of meat you will consume depending on your body's specific requirements.


Update From Lybrate: Keep a check on your overall well-being by consuming healthy and delicious products. These Food Products not only soothe your taste buds but also keep you in good health

3776 people found this helpful