Use ofp16FISH for differential diagnosis of mesothelioma in smear preparations

التفاصيل البيبلوغرافية
العنوان: Use ofp16FISH for differential diagnosis of mesothelioma in smear preparations
المؤلفون: Kunimitsu Kawahara, Tomoyuki Hida, Toshiaki Kamei, Kazuki Nabeshima, Makoto Hamasaki, Kenzo Hiroshima, Tohru Tsujimura, Shinji Matsumoto
المصدر: Diagnostic Cytopathology. 44:774-780
بيانات النشر: Wiley, 2016.
سنة النشر: 2016
مصطلحات موضوعية: 0301 basic medicine, medicine.medical_specialty, Pathology, Histology, medicine.diagnostic_test, Pleural effusion, business.industry, General Medicine, medicine.disease, Pathology and Forensic Medicine, 03 medical and health sciences, 030104 developmental biology, 0302 clinical medicine, Effusion, 030220 oncology & carcinogenesis, Cytology, medicine, Fish , Histopathology, Mesothelioma, Differential diagnosis, business, Fluorescence in situ hybridization
الوصف: Because most of malignant pleural mesothelioma (MPM) patients first present with pleural effusion, detection of mesothelioma cells on effusion smears is critical for early diagnosis. Recently, accumulating evidence indicating that the cytological diagnosis of MPM supported by ancillary techniques is as reliable as that based on histopathology has led to new guidelines for the cytopathologic diagnosis of MPM. Based on the guidelines, a combination of cytomorphological criteria and verification by ancillary techniques is required for the cytologic diagnosis of MPM. Detection of p16 homozygous deletion by fluorescence in situ hybridization (FISH) is the most reliable ancillary technique for differentiating MPM from reactive mesothelial cells (RMC) because of its relatively high sensitivity and extremely high specificity. We showed that the p16 deletion status of MPM cells in pleural effusions reflected that of the underlying invasive MPM tissues, indicating the usefulness of p16 FISH in effusion smear cytology for MPM diagnosis. Thus, for differentiating MPM from RMC, we propose to perform p16 FISH as often as possible. A positive p16 homozygous deletion supports the diagnosis of MPM. However, a negative result does not rule out the possibility of MPM. In such cases, a morphological assessment is critical. Therefore, we analyzed the morphological characteristics of p16 deletion-positive mesothelioma cells using a combination of virtual microscopy and p16 FISH, and identified three morphological characteristics useful for the differentiation, including cell-in-cell engulfment with or without hump formation, multinucleate cells, and larger berry-like cell aggregates. Diagn. Cytopathol. 2016;44:774-780. © 2016 Wiley Periodicals, Inc.
تدمد: 8755-1039
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::f0b7ac98a9d06a911af2a9486635018b
https://doi.org/10.1002/dc.23501
حقوق: CLOSED
رقم الأكسشن: edsair.doi...........f0b7ac98a9d06a911af2a9486635018b
قاعدة البيانات: OpenAIRE