DNA histogram typing and DNA index measurements in 508 invasive breast carcinomas from fine-needle aspirates and imprint smears as opposed to formalin-fixed paraffin-embedded tissues.

Morphometric, i.e. nuclear area (NA), and densitometric, i.e. nuclear DNA content, features were characterized in a series of 508 invasive ductal breast carcinomas. The specimens analyzed were from three distinct sources, i.e. fresh material (252 fine-needle aspirates as opposed to 147 imprint smears) immediately fixed in EFA fixative as opposed to archive material, i.e. 109 formalin-fixed paraffin-embedded tumours that were subsequently deparaffinized. Morphonuclear parameters were computed on Feulgen-stained nuclei by means of a cell image processor. Our results show that the development of nuclear size and DNA content in function of anatomopathological grading is approximately the same for specimens of breast cancer provided by FNAs, imprint smears and formalin-fixed paraffin-embedded tissues. However, in these latter instances it seems that part of the morphometric information is slightly modified in relation to the information obtained from fresh material directly fixed in EFA for cytophotometric analysis. The greatest discriminatory power of the morphometric parameters was obtained in relation to the FNAs. Lastly, in the present study we come out in favor of the idea that henceforth it would be preferable to express results concerning nuclear DNA content as DNA histogram types rather than in terms of DNA indices.