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[细胞转移技术在细针穿刺细胞学诊断中的应用]

[Application of cell transfer technique in the diagnosis of fine needle aspiration cytology].

作者信息

Cui D, Chen Z X, Liu L T, Liu D G, Chen L

机构信息

Department of Pathology,Beijing Hospital,National Center of Gerontology;Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China.

出版信息

Zhonghua Bing Li Xue Za Zhi. 2021 Jun 8;50(6):615-619. doi: 10.3760/cma.j.cn112151-20210105-00019.

Abstract

To study the application of cell transfer technology to solve the problem of the limited number of fine needle aspiration cytology (FNAC) smears for various immunocytochemistry (ICC) staining and other auxiliary tests, and to enhance accurate cytological diagnosis. Thirty-four cases of FNAC smears from January 2020 to April 2020 in the Department of Pathology of Beijing Hospital were collected for investigation of the cell transfer technique. The materials in the most cell smear were divided and transferred to several glass slides. After de-staining, the recipient slides were stained with EnVision ICC. The technique was validated by comparing the consistency of the ICC of transferred cell smears and the corresponding immunohistochemical (IHC) staining on biopsies. There were a total of 180 cell transfer slides from 34 cases, of which 174 had the same cell morphology, size and structure as the original smears, with the success rate of cell transfer of 96.7% (174/180). Totally 174 ICC stains were performed on the successfully transferred cell smears, of which 153 smears had available corresponding IHC staining of histologic specimens. Of these, 148 showed concordance between ICC staining and the IHC staining. Cells were successfully transferred in 96.7 % (148/153) of the cell sheets, keeping the same morphology and structure as compared to their original smears. The diagnosis of all 34 FNAC cases was the same to that of their corresponding pathology on biopsies with 100 % concordance. The cell transfer technique is a simple and effective way to make full use of diagnostic cells on a cell smear, and is valuable for accurate cytological diagnosis.

摘要

研究细胞转移技术在解决各种免疫细胞化学(ICC)染色及其他辅助检查所需细针穿刺细胞学(FNAC)涂片数量有限问题中的应用,并提高细胞学诊断的准确性。收集北京医院病理科2020年1月至2020年4月的34例FNAC涂片,用于细胞转移技术研究。将多数细胞涂片中的材料进行分割并转移至数张载玻片上。脱染后,受体载玻片采用EnVision ICC法染色。通过比较转移细胞涂片的ICC与活检组织相应免疫组织化学(IHC)染色的一致性来验证该技术。34例共制作180张细胞转移玻片,其中174张细胞形态、大小及结构与原涂片相同,细胞转移成功率为96.7%(174/180)。对成功转移的细胞涂片共进行174次ICC染色,其中153张涂片有相应组织学标本的IHC染色可供对照。其中,148张显示ICC染色与IHC染色结果一致。细胞片中有96.7%(148/153)细胞转移成功,与原涂片相比形态和结构保持相同。34例FNAC病例的诊断与相应活检病理诊断完全一致,符合率为100%。细胞转移技术是充分利用细胞涂片上诊断细胞的一种简单有效的方法,对准确的细胞学诊断具有重要价值。

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