Programmed death ligand 1 expression in EBUS aspirates of non-small cell lung cancer: Is interpretation affected by type of fixation?

Abstract:

BACKGROUND:Much of the reluctance about using cytology specimens rather than histology specimens to assess programmed death ligand 1 (PD-L1) expression for guiding the use of immune modulating drugs in the management of non-small cell lung cancer (NSCLC) is based on the belief that the alcohol-based fixatives favored by cytopathologists might reduce the antigenicity of PD-L1 and lead to artifactually low expression levels and false-negative reporting. Therefore, this study was performed to determine whether there is any difference in PD-L1 expression between endobronchial ultrasound (EBUS)-guided aspirates of NSCLC fixed in alcohol-based fixatives and those fixed in neutral buffered formalin (NBF), the standard laboratory fixative for histology specimens. METHODS:The expression of PD-L1 was compared in 50 paired EBUS aspirates of NSCLC taken from the same lymph node during the same procedure. One aspirate of each pair was fixed in an alcohol-based fixative, and the other was fixed in NBF. RESULTS:In none of the 50 pairs was there any significant difference, qualitative or quantitative, in the strength, pattern, or extent of PD-L1 expression. In the great majority, the expression was identical, regardless of fixation. CONCLUSIONS:There is no evidence from this study showing that the use of alcohol-based fixatives has any effect on the expression of PD-L1 or its interpretation. Notwithstanding the general challenges in accurately assessing such expression in cytology specimens, pathologists should feel able to interpret them with confidence, and clinicians should feel able to rely on the results.

journal_name

Cancer Cytopathol

journal_title

Cancer cytopathology

authors

Gosney JR,Haragan A,Chadwick C,Giles TE,Grundy S,Tippett V,Gumparthy KP,Wight A,Tan HG

doi

10.1002/cncy.22216

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

100-106

issue

2

eissn

1934-662X

issn

1934-6638

journal_volume

128

pub_type

杂志文章
  • Ancillary studies in fine needle aspiration of the kidney.

    abstract::An increasing number of renal cell carcinomas (RCCs) require ancillary studies for diagnosis. The majority of renal fine needle aspirates do not require ancillary studies. Among the most common useful stains are cytokeratin 7 (separating clear cell RCC [negative] from papillary RCC, clear cell papillary RCC, and multi...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,评审

    doi:10.1002/cncy.22029

    authors: Renshaw AA,Gould EW

    更新日期:2018-08-01 00:00:00

  • BRAF mutation detection in indeterminate thyroid cytology specimens: underlying cytologic, molecular, and pathologic characteristics of papillary thyroid carcinoma.

    abstract:BACKGROUND:BRAF mutations are highly specific for papillary thyroid carcinoma (PTC) and many cytology specimens with BRAF mutations are expected to demonstrate cytologic features typical of PTC. However, indeterminate thyroid cytology cases are inevitable and understanding the significance of the BRAF mutation within t...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21229

    authors: Ohori NP,Singhal R,Nikiforova MN,Yip L,Schoedel KE,Coyne C,McCoy KL,LeBeau SO,Hodak SP,Carty SE,Nikiforov YE

    更新日期:2013-04-01 00:00:00

  • Cytologic and cystoscopic predictors of recurrence and progression in patients with low-grade urothelial carcinoma.

    abstract:BACKGROUND:Patients with low-grade urothelial carcinoma (LGUC) are at risk of recurrence and must undergo lifelong surveillance. To date, cytology and cystoscopy are the gold standard for the detection of de novo and recurrent LGUC. The objective of the current study was is to further characterize the role of cytology ...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21272

    authors: Jackson J,Barkan GA,Kapur U,Wojcik EM

    更新日期:2013-07-01 00:00:00

  • Clinical value of fully automated p16/Ki-67 dual staining in the triage of HPV-positive women in the Norwegian Cervical Cancer Screening Program.

    abstract:BACKGROUND:More accurate biomarkers in cervical cytology screening could reduce the number of women unnecessarily referred for biopsy. This study investigated the ability of p16/Ki-67 dual staining to predict high-grade cervical intraepithelial neoplasia (CIN) in human papillomavirus (HPV)-positive women from the Norwe...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21807

    authors: Ovestad IT,Dalen I,Hansen E,Loge JL,Dybdahl BM,Dirdal MB,Moltu P,Berland JM

    更新日期:2017-04-01 00:00:00

  • Advances in the cytologic diagnosis of gastroenteropancreatic neuroendocrine neoplasms.

    abstract::Two-thirds of neuroendocrine neoplasms arising in the human body originate from the gastrointestinal system or pancreas. Gastroenteropancreatic neuroendocrine neoplasms are heterogeneous, comprising both well differentiated neuroendocrine tumors (NETs) and poorly differentiated neuroendocrine carcinomas (NECs). The cl...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,评审

    doi:10.1002/cncy.22073

    authors: Sigel CS

    更新日期:2018-12-01 00:00:00

  • Adequate sampling of multiple thyroid nodules by fine-needle aspiration.

    abstract:BACKGROUND:Recommendations regarding how many nodules to biopsy with thyroid fine-needle aspiration vary. METHODS:The authors reviewed fine-needle aspiration specimens of 12,763 nodules from 10,506 patients and correlated them with the number of nodules biopsied. RESULTS:Compared with patients in whom only a single n...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21904

    authors: Renshaw AA,Gould EW

    更新日期:2017-11-01 00:00:00

  • Focus on technology: How important is resolution in telecytopathology?

    abstract:BACKGROUND:The authors conducted an analysis of 2 telepathology systems with different resolutions to determine how resolution affects the pathologists' ability to provide preliminary diagnoses for fine-needle aspirations (FNA). METHODS:FNA cases evaluated by telepathology between February 1, 2011 and January 18, 2012...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21404

    authors: McMahon RQ,McCarthy EE,Hetzel SJ,Das K,Stewart J 3rd

    更新日期:2014-07-01 00:00:00

  • Branched-chain in situ hybridization for κ and λ light chains: A powerful ancillary technique for determining B-cell clonality in cytology samples.

    abstract:BACKGROUND:Current immunohistochemical and in situ hybridization (ISH) assays are generally inconclusive for clonality unless plasmacytic differentiation is present. This study examined a series of cytology specimens and explored the ability of a branched-chain RNA (bRNA) ISH assay for immunoglobulin κ constant (IGKC) ...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21629

    authors: Arora K,Chebib I,Zukerberg L,Gandhi M,Rivera M,Ting D,Deshpande V

    更新日期:2016-03-01 00:00:00

  • Should uncertainty concerning the risk of malignancy be included in diagnostic (nongynecologic) cytopathology reports?

    abstract::In diagnostic cytology, the known site-specific false positive rates at various anatomical sites for the risk malignancy (ROM) when a confirmed malignant diagnosis is made are comparatively well documented. ROM figures for diagnostic cytology specimens may vary according to the anatomical site of the specimen, the exa...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,评审

    doi:10.1002/cncy.22322

    authors: Poller DN,Schmitt F

    更新日期:2021-01-01 00:00:00

  • Immunocytochemistry for ARID1A as a potential biomarker in urine cytology of bladder cancer.

    abstract:BACKGROUND:Mutations of AT-rich interactive domain 1 (ARID1A) have been associated with a worse outcome after intravesical treatment with bacille Calmette-Guérin in patients with non-muscle-invasive bladder cancer (NMIBC). Loss of ARID1A protein expression in urine cytology may serve as an indication of an ARID1A mutat...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22167

    authors: Dugas SG,Müller DC,Le Magnen C,Federer-Gsponer J,Seifert HH,Ruiz C,Savic Prince S,Vlajnic T,Zellweger T,Mertz KD,Bacon JVW,Wyatt AW,Rentsch CA,Bubendorf L

    更新日期:2019-09-01 00:00:00

  • Challenge of FNA diagnosis of angiomyolipoma: A study of 33 cases.

    abstract:BACKGROUND:Angiomyolipoma (AML), typically composed of smooth muscle, vessels, and fat, is generally a benign tumor in the kidneys. However, it occasionally occurs in extrarenal sites and behaves like a malignant tumor. AML is uncommonly encountered in fine-needle aspiration (FNA) samples and can cause diagnostic diffi...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21824

    authors: Zhou H,Guo M,Gong Y

    更新日期:2017-04-01 00:00:00

  • A combination of MTAP and BAP1 immunohistochemistry in pleural effusion cytology for the diagnosis of mesothelioma.

    abstract:BACKGROUND:Homozygous deletion of 9p21 detected by fluorescence in situ hybridization (FISH) and loss of BRCA1-associated protein 1 (BAP1) expression detected by immunohistochemistry (IHC) are useful for the differentiation between malignant pleural mesothelioma (MPM) and reactive mesothelial hyperplasia. The authors p...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21928

    authors: Kinoshita Y,Hida T,Hamasaki M,Matsumoto S,Sato A,Tsujimura T,Kawahara K,Hiroshima K,Oda Y,Nabeshima K

    更新日期:2018-01-01 00:00:00

  • The role of the Milan System for Reporting Salivary Gland Cytopathology: A 5-year institutional experience.

    abstract:BACKGROUND:Fine-needle aspiration (FNA) is widely accepted in the preoperative management of salivary gland lesions. The proposed Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) aims to standardize reporting terminology. Studies regarding the risk of malignancy (ROM) for the proposed categories continu...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22016

    authors: Viswanathan K,Sung S,Scognamiglio T,Yang GCH,Siddiqui MT,Rao RA

    更新日期:2018-08-01 00:00:00

  • The value of second opinion in thyroid cytology: a review.

    abstract:BACKGROUND:Second-opinion diagnosis (SOD) on pathological material is an accepted practice before definitive therapy is considered for referred patients. The thyroid gland is an anatomical site prone to diagnostic disagreement between pathologists. We performed a review of the literature that addressed the role of inte...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,评审

    doi:10.1002/cncy.21436

    authors: Gerhard R,Boerner SL

    更新日期:2014-08-01 00:00:00

  • When words matter: A "suspicious" urinary tract cytology diagnosis improves patient follow-up among nonurologists.

    abstract:BACKGROUND:Urinary tract cytology (UTC) specimens diagnosed using high-risk indeterminate categories such as "atypical urothelial cells, cannot exclude high-grade urothelial carcinoma" (AUC-H) or "suspicious for high-grade urothelial carcinoma" (SHGUC) have a high rate of detection of high-grade urothelial carcinoma on...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21971

    authors: Fite JJ,Rosenthal DL,VandenBussche CJ

    更新日期:2018-04-01 00:00:00

  • Triage of women with minor abnormal cervical cytology: meta-analysis of the accuracy of an assay targeting messenger ribonucleic acid of 5 high-risk human papillomavirus types.

    abstract:BACKGROUND:High-risk human papillomavirus (hrHPV) DNA detection is generally accepted for the triage of women with a cytologic diagnosis of atypical squamous cells of undetermined significance (ASC-US). However, no consensus has been reached on the optimal management of low-grade squamous intraepithelial lesions (LSIL)...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/cncy.21325

    authors: Verdoodt F,Szarewski A,Halfon P,Cuschieri K,Arbyn M

    更新日期:2013-12-01 00:00:00

  • Cytologic features of undifferentiated and dedifferentiated carcinomas of the endometrium.

    abstract:BACKGROUND:Undifferentiated carcinoma (UC) is a rare, aggressive subtype of endometrial carcinoma. Dedifferentiated carcinomas (DCs) are UCs associated with a component of well differentiated endometrioid carcinoma. The authors sought to describe the morphologic features of UCs and DCs in cytologic specimens. METHODS:...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22351

    authors: Akbari AH,Wang L,Soslow RA,Murali R

    更新日期:2021-02-01 00:00:00

  • Health disparities in cervical cancer: Prevalence of high-risk HPV and cytologic diagnoses according to race.

    abstract:BACKGROUND:In the United States, the rate of cervical cancer is disproportionally higher in Hispanic and Black women compared with White women. In the current study, the authors compared human papillomavirus (HPV) testing and cytology results among Black and White women over a 24-month period. They then assessed the ra...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22316

    authors: Miller D,Morris CP,Maleki Z,White M,Rodriguez EF

    更新日期:2020-11-01 00:00:00

  • Should "suspicious for high-grade urothelial carcinoma" and "positive for high-grade urothelial carcinoma" remain separate categories?

    abstract:BACKGROUND:The Paris System (TPS) for Reporting Urinary Cytology aims to standardize urine cytology reporting. Per TPS, the diagnosis of "suspicious for high-grade urothelial carcinoma (SHGUC)" is applied in cases that have few urothelial cells with severe atypia but are quantitatively insufficient for a diagnosis of "...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22357

    authors: Nguyen L,Nilforoushan N,Krane JF,Bose S,Bakkar R

    更新日期:2021-02-01 00:00:00

  • Preoperative bronchial cytology for the assessment of tumor spread through air spaces in lung adenocarcinoma resection specimens.

    abstract:BACKGROUND:Tumor spread through air spaces (STAS), a significant prognostic indicator, has been described recently as a pattern of invasion in pulmonary carcinomas. However, questions remain regarding preoperative identification of STAS and whether it represents an in vivo phenomenon versus an ex vivo artifact. METHOD...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22243

    authors: Medina MA,Onken AM,de Margerie-Mellon C,Heidinger BH,Chen Y,Bankier AA,VanderLaan PA

    更新日期:2020-04-01 00:00:00

  • Preparation of DNA from cytological material: effects of fixation, staining, and mounting medium on DNA yield and quality.

    abstract:BACKGROUND:Personalized oncology requires molecular analysis of tumor cells. Several studies have demonstrated that cytological material is suitable for DNA analysis, but to the authors' knowledge there are no systematic studies comparing how the yield and quality of extracted DNA is affected by the various techniques ...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21276

    authors: Dejmek A,Zendehrokh N,Tomaszewska M,Edsjö A

    更新日期:2013-07-01 00:00:00

  • Atypical cytological changes mimicking SIL of the uterine cervix in allogenic hematopoietic stem cell transplantation recipients treated with busulfan.

    abstract:BACKGROUND:Allogenic hematopoietic stem cell transplantation (allo-HSCT) is a common procedure in hematological disorders and is preceded by a conditioning regimen that usually includes busulfan. The immunosuppression caused by the conditioning regimen and graft-versus-host disease prophylaxis is associated with human ...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22148

    authors: Saco A,Alòs S,Esteve R,Suárez-Lledó M,Martínez C,Perez FM,Vega N,Martí C,Torne A,Ordi J,Del Pino M

    更新日期:2019-06-01 00:00:00

  • Diagnostic value of metabolic phenotypes in malignant pleural effusions: expression of GLUT1 and CAIX by immunocytochemistry.

    abstract:BACKGROUND:The sensitivity of conventional cytology for the detection of malignant cells in pleural effusion is insufficient. GLUT1 and CAIX are the hallmarks of metabolic change in cancer cells. The aim of this study was to evaluate the usefulness of GLUT1 and CAIX expression to the detection of cancer cells in pleura...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.20153

    authors: Liao ND,Shieh JM,Lee WY

    更新日期:2011-10-25 00:00:00

  • Cytologic features and diagnostic value of PeriView FLEX transbronchial needle aspiration targeting pulmonary nodules.

    abstract:BACKGROUND:Transbronchial needle aspiration (TBNA) of peripheral lung nodules can be difficult with conventional devices due to their limited flexibility. A promising new technology for accessing these lesions is the PeriView FLEX TBNA device, which has a flexible spiral-grooved needle. The present study reports the un...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22240

    authors: Naso J,Bras J,Villamil C,Ionescu DN,Wang G,Shaipanich T,Beaudoin EL,Myers R,Lam S,Zhou C

    更新日期:2020-05-01 00:00:00

  • FNA of epithelioid sarcoma: Curie Institute experience and critical review of the literature.

    abstract:BACKGROUND:Epithelioid sarcoma (ES) is a rare mesenchymal tumor that is divided into 2 types: classic and proximal. To the authors' knowledge, ES has been poorly studied in cytology, with fewer than 50 cases reported to date. The objective of the current study was to analyze the cytological and immunohistochemical info...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,评审

    doi:10.1002/cncy.22052

    authors: Gajdzis P,Laé M,Klijanienko J

    更新日期:2018-11-01 00:00:00

  • Risk stratification in follicular neoplasm: a cytological assessment using the modified Bethesda classification.

    abstract:BACKGROUND:The 2007 Bethesda classification for thyroid cytology defines follicular neoplasm as a category of cases with cellular specimens demonstrating abundant follicular cells arranged in a microfollicular pattern with little or no colloid. The current recommendation for the management of these cases is diagnostic ...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章,评审

    doi:10.1002/cncy.21425

    authors: Ustun B,Chhieng D,Van Dyke A,Carling T,Holt E,Udelsman R,Adeniran AJ

    更新日期:2014-07-01 00:00:00

  • Split-sample comparison of urothelial cells in ThinPrep and cytospin preparations in urinary cytology: Do we need to adjust The Paris System for Reporting Urinary Cytology criteria?

    abstract:BACKGROUND:The Paris System for Reporting Urinary Cytology (TPS) defines clear morphologic criteria to classify urinary specimens into 7 diagnostic categories. According to TPS, a nuclear-to-cytoplasmic ratio (N:C ratio) >0.7 and hyperchromasia must be observed to render a diagnosis of high-grade urothelial carcinoma (...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22218

    authors: Richardson CJ,Pambuccian SE,Barkan GA

    更新日期:2020-02-01 00:00:00

  • Immunohistochemistry for histone H3G34W and H3K36M is highly specific for giant cell tumor of bone and chondroblastoma, respectively, in FNA and core needle biopsy.

    abstract:BACKGROUND:Diagnosing giant cell-rich bone tumors can be challenging on limited biopsies. H3 histone family member 3A (H3F3A) (G34W/V/R/L) mutations are present in the majority of giant cell tumors (GCTs) of bone and H3 histone family member 3B (H3F3B) (K36M) mutations are present in nearly all chondroblastomas, but ar...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22000

    authors: Schaefer IM,Fletcher JA,Nielsen GP,Shih AR,Ferrone ML,Hornick JL,Qian X

    更新日期:2018-08-01 00:00:00

  • Urine cytology suspicious for urothelial carcinoma: Prospective follow-up of cases using cytology and urine biomarker-based ancillary techniques.

    abstract:BACKGROUND:Urine cytology results that are suspicious for urothelial carcinoma (UC) are challenging. The objective of this study was to elucidate the clinical significance of such results in patients who have a negative cystoscopy. METHODS:In this prospective study, 83 patients who had urine cytology that was suspicio...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.22252

    authors: Montalbo R,Izquierdo L,Ingelmo-Torres M,Galve P,Solé M,Franco A,Ribal MJ,Alcaraz A,Mengual L

    更新日期:2020-07-01 00:00:00

  • The impact of atypia/follicular lesion of undetermined significance and repeat fine-needle aspiration: 5 years before and after implementation of the Bethesda System.

    abstract:BACKGROUND:Limited studies have examined the impact of the Bethesda System for Reporting Thyroid Cytopathology (BSRTC) and specifically the category of atypia or follicular lesion of undetermined significance (AUS/FLUS). We studied their effects on reporting rates, subsequent management, and surgical outcome over a 10-...

    journal_title:Cancer cytopathology

    pub_type: 杂志文章

    doi:10.1002/cncy.21468

    authors: Sullivan PS,Hirschowitz SL,Fung PC,Apple SK

    更新日期:2014-12-01 00:00:00