Abstract:
Objectives:The plasma-thrombin method is commonly used to make cell blocks from fine-needle aspiration (FNA) samples but requires centrifugation. We describe a modification to this method that does not require centrifugation for use in resource-limited settings. Methods:Pooled fresh plasma is aliquoted into 2-mL Eppendorf tubes and the FNA sample directly rinsed into the plasma. Two drops of reconstituted thrombin are added and gently mixed. A cell clot is transferred to a tissue bag, fixed in formalin, and processed. This method was applied to FNA samples from 44 patients presenting to the Mbarara University of Science and Technology FNA clinic. Results:The cell blocks were less cellular than the smears but contained adequate material to confirm morphologic impression or perform immunocytochemistry in 36 of 44 cases (82% adequacy rate). Conclusions:The modified plasma-thrombin method is a reliable cell block preparation method that can be easily applied in resource-limited settings.
journal_name
Am J Clin Patholjournal_title
American journal of clinical pathologyauthors
Aisagbonhi O,Birungi A,Atwine R,Behayo P,Ayebaziwe B,Roberts D,Tambouret Rdoi
10.1093/ajcp/aqy031subject
Has Abstractpub_date
2018-07-03 00:00:00pages
137-145issue
2eissn
0002-9173issn
1943-7722pii
5035151journal_volume
150pub_type
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