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Core needle biopsy wash as a tool for acquiring additional diagnostic material for laboratory testing
Wilfrido Mojica1, Katherine Cwiklinski2, Xiaobing Jin3
1Pathology and Anatomical Sciences, University at Buffalo, Buffalo, New York, USA mojica@buffalo.edu.
Journal of Clinical Pathology
|March 2, 2021
Summary
A simple prewash step for core needle biopsies recovers sufficient cells for additional laboratory testing. This underutilized method enhances diagnostic capabilities from limited tissue samples.
Area of Science:
- Pathology
- Biotechnology
- Laboratory Medicine
Background:
- Core needle biopsy is a common procedure for tissue procurement.
- Limited cellular material from biopsies restricts comprehensive laboratory testing.
- Current workflows may not maximize the diagnostic potential of biopsy samples.
Purpose of the Study:
- To evaluate a prewash step for core needle biopsy processing.
- To determine if this step yields sufficient cells for expanded laboratory analysis.
- To assess the feasibility of integrating this technique into standard workflows.
Main Methods:
- Tissue samples were obtained using a core needle device from unfixed resection specimens.
- A buffered solution wash was performed before tissue fixation.
- Dislodged cells were collected from a liquid aliquot, separate from the main tissue specimen.
Main Results:
- Cells dislodged during the biopsy procedure are recoverable.
- Recovered cells are representative of the original tissue section.
- Sufficient quantities of cells were obtained for additional laboratory testing.
Conclusions:
- A prewash step for core needle biopsies is an underutilized method to increase diagnostic material.
- This technique extends the utility of limited biopsy samples for laboratory testing.
- Recovering supplemental cells offers potential for various current and future laboratory assays.

