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  1. Home
  2. Detection Of Effusion Tumor Cells Under Different Storage And Processing Conditions.
  1. Home
  2. Detection Of Effusion Tumor Cells Under Different Storage And Processing Conditions.

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Detection of effusion tumor cells under different storage and processing conditions.

Diane M Libert1, Yili Zhu1, Aihui Wang1,2

  • 1Department of Pathology, Stanford University School of Medicine, Stanford, California, USA.

Cancer Cytopathology
|February 19, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Effusion tumor cells (ETCs) can be detected using various slide processing and storage methods, expanding their clinical utility. Morphology may become more critical due to altered immunofluorescence signals.

Keywords:
RareCyteeffusion tumor cellsprocessingrare cell detectionstorage

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Area of Science:

  • Oncology
  • Cell Biology
  • Medical Diagnostics

Background:

  • Circulating tumor cells (CTCs) in blood offer prognostic value.
  • An established assay detects effusion tumor cells (ETCs) using immunofluorescence on ThinPrep (TP) slides.
  • Evaluating alternative conditions is crucial for integrating ETC detection into clinical practice.

Purpose of the Study:

  • To assess the feasibility of detecting effusion tumor cells (ETCs) under varied slide processing and storage conditions.
  • To determine if alternative methods maintain the reliability of the established ETC detection assay.
  • To identify optimal conditions for broader clinical application of ETC detection.

Main Methods:

  • Enumeration of ETCs using the RareCyte platform with defined epithelial cellular adhesion molecule (EpCAM) and CD45 mean fluorescence intensity (MFI) cutoffs.
  • Analysis of malignant pleural fluid from patients under seven processing/staining conditions and varying storage durations (short-term and long-term at -80°C).
  • Comparison of MFI values for 4',6-diamidino-2-phenylindol, cytokeratin, CD45, and EpCAM across different conditions.
  • Main Results:

    • ETCs were successfully detected across all tested processing and storage conditions.
    • Ethanol-fixed, unstained TP slides showed the highest similarity to the established air-dried protocol.
    • While ETCs were detectable after long-term storage, significant differences in marker MFIs were observed, suggesting a greater reliance on morphology.

    Conclusions:

    • Detection of ETCs is feasible under diverse processing and storage scenarios, enhancing potential clinical integration.
    • Morphological assessment may gain importance in ETC identification due to potential alterations in immunofluorescence signatures.
    • The study supports the adaptability of the ETC detection assay for wider use in clinical settings.