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Immunohistochemical Analysis in the Rat Central Nervous System and Peripheral Lymph Node Tissue Sections
Published on: November 14, 2016
Diagnostic accuracy of the immunocytochemical study of body fluids
C Y Li1, S C Ziesmer, Y C Wong
1Division of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN 55905.
Insights
Immunocytochemical stains accurately characterize cells in body fluids like pleural and CSF. This method enhances cytologic diagnosis, especially for challenging cases.
Area of Science:
- Cytopathology
- Immunohistochemistry
- Fluid analysis
Background:
- Cytologic examination of body fluids is crucial for diagnosis.
- Morphologic assessment can be challenging in certain cases.
- Immunocytochemistry offers potential for improved diagnostic accuracy.
Purpose of the Study:
- To evaluate the diagnostic accuracy of immunocytochemical characterization of body fluids.
- To compare immunocytochemistry with routine morphologic examination.
- To assess the utility of specific immunocytochemical markers.
Main Methods:
- Evaluated 100 body fluid specimens (pleural, peritoneal, pericardial, CSF).
- Utilized immunocytochemical markers: common-leukocyte antigen, epithelial membrane antigen, keratin, desmin.
- Performed additional studies on CSF for neurofilaments, GFAP, vimentin, and melanoma-associated antigen.
Main Results:
- Immunocytochemical characterization demonstrated high accuracy.
- Confirmed the reliability of using a panel of immunocytochemical stains.
- Specific markers were applied based on fluid type and diagnostic need.
Conclusions:
- Immunocytochemistry is an accurate method for body fluid cell characterization.
- Recommended as an adjunct to improve cytologic diagnosis accuracy.
- Particularly beneficial for diagnostically difficult morphologic features.
Abstract:
The diagnostic accuracy of the immunocytochemical characterization of body fluids was evaluated in 100 specimens (35 pleural, 40 peritoneal, 7 pericardial and 18 cerebrospinal [CSF] fluids) in comparison with routine morphologic examination. The immunochemical markers used for all specimens were common-leukocyte antigen, epithelial membrane antigen, epithelial keratin and desmin. Additional immunocytochemical studies for neurofilaments, glial fibrillary acidic protein, vimentin and melanoma-associated antigen were performed on the CSF specimens. The study confirmed the accuracy of the immunocytochemical characterization of cells in body fluids using a panel of immunocytochemical stains. These methods are recommended as an adjunct to improve the accuracy of the cytologic diagnosis of body fluids, especially in cases with diagnostically difficult morphologic features.
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