A study on preserving endometrial glandular architecture during preparation using BD SurePath™ liquid-based cytology

Takeshi Nishikawa1, Hisae Suzuki1, Mao Takeuchi1

  • 1Department of Pathology, Nara Medical University Hospital, Nara, Japan.

Insights

Preserving endometrial glandular architecture in liquid-based cytology is possible. Longer fixation times (≥18 hours) with the PrepMate™ System retain the crucial three-dimensional structure of endometrial cells.

Area of Science:

  • Gynecologic Pathology
  • Cytopathology
  • Cellular Morphology

Background:

  • Disruption of the three-dimensional architecture of endometrial glands is a common issue in liquid-based cytology preparations.
  • BD SurePath™ liquid-based cytology (SP-LBC) reagents can affect the structural integrity of endometrial specimens.
  • Understanding the causes of architectural disruption is crucial for accurate cytopathological interpretation.

Purpose of the Study:

  • To determine the factors causing the disruption of endometrial glandular architecture in SP-LBC specimens.
  • To identify an optimal sample preparation method for retaining the three-dimensional structure of endometrial glands.

Main Methods:

  • Three methods of SP-LBC specimen preparation were compared: (A) BD PrepMate™ System with 1-6h fixation, (B) no PrepMate™ System with 1-6h fixation, and (C) PrepMate™ System with ≥18h fixation.
  • Evaluation of endometrial cell cluster size and number, and the count of solitary scattered cells.
  • Statistical analysis to compare the outcomes of the different preparation methods.

Main Results:

  • Method C (PrepMate™ System, ≥18h fixation) yielded significantly more large endometrial cell clusters (≥200 μm) compared to methods A and B.
  • Method B (no PrepMate™, 1-6h fixation) produced more cell clusters than method A (PrepMate™, 1-6h fixation).
  • Method A resulted in a significantly higher number of solitary scattered cells compared to methods B and C.

Conclusions:

  • Retention of endometrial glandular architecture is achievable by using the PrepMate™ System with extended fixation times (≥18 hours).
  • This optimized method allows for better preservation of the native three-dimensional structure of endometrial glands in SP-LBC.
  • The findings provide a practical approach for improving endometrial cytology specimen quality.
Abstract