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Published on: March 21, 2018
Immunostaining of small cytologic specimens. Facilitation with cell transfer
M E Sherman1, D Jimenez-Joseph, M D Gangi
1Johns Hopkins Medical Institutions, Baltimore, Maryland.
Insights
Transferring cells from one cytologic smear to multiple slides allows for extensive immunocytochemical staining on limited samples. This method preserves cell morphology and provides reliable results for diagnosing various cancers.
Area of Science:
- Cytopathology
- Immunohistochemistry
- Diagnostic Pathology
Background:
- Immunocytochemical studies on cytologic specimens are often constrained by the limited number of diagnostic cells available per slide.
- Performing multiple stains on a single smear can deplete the cellular material, hindering comprehensive analysis.
Purpose of the Study:
- To evaluate the efficacy of transferring cells from a single cytologic smear to multiple slides.
- To determine if this cell transfer technique allows for a battery of immunocytochemical stains on limited material without compromising diagnostic quality.
Main Methods:
- Cells were transferred from single smears of four effusions and five fine needle aspirates to multiple slides.
- Immunocytochemical staining was performed on the transferred cells using common diagnostic antibodies.
- Cell morphology and background staining were assessed.
Main Results:
- Immunostaining yielded expected results for most antibodies used in diagnostic pathology.
- Cell transfer preserved the morphology of the cytologic specimens.
- Low background staining was generally observed after cell transfer.
Conclusions:
- Cell transfer is an effective method for performing multiple immunocytochemical stains on limited cytologic material.
- This technique may enhance the cytologic diagnosis of various malignancies, including lymphoma, neuroendocrine neoplasms, and adenocarcinomas of the prostate and breast.
Abstract:
Immunocytochemical study of cytologic specimens is often limited by the number of slides containing diagnostic cells. This study examined the effectiveness of transferring cells from a single smear to multiple slides in order to perform a battery of immunocytochemical stains on limited material. Immunostaining performed on four effusions and five fine needle aspirates yielded the expected results for most of the antibodies commonly employed in diagnostic pathology. Background staining was generally low following cell transfer, and the morphology of the cells was preserved. These results suggest that cell transfer in combination with immunocytochemistry may prove useful in the cytologic diagnosis of malignant lymphoma, neuroendocrine neoplasms, prostatic and mammary adenocarcinoma, and other malignant tumors.
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