Cell block specimens applied to diagnostic routine of thyroid fine-needle aspiration biopsy

ABSTRACT Introduction: Various preparations can be used in diagnostic cytology, including conventional smears (CS), liquid-based preparations (LBP) and cell block (CB). Objective: The aim of this study is to evaluate the quality of CB preparations in addition to conventional cytological specimens...

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Main Authors: Cristina Aparecida T. S. Mitteldorf, Rafael S. Vilela, Ana Carolina Barros, Renata A. Coudry
Format: Article
Language:English
Published: Sociedade Brasileira de Patologia Clínica 2018-02-01
Series:Jornal Brasileiro de Patologia e Medicina Laboratorial
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442018000100040&tlng=en
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author Cristina Aparecida T. S. Mitteldorf
Rafael S. Vilela
Ana Carolina Barros
Renata A. Coudry
author_facet Cristina Aparecida T. S. Mitteldorf
Rafael S. Vilela
Ana Carolina Barros
Renata A. Coudry
author_sort Cristina Aparecida T. S. Mitteldorf
collection DOAJ
description ABSTRACT Introduction: Various preparations can be used in diagnostic cytology, including conventional smears (CS), liquid-based preparations (LBP) and cell block (CB). Objective: The aim of this study is to evaluate the quality of CB preparations in addition to conventional cytological specimens in cases of fine-needle aspiration biopsy (FNAB) of thyroid nodules in diagnostic routine. Method: One hundred and six consecutive cases of FNAB routine thyroid nodules were independently evaluated by two cytopathologists (Obs1 and Obs2) on the cellularity of SM, LBP and CB. Results: The cellularity was rich/moderate in 56 (52.8%) CBs for both observers. LBP showed rich/moderate cellularity in 86 (81.1%) cases for Obs1 and 91 (85.8%) for Obs2; among these cases, CB showed the same cellularity in 52/86 (60.4%) cases for Obs1 and 54/91 (59.3%) for Obs2. SM showed rich/moderate cellularity in 86 (81.1%) cases for Obs1 and 87 (82%) for Obs2; among these cases, CB showed the same cellularity in 48/86 (55.8%) cases for Obs1 and 54/87 (62%) for Obs2. CB cellularity was higher than that in LBP in only five cases for Obs1 and three for Obs2. LBP was assessed as low/absent in only five (4.7%) and six (5.6%) cases for Obs1 and Obs2, respectively. Conclusion: CB can be routinely used as additional specimen in material obtained from thyroid nodules FNAB, without adversely affecting LBP specimens, enabling the conduction of further immunohistochemical and molecular studies.
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spelling doaj.art-18cacfb579b044578f09362d9fe933722022-12-22T04:13:10ZengSociedade Brasileira de Patologia ClínicaJornal Brasileiro de Patologia e Medicina Laboratorial1678-47742018-02-01541404510.5935/1676-2444.20180009Cell block specimens applied to diagnostic routine of thyroid fine-needle aspiration biopsyCristina Aparecida T. S. MitteldorfRafael S. VilelaAna Carolina BarrosRenata A. CoudryABSTRACT Introduction: Various preparations can be used in diagnostic cytology, including conventional smears (CS), liquid-based preparations (LBP) and cell block (CB). Objective: The aim of this study is to evaluate the quality of CB preparations in addition to conventional cytological specimens in cases of fine-needle aspiration biopsy (FNAB) of thyroid nodules in diagnostic routine. Method: One hundred and six consecutive cases of FNAB routine thyroid nodules were independently evaluated by two cytopathologists (Obs1 and Obs2) on the cellularity of SM, LBP and CB. Results: The cellularity was rich/moderate in 56 (52.8%) CBs for both observers. LBP showed rich/moderate cellularity in 86 (81.1%) cases for Obs1 and 91 (85.8%) for Obs2; among these cases, CB showed the same cellularity in 52/86 (60.4%) cases for Obs1 and 54/91 (59.3%) for Obs2. SM showed rich/moderate cellularity in 86 (81.1%) cases for Obs1 and 87 (82%) for Obs2; among these cases, CB showed the same cellularity in 48/86 (55.8%) cases for Obs1 and 54/87 (62%) for Obs2. CB cellularity was higher than that in LBP in only five cases for Obs1 and three for Obs2. LBP was assessed as low/absent in only five (4.7%) and six (5.6%) cases for Obs1 and Obs2, respectively. Conclusion: CB can be routinely used as additional specimen in material obtained from thyroid nodules FNAB, without adversely affecting LBP specimens, enabling the conduction of further immunohistochemical and molecular studies.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442018000100040&tlng=enthyroid glandfine-needle aspiration biopsycytological techniques
spellingShingle Cristina Aparecida T. S. Mitteldorf
Rafael S. Vilela
Ana Carolina Barros
Renata A. Coudry
Cell block specimens applied to diagnostic routine of thyroid fine-needle aspiration biopsy
Jornal Brasileiro de Patologia e Medicina Laboratorial
thyroid gland
fine-needle aspiration biopsy
cytological techniques
title Cell block specimens applied to diagnostic routine of thyroid fine-needle aspiration biopsy
title_full Cell block specimens applied to diagnostic routine of thyroid fine-needle aspiration biopsy
title_fullStr Cell block specimens applied to diagnostic routine of thyroid fine-needle aspiration biopsy
title_full_unstemmed Cell block specimens applied to diagnostic routine of thyroid fine-needle aspiration biopsy
title_short Cell block specimens applied to diagnostic routine of thyroid fine-needle aspiration biopsy
title_sort cell block specimens applied to diagnostic routine of thyroid fine needle aspiration biopsy
topic thyroid gland
fine-needle aspiration biopsy
cytological techniques
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442018000100040&tlng=en
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AT anacarolinabarros cellblockspecimensappliedtodiagnosticroutineofthyroidfineneedleaspirationbiopsy
AT renataacoudry cellblockspecimensappliedtodiagnosticroutineofthyroidfineneedleaspirationbiopsy