A comparison of two techniques of cell block preparation

Background: Cell block technique is a method of preparing cytological material so that it can be processed, sectioned, stained, and viewed as a histology section. The study compared two methods of cell block preparation, plasma-thromboplastin method and collodion bag technique of cell block preparat...

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Main Authors: Anita Kasichhwa, Shreya Shrivastav, Ayushi Agrawal
Format: Article
Language:English
Published: Association of Clinical Pathologists of Nepal 2019-03-01
Series:Journal of Pathology of Nepal
Subjects:
Online Access:https://www.nepjol.info/index.php/JPN/article/view/23370
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author Anita Kasichhwa
Shreya Shrivastav
Ayushi Agrawal
author_facet Anita Kasichhwa
Shreya Shrivastav
Ayushi Agrawal
author_sort Anita Kasichhwa
collection DOAJ
description Background: Cell block technique is a method of preparing cytological material so that it can be processed, sectioned, stained, and viewed as a histology section. The study compared two methods of cell block preparation, plasma-thromboplastin method and collodion bag technique of cell block preparation. Materials and Methods: Samples were randomly processed by plasma-thromboplastin technique or by collodion bag technique. Hematoxylin/Eosin stained cell block sections were examined and scored scaling from 1 to 3 for cellularity, clarity, nuclear features, cytoplasm, use of ancillary test and recovery of cell-cluster and fragments. Mann-Whitney U test was used for comparing two methods and establishing statistical significance. Results: The median cellularity score was 2.0 for plasma-thromboplastin and 1.0 for collodion bag. The median morphological preservation score and use of ancillary test score were 2.0 for both of the method while median score for recovery of cell cluster and fragments was 2.0 for collodion bag and 1.0 for plasma-thromboplastin. Statistically, both of the methods had similar results in cell block quality. The median total score for plasma-thromboplastin and collodion bag were 10.0 and 11.0 respectively. Diagnostic cell blocks were obtained in 46.51% of cell block by plasma-thromboplastin method and 60.52% of cell block by collodion bag method improving the diagnosis over conventional smear in 76.74% and 81.57% respectively. Conclusions: Cell block by plasma-thromboplastin and collodion bag method are cost effective, useful adjunct to FNA for diagnosis of mass lesion. Both techniques has no significant difference in quality of cell block produced.
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spelling doaj.art-8cb4d623ef45488496cb457647e68cf22022-12-22T02:11:12ZengAssociation of Clinical Pathologists of NepalJournal of Pathology of Nepal2091-07972091-09082019-03-01911469147410.3126/jpn.v9i1.2337023370A comparison of two techniques of cell block preparationAnita Kasichhwa0Shreya Shrivastav1Ayushi Agrawal2Institute of Medicine, Tribhuwan University Teaching HospitalInstitute of Medicine, Tribhuwan University Teaching HospitalJohn Snow India Pvt. Ltd.Background: Cell block technique is a method of preparing cytological material so that it can be processed, sectioned, stained, and viewed as a histology section. The study compared two methods of cell block preparation, plasma-thromboplastin method and collodion bag technique of cell block preparation. Materials and Methods: Samples were randomly processed by plasma-thromboplastin technique or by collodion bag technique. Hematoxylin/Eosin stained cell block sections were examined and scored scaling from 1 to 3 for cellularity, clarity, nuclear features, cytoplasm, use of ancillary test and recovery of cell-cluster and fragments. Mann-Whitney U test was used for comparing two methods and establishing statistical significance. Results: The median cellularity score was 2.0 for plasma-thromboplastin and 1.0 for collodion bag. The median morphological preservation score and use of ancillary test score were 2.0 for both of the method while median score for recovery of cell cluster and fragments was 2.0 for collodion bag and 1.0 for plasma-thromboplastin. Statistically, both of the methods had similar results in cell block quality. The median total score for plasma-thromboplastin and collodion bag were 10.0 and 11.0 respectively. Diagnostic cell blocks were obtained in 46.51% of cell block by plasma-thromboplastin method and 60.52% of cell block by collodion bag method improving the diagnosis over conventional smear in 76.74% and 81.57% respectively. Conclusions: Cell block by plasma-thromboplastin and collodion bag method are cost effective, useful adjunct to FNA for diagnosis of mass lesion. Both techniques has no significant difference in quality of cell block produced.https://www.nepjol.info/index.php/JPN/article/view/23370Cell block; Collodion bag; FNAC; Plasma-thromboplastin
spellingShingle Anita Kasichhwa
Shreya Shrivastav
Ayushi Agrawal
A comparison of two techniques of cell block preparation
Journal of Pathology of Nepal
Cell block; Collodion bag; FNAC; Plasma-thromboplastin
title A comparison of two techniques of cell block preparation
title_full A comparison of two techniques of cell block preparation
title_fullStr A comparison of two techniques of cell block preparation
title_full_unstemmed A comparison of two techniques of cell block preparation
title_short A comparison of two techniques of cell block preparation
title_sort comparison of two techniques of cell block preparation
topic Cell block; Collodion bag; FNAC; Plasma-thromboplastin
url https://www.nepjol.info/index.php/JPN/article/view/23370
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