The Consequence of Delayed Fixation on Subsequent Preservation of Urine Cells

Objectives: Degenerative changes caused by delays in urine preservation contribute to false-negative and false-positive interpretation of urothelial disease in cytology. The aim of this study is to assess whether the delay of fixation of urine samples makes any significant difference to urine cytolo...

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Main Author: Hussain G. Ahmed
Format: Article
Language:English
Published: Oman Medical Specialty Board 2011-01-01
Series:Oman Medical Journal
Subjects:
Online Access:http://journals.indexcopernicus.com/fulltxt.php?ICID=931237
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author Hussain G. Ahmed,
author_facet Hussain G. Ahmed,
author_sort Hussain G. Ahmed,
collection DOAJ
description Objectives: Degenerative changes caused by delays in urine preservation contribute to false-negative and false-positive interpretation of urothelial disease in cytology. The aim of this study is to assess whether the delay of fixation of urine samples makes any significant difference to urine cytology and morphology, and the limit of acceptability of delay for routine use in the hospital laboratory.Methods: Three cell collection fluids were evaluated by analyzing the preservation and degeneration of cells in urine samples. In this study, 50 voided urine specimens were taken at random from females complaining of vaginal discharge. Each specimen was divided into three sterile containers. The first was immediately centrifugated and the deposit was smeared onto a cleaned micro slide and immediately fixed into 95�0ethyl alcohol for 15 minutes. The remaining two were prepared in the same manner, however, the second after two hours of collection and the third after four hours of collection. The degree of degeneration and thus the preservation were assessed by a table of chosen criteria, then ranked and analyzed using Friedman's nonparametric test, atp=0.05.Results: The results showed a significant difference between the preservation and the delay in urine fixation, p<0.0001.Conclusion: Any delay in fixation of urine specimen for cytology affects the preservation of cells, which may result in miss diagnosis. It is recommended that urine samples for cytology should be fixed immediately after collection.
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spelling doaj.art-a66e1280c51745caa54df800ba8d52102022-12-21T20:44:21ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042011-01-012611418The Consequence of Delayed Fixation on Subsequent Preservation of Urine CellsHussain G. Ahmed,Objectives: Degenerative changes caused by delays in urine preservation contribute to false-negative and false-positive interpretation of urothelial disease in cytology. The aim of this study is to assess whether the delay of fixation of urine samples makes any significant difference to urine cytology and morphology, and the limit of acceptability of delay for routine use in the hospital laboratory.Methods: Three cell collection fluids were evaluated by analyzing the preservation and degeneration of cells in urine samples. In this study, 50 voided urine specimens were taken at random from females complaining of vaginal discharge. Each specimen was divided into three sterile containers. The first was immediately centrifugated and the deposit was smeared onto a cleaned micro slide and immediately fixed into 95�0ethyl alcohol for 15 minutes. The remaining two were prepared in the same manner, however, the second after two hours of collection and the third after four hours of collection. The degree of degeneration and thus the preservation were assessed by a table of chosen criteria, then ranked and analyzed using Friedman's nonparametric test, atp=0.05.Results: The results showed a significant difference between the preservation and the delay in urine fixation, p<0.0001.Conclusion: Any delay in fixation of urine specimen for cytology affects the preservation of cells, which may result in miss diagnosis. It is recommended that urine samples for cytology should be fixed immediately after collection.http://journals.indexcopernicus.com/fulltxt.php?ICID=931237Urine cellsfixation.
spellingShingle Hussain G. Ahmed,
The Consequence of Delayed Fixation on Subsequent Preservation of Urine Cells
Oman Medical Journal
Urine cells
fixation.
title The Consequence of Delayed Fixation on Subsequent Preservation of Urine Cells
title_full The Consequence of Delayed Fixation on Subsequent Preservation of Urine Cells
title_fullStr The Consequence of Delayed Fixation on Subsequent Preservation of Urine Cells
title_full_unstemmed The Consequence of Delayed Fixation on Subsequent Preservation of Urine Cells
title_short The Consequence of Delayed Fixation on Subsequent Preservation of Urine Cells
title_sort consequence of delayed fixation on subsequent preservation of urine cells
topic Urine cells
fixation.
url http://journals.indexcopernicus.com/fulltxt.php?ICID=931237
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