ORIGINAL ARTICLE
Assessment of the diagnostic usefulness of liquid-based cytology. The impact of modifications
More details
Hide details
1
Department of Tumor Pathology, The Greater Poland Cancer Centre, Poznań, Poland
2
Department of Tumor Pathology and Prophylaxis, University of Medical Sciences, Poznañ, Poland
Submission date: 2022-12-08
Final revision date: 2023-03-30
Acceptance date: 2023-11-15
Publication date: 2024-02-01
Corresponding author
Joanna Bakinowska
Joanna Bakinowska
Department of Tumor Pathology
The Greater Poland Cancer Centre
Poznań, Poland
Pol J Pathol 2023;74(4):271-281
KEYWORDS
TOPICS
ABSTRACT
The technique of liquid-based cytology (LBC) is of increasing diagnostic value in non-gynecological cytology. The purpose of the present study was to validate modifications to stages of the LBC process and to assess the diagnostic usefulness of the LBC technique.
Between May 2021 and January 2022, a total of 484 samples were prepared from routine cytology tests carried out in the Department of Tumor Pathology of The Greater Poland Cancer Center. The material was obtained from fine-needle aspiration biopsies and fluid samples. One hundred cases were selected for the research described in the article. The slides were prepared using the Becton Dickinson Totalys SlidePrep device.
Based on the research, it was concluded that predominantly the LBC technique gives better results than a conventional smear because the background, which would otherwise make it difficult to assess preparations, was eliminated. Additionally, in LBC preparations the cellularity was increased, and the cells were arranged in a monolayer system, which improves the image quality. The introduction of modifications to the LBC method facilitated the process of sample preparation, without adversely affecting the quality of the obtained material.
REFERENCES (21)
1.
Yeon MH, Jeong HS, Lee HS, et al. Comparison of liquid-based cytology (CellPrepPlus) and conventional smears in pancreaticobiliary disease. Korean J Intern Med 2018; 35: 883-892.
2.
Hoda RS. Non-gynecologic cytology on liquid-based preparations: a morphologic review of facts and artifacts. Diagn Cytopathol 2007; 35: 621-634.
3.
Budhwar A, Kataria SP, Kumar S, et al. Fine needle aspiration cytology of cervical lymph nodes: comparison of liquid based cytology (SurePath) and conventional preparation. Diagn Cytopathol 2021; 49: 18-24.
4.
Jangsiriwitayakorn P, Patarapadungkit N, Chaiwiriyakul S, et al. Comparative analysis of modified liquid-based cytology and cytorich red preparation in assessment of serous effusion for cancer diagnosis. Asian Pac J Cancer Prev 2018; 19: 1571-1575.
5.
Gerhard R, Schmitt FC. Liquid-based cytology in fine-needle aspiration of breast lesions: a review. Acta Cytol 2014; 58: 533-542.
6.
Osugi M, Kinoshita K, Sugita A, et al. Expression of p63 immunostaining in liquid-based cytology (BD SurePath) of breast fine-needle aspiration. Diagn Cytopathol 2018; 46: 845-852.
7.
Sartelet H, Lagonotte E, Lorenzato M, et al. Comparison of liquid based cytology and histology for the evaluation of HER-2 status using immunostaining and CISH in breast carcinoma. J Clin Pathol 2005; 58: 864-871.
8.
Bandoh N, Goto T, Akahane T, et al. Diagnostic value of liquid based cytology with fine needle aspiration specimens for cervical lymphadenopathy. Diagn Cytopathol 2016; 44: 169-176.
9.
Kim JW, Seo DW, Moon SH, et al. Utility of liquid-based cytology in the evaluation of endoscopic ultrasound-guided fine-needle aspiration: comparison with the conventional smears. Basic Appl Pathol 2010; 3: 57-62.
10.
Sadullahoglu C, Yildirim HT, Nergiz D, et al. The risk of malignancy according to Milan reporting system of salivary gland fine-needle aspiration with Becton Dickinson SurePath liquid- based processing. Diagn Cytopathol 2019; 47: 863-868.
11.
Kumar M, Katiyar S, Sagar M, et al. Liquid-based cytology versus conventional cytology in fine-needle aspirates of salivary gland neoplasms. Indian J Pathol Microbiol 2018; 61: 45-49.
12.
Stanek-Widera A, Biskup-Fru¿yñska M, Zembala-No¿yñska E, et al. The diagnosis of cancer in thyroid fine needle aspiration biopsy. Surgery, repeat biopsy or specimen consultation? Pol J Pathol 2016; 67:19-23.
13.
Chong Y, Ji SJ, Kang CS, et al. Can liquid-based preparation substitute for conventional smear in thyroid fine-needle aspiration? A systematic review based on meta-analysis. Endocr Connect 2017; 6:817-829.
14.
Sharma S, Agarwal S, Jain M, et al. Cytomorphological Differences between Liquid-Based Cytology and Conventional Smears in Fine-Needle Aspirates of Thyroid Lesions. J Cytol 2018; 35: 208-211.
15.
Saleh H, Bassily N, Hammoud MJ. Utility of a liquid-based, monolayer preparation in the evaluation of thyroid lesions by fine needle aspiration biopsy: comparison with the conventional smear method. Acta Cytol 2009; 53: 130-136.
16.
Lu DY, Nassar A, Siddiqui MT. High-grade urothelial carcinoma: comparison of SurePath liquid-based processing with cytospin processing. Diagn Cytopathol 2009; 37:16-20.
17.
Borkowski T, Dulewicz AM, Borkowski A, et al. Clinical value of digital image analysis in the diagnosis of urinary bladder cancer, particularly in aggressive tumors: a preliminary report. Pol J Pathol 2016; 67:122-129.
18.
Ren S, Solomides C, Draganova-Tacheva R, et al. Overview of nongynecological samples prepared with liquid-based cytology medium. Acta Cytol 2014; 58: 522-532.
19.
Son SM, Koo JH, Choi SY, et al. Evaluation of urine cytology in urothelial carcinoma patients: a comparison of CellprepPlus® liquid-based cytology and conventional smear. Korean J Pathol 2012; 46: 68-74.
20.
Dadhich H, Toi PC, Siddaraju N, et al. A comparative analysis of conventional cytopreparatory and liquid based cytological techniques (Sure Path) in evaluation of serous effusion fluids. Diagn Cytopathol 2016; 44: 874-879.
21.
Tyagi R, Gupta N, Bhagat P, et al. Impact of SurePath® liquid- based preparation in cytological analysis of peritoneal washing in practice of gynecologic oncology. J Cytol 2017; 34: 95-100.