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Velez-Torres J, Guido LP, Jorda M. Adult Renal Neoplasms: Cytology, Immunohistochemistry, and Cytogenetic Characteristics. Surg Pathol Clin 2018; 11:611-631. [PMID: 30190144 DOI: 10.1016/j.path.2018.06.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Tissue sampling of renal masses is traditionally performed using percutaneous sonographic or CT guidance core biopsy (CB) with or without touch preparation cytology and/or fine-needle aspiration cytology (FNAC). The combined used of CB and FNAC is expanding in clinical practice, especially in small renal masses and plays a pivotal role in therapeutic decision making. Grouping the renal neoplasms in differential diagnostic groups helps in choosing specific immunohistochemical markers and reaching an accurate diagnosis.
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Affiliation(s)
- Jaylou Velez-Torres
- Department of Pathology and Laboratory Medicine, University of Miami Miller School of Medicine, 1400 Northwest 12th Avenue, Miami, FL 33136, USA
| | - Luiz Paulo Guido
- Department of Pathology and Laboratory Medicine, University of Miami Miller School of Medicine, 1400 Northwest 12th Avenue, Miami, FL 33136, USA
| | - Merce Jorda
- Department of Pathology and Laboratory Medicine, University of Miami Miller School of Medicine, 1400 Northwest 12th Avenue, Miami, FL 33136, USA.
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Jin MS, Lee H, Kim MA, Park IA, Lee C, An HJ, Shim B, Moon JH, Won JK, Ryu HS. Novel cytomorphologic characteristics suggesting human papillomavirus infection in patients diagnosed as negative for intraepithelial lesion or malignancy and a comparison of diagnostic performance of three human papillomavirus tests. Diagn Cytopathol 2018; 46:833-839. [DOI: 10.1002/dc.24049] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2018] [Revised: 06/22/2018] [Accepted: 07/10/2018] [Indexed: 01/19/2023]
Affiliation(s)
- Min-Sun Jin
- Department of Pathology; Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea; Bucheon Gyeonggi-do South Korea
| | - Hyebin Lee
- Department of Radiation Oncology; Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine; Seoul South Korea
| | - Min A. Kim
- Department of Pathology; Seoul National University Hospital, Seoul National University College of Medicine; Seoul South Korea
| | - In Ae Park
- Department of Pathology; Seoul National University Hospital, Seoul National University College of Medicine; Seoul South Korea
| | - Chul Lee
- Department of Pathology; Seoul National University Hospital, Seoul National University College of Medicine; Seoul South Korea
| | - Hyoung Jin An
- Department of Pathology; Seoul National University Hospital, Seoul National University College of Medicine; Seoul South Korea
| | - Bobae Shim
- Department of Pathology; Seoul National University Hospital, Seoul National University College of Medicine; Seoul South Korea
| | - Ji Hye Moon
- Department of Pathology; Seoul National University Hospital, Seoul National University College of Medicine; Seoul South Korea
| | - Jae Kyung Won
- Department of Pathology; Seoul National University Hospital, Seoul National University College of Medicine; Seoul South Korea
| | - Han Suk Ryu
- Department of Pathology; Seoul National University Hospital, Seoul National University College of Medicine; Seoul South Korea
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Wen J, Li G, Berremila SA, Klein JP, Péoc'h M, Cottier M, Mottet N. Assessment of cellular adequacy of fine needle aspiration biopsy for small solid renal tumors. Cytopathology 2018; 29:444-448. [DOI: 10.1111/cyt.12579] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/09/2018] [Indexed: 01/01/2023]
Affiliation(s)
- J. Wen
- Department of Urology; Peking Union Medical College Hospital; Chinese Academy of Medical Sciences & Peking Union Medical College; Beijing China
| | - G. Li
- Department of Urology; Faculty of Medicine J Lisfranc; North Hospital; CHU of Saint Etienne; Jean Monnet University; Saint Etienne France
- Inserm U1059; Saint-Etienne France
| | - S. A. Berremila
- Laboratory of Pathology; Faculty of Medicine J Lisfranc; North Hospital; CHU of Saint Etienne; Jean Monnet University; Saint Etienne France
| | - J-P. Klein
- Inserm U1059; Saint-Etienne France
- Laboratory of Cytopathology; Faculty of Medicine J Lisfranc; North Hospital; CHU of Saint Etienne; Jean Monnet University; Saint Etienne France
| | - M. Péoc'h
- Laboratory of Pathology; Faculty of Medicine J Lisfranc; North Hospital; CHU of Saint Etienne; Jean Monnet University; Saint Etienne France
| | - M. Cottier
- Inserm U1059; Saint-Etienne France
- Laboratory of Cytopathology; Faculty of Medicine J Lisfranc; North Hospital; CHU of Saint Etienne; Jean Monnet University; Saint Etienne France
| | - N. Mottet
- Department of Urology; Faculty of Medicine J Lisfranc; North Hospital; CHU of Saint Etienne; Jean Monnet University; Saint Etienne France
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Lee H, Kim K, Woo J, Park J, Kim H, Lee KE, Kim H, Kim Y, Moon KC, Kim JY, Park IA, Shim BB, Moon JH, Han D, Ryu HS. Quantitative Proteomic Analysis Identifies AHNAK (Neuroblast Differentiation-associated Protein AHNAK) as a Novel Candidate Biomarker for Bladder Urothelial Carcinoma Diagnosis by Liquid-based Cytology. Mol Cell Proteomics 2018; 17:1788-1802. [PMID: 29950347 DOI: 10.1074/mcp.ra118.000562] [Citation(s) in RCA: 59] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2018] [Revised: 06/25/2018] [Indexed: 01/04/2023] Open
Abstract
Cytological examination of urine is the most widely used noninvasive pathologic screen for bladder urothelial carcinoma (BLCA); however, inadequate diagnostic accuracy remains a major challenge. We performed mass spectrometry-based proteomic analysis of urine samples of ten patients with BLCA and ten paired patients with benign urothelial lesion (BUL) to identify ancillary proteomic markers for use in liquid-based cytology (LBC). A total of 4,839 proteins were identified and 112 proteins were confirmed as expressed at significantly different levels between the two groups. We also performed an independent proteomic profiling of tumor tissue samples where we identified 7,916 proteins of which 758 were differentially expressed. Cross-platform comparisons of these data with comparative mRNA expression profiles from The Cancer Genome Atlas identified four putative candidate proteins, AHNAK, EPPK1, MYH14 and OLFM4. To determine their immunocytochemical expression levels in LBC, we examined protein expression data from The Human Protein Atlas and in-house FFPE samples. We further investigated the expression of the four candidate proteins in urine cytology samples from two independent validation cohorts. These analyses revealed AHNAK as a unique intracellular protein differing in immunohistochemical expression and subcellular localization between tumor and non-tumor cells. In conclusion, this study identified a new biomarker, AHNAK, applicable to discrimination between BLCA and BUL by LBC. To our knowledge, the present study provides the first identification of a clinical biomarker for LBC based on in-depth proteomics.
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Affiliation(s)
- Hyebin Lee
- From the ‡Department of Radiation Oncology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea
| | - Kwangsoo Kim
- §Division of Clinical Bioinformatics, Biomedical Research Institute, Seoul National University Hospital, Seoul, South Korea
| | - Jongmin Woo
- ¶Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, South Korea
| | - Joonho Park
- ¶Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, South Korea
| | - Hyeyoon Kim
- ‖Proteomics Core Facility, Biomedical Research Institute, Seoul National University Hospital, Seoul, South Korea.,**Department of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea
| | - Kyung Eun Lee
- ‡‡Department of Statistics, Korea University, Seoul, South Korea
| | - Hyeyeon Kim
- ‖Proteomics Core Facility, Biomedical Research Institute, Seoul National University Hospital, Seoul, South Korea
| | - Youngsoo Kim
- ¶Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, South Korea
| | - Kyung Chul Moon
- **Department of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea
| | - Ji Young Kim
- **Department of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea
| | - In Ae Park
- **Department of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea
| | - Bo Bae Shim
- **Department of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea
| | - Ji Hye Moon
- **Department of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea
| | - Dohyun Han
- §Division of Clinical Bioinformatics, Biomedical Research Institute, Seoul National University Hospital, Seoul, South Korea; .,‖Proteomics Core Facility, Biomedical Research Institute, Seoul National University Hospital, Seoul, South Korea
| | - Han Suk Ryu
- **Department of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea;
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Canepa M, Elsheikh TM, Sabo DA, Kolosiwsky AM, Reynolds JP. Atypical Histiocytoid Cells in Metastatic Papillary Thyroid Carcinoma: An Underrecognized Cytologic Pattern. Am J Clin Pathol 2017. [PMID: 28633426 DOI: 10.1093/ajcp/aqx049] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Fine-needle aspiration (FNA) of head and neck lymph nodes (LNs) is useful in diagnosing metastatic papillary thyroid carcinoma (PTC) and most commonly shows classic cytologic features of PTC. Metastatic PTC, however, may occasionally present with a pattern unfamiliar to most pathologists: atypical histiocytoid cells (AHCs). METHODS All PTC thyroidectomy specimens with associated FNA of LNs were retrieved from our files for 2007 to 2013. We aimed to assess cytologic features of metastatic PTC, as well as the presence of AHCs and their morphology. RESULTS Fifty-six FNAs from LNs with metastatic PTC were reviewed. AHCs were identified in 38 (68%) cases, while only PTC with classic cytologic features was seen in 18 (32%) cases. AHCs did not show diagnostic nuclear features of PTC and presented as large cells with abundant cytoplasm either vacuolated or dense. Nuclei varied from vesicular with prominent nucleoli to dark and smudgy. Thirty-one cases showed mixed AHCs and classic PTC, but seven cases (13% of all metastatic PTCs in LNs) consisted only of AHCs. CONCLUSIONS AHCs are an often unrecognized metastatic morphologic pattern of cystic PTC, as it does not show diagnostic classic nuclear features of PTC. AHCs are the predominant cytologic finding in approximately 13% of metastatic PTCs to neck LNs.
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Affiliation(s)
- Mariana Canepa
- Department of Pathology and Laboratory Medicine, Lifespan/Brown University, Providence, RI
| | - Tarik M Elsheikh
- Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH
| | - Debra A Sabo
- Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH
| | - Ashley M Kolosiwsky
- Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH
| | - Jordan P Reynolds
- Robert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH
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Chen AL, Brown PA, Sweeney BJ, Feldman AS, Arellano RS, Tambouret RH. Smears are important for adequate cytologic diagnosis of kidney lesions. J Am Soc Cytopathol 2017; 6:162-169. [PMID: 31043269 DOI: 10.1016/j.jasc.2017.05.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Revised: 05/09/2017] [Accepted: 05/09/2017] [Indexed: 01/25/2023]
Abstract
INTRODUCTION Traditionally at our institution, smears with or without liquid-based cytology (LBC) and core biopsies (CBs) have been obtained by radiologists performing image-guided fine-needle aspiration biopsies (FNABs) of deep organs. Since 2015, however, there has been a shift to providing cytology with samples for LBC only when obtaining CBs. The impression among our institution's cytologists is that LBC alone is less often adequate for diagnosis compared with smears and LBC together. We examined a series of kidney FNABs pre- and post-"LBC only" to evaluate this impression. MATERIALS AND METHODS With institutional review board approval, we compared all kidney FNABs from 2012 to those from 2015. We recorded the type(s) of cytology preparation(s), the number of cytology slides, the cytology diagnosis, the concurrent CB diagnosis, and whether there was a subsequent excision and the excision diagnosis. We examined cytology and CB slides as needed. RESULTS In 2012, 105 patients underwent 111 kidney biopsies, 109 with smears made. In 2015, 58 patients underwent 62 kidney biopsies, 7 with smears made. In 2012, there were 13 (12%) nondiagnostic (ND) cytology cases and 19 (17%) cases where the cytology and CB diagnoses were discrepant. By comparison, in 2015, there were 20 (32%) ND cytology cases and 21 (33%) discrepant cases. CONCLUSIONS There were more cytology slides per case and fewer ND diagnoses in 2012 compared with 2015 (12% versus 32%, respectively, P = 0.001). Concordance was also better in 2012 (83% versus 67%, P = 0.015). We believe that our metrics would improve if we returned to the procedures followed in 2012.
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Affiliation(s)
- Athena L Chen
- Department of Pathology, Massachusetts General Hospital, Boston, Massachusetts.
| | - Peter A Brown
- Department of Pathology, Massachusetts General Hospital, Boston, Massachusetts
| | - Brenda J Sweeney
- Department of Pathology, Massachusetts General Hospital, Boston, Massachusetts
| | - Adam S Feldman
- Department of Urology, Massachusetts General Hospital, Boston, Massachusetts
| | - Ronald S Arellano
- Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts
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