Evaluation of a petit tissue microarray in a tertiary care histopathology laboratory– a prospective study
Journal Title: Pathology Update: Tropical Journal of Pathology and Microbiology - Year 2018, Vol 4, Issue 4
Abstract
Background: With the advancements in pathology for diagnosis of tumors, there is a need for technologies which provide test results with a short turn-around time. Also, with the increasing incidence of early diagnosis of tumor, detection of prognostic markers becomes a necessity. Tissue Micro-Array is one such technology in which tumor diagnosis, tumor markers and prognostic markers could be studied with limited tissue sample at a low cost. In this study, we evaluated the feasibility of a petit Tissue Microarray for immunohistochemical profiling of breast carcinomas. Materials and Methods: Tissue cores were obtained from random tissues which included placenta, breast tissue and lymphnode and endometrium using skin punch biopsy needle of bore 2 mm. These were done for standardizing the procedure of a miniature tissue microarray. Further, tissue cores obtained from carcinoma breast tissue by two different methods were used for constructing a microarray block. Sections of 4 micron thickness were taken and stained with hematoxylin and eosin stains. If satisfactory tumor tissue is present in this constructed block, then sections were taken for immunohistochemistry staining with ER, PR and HER2. Results: Directly constructed tissue blocks had better preservation of tumor tissue morphology compared to the blocks constructed from donor blocks. Also, directly constructed tissue blocks had the advantage of not mutilating the donor block which could be still used for further studies and reference. Immunohistochemistry revealed similar results as obtained during the routine histopathological sections. Also, the cost of the reagents used for immunohistochemistry was reduced by 200% as compared to the routine immunohistochemical staining procedure. Conclusion: A petit Tissue microarray is definitely possible in a tertiary care histopathology laboratory and can be utilized for immunohistochemical studies with multiple markers.
Authors and Affiliations
Priavadhana Rajan Prasaad, Srilakshmi Priya V, Bheema Rao G. , B. O. Parijatham, Lakshmi Prabha V
Comparative study of Cytodiagnosis of salivary gland neoplasm with histopathology
Introduction: FNAC is the largest tool in diagnostic pathology. Cancer is the leading cause of death in India. Salivary gland neoplasms accounts for 6% of all head and neck tumors. There are many advantages of FNAC. But...
A prospective study of the palpable lesions of the breast and the role of FNAC in these lesions with available histopathology methods
Introduction: Benign as well as malignant breast lesions are quite common in Indian population. It is the second most common cancer site after cancer cervix. Fine-needle aspiration cytology (FNAC) is safe, reliable, and...
A Retrospective study of 130 cases in all age group presented with palpable head and neck swelling
Introduction: FNAC is a simple, quick, inexpensive and minimally invasive technique for early diagnosis of palpable lesions in Head and neck. It is usually performed in outpatient department with nearly no complications....
Study of fine needle aspiration cytology of lymphadenopathy in tertiary care centre of Ahmedabad, Gujarat
Introduction: Lymph nodes are a site for organized collections of lympho-reticular tissue and are pink gray bean shaped encapsulated organs. Lymphadenopathy is one of the most common clinical presentations of patients at...
Comparative study of USG guided aspiration and non-aspiration cytology for evaluation of specimen quality and diagnostic accuracy in abdominal and pelvic lumps
Introduction: The aim of this study was to compare the efficacy of USG guided fine needle aspiration cytology (FNAC) with that of fine needle non aspiration cytology (FNNAC) in abdominal, pelvic masses. Objectives: Alth...