Abstract
Cell block sections serve as an important diagnostic annex for cytological smears, liquid-based SurePath cytology and the Liquid-based Thin-prep Cytology Test (TCT). A variety of methods for the preparation of cell blocks are described in the literature and the techniques in cell blocks are in continuous improvement. A new technique for making cell blocks was introduced in the present study. We first used pregelatinized starch as the frame for the cell block, which is a really simple and economic method, because it can be carried out at room temperature without additional special instruments. We have performed hematoxylin and eosin (HE) staining, immunohistochemistry analysis and fluorescence in situ hybridization (FISH) in the cell block sections in 122 cytological specimens. The results demonstrated in this article show that pregelatinized starch is a useful frame for cell blocks. The pregelatinized starch can effectively collect even a few cells with powerful adhesiveness. Therefore, this new technique for making cell blocks is especially useful for cytologic samples with low cellularity, such as cerebrospinal fluid specimens.
Similar content being viewed by others
References
Cohen MB, Weydert JA (2011) Neoplastic pulmonary cytology: why all the fuss over“NSCLC”? Cancer Cytopathol 119:3–4
Collins GR, Thomas J, zhang SL, et al (2011) The diagnostic value of cell block as an adjunct to liquid-based cytology of bronchial washing specimens in the diagnosis and subclassification of pulmonary neoplasms. Cancer Cytopathol, published online
da Cunha SG, Liu N, Tsao MS, Kamel-Reid S, Chin K, Geddie WR (2010) Detection of EGFR and KRAS mutations in fine-needle aspirates stored on Whatman FTA cards: is this the tool for biobanking cytological samples in the molecular era? Cancer Cytopathol 118:450–456
Halling KC, Rickman OB, Kipp BR, Harwood AR, Doerr CH, Jett JR (2006) A comparison of cytology and fluorescence in situ hybridization for the detection of lung cancer in bronchoscopic specimens. Chest 130:694–701
Jubril I, Muazu J, Mohammed GT (2012) Effects of phosphate modified and pregelatinized sweet potato starches on disintegrant property of paracetamol tablet formulations. J Appl Pharm Sci 2:32–36
Mok TS, Wu YL, Thongprasert S et al (2006) Gefitinib or carboplatin- paclitaxel in pulmonary adenocarcinoma. N Engl J Med 361:947–957
Nguyen NQ, Lim K, Ruszkiewicz A (2011) Preparation technique for cytologic study of EUS-guided FNA samples when onsite cytopathologist is absent: cell block, smear, or both? J Pancreas 12:86–91
Noda Y, Fujita N, Kobayashi G et al (2010) Diagnostic efficacy of the cell block method in comparison with smear cytology of tissue samples obtained by endoscopic ultrasound-guided fine-needle aspiration. J Gastroenterol 45:868–875
Ouansafi I, Klein M, Sugrue C et al (2010) Monophasic parapharyngeal synovial sarcoma diagnosed by cytology, immunocytochemistry, and molecular pathology: case report and review of the literature. Diagn Cytopathol 38:822–827
Riely GJ, Politi KA, Miller VA, Pao W (2006) Update on epidermal growth factor receptor mutations in non-small cell lung cancer. Clin Cancer Res 12:7232–7241
Skoog L, Tani E (2011) Immunocytochemistry: an indispensable technique in routine cytology. Cytopathology 22:215–229
Wagner DG, Russell DK, Benson JM et al (2010) Cellient™ automated cell block versus traditional cell block preparation: a comparison of morphologic features and immunohistochemical staining. Diagn Cytopathol 39:730–736
Yu HL, Huang QR (2010) Enhanced in vitro anti-cancer activity of curcumin encapsulated in hydrophobically pregelatinized starch. Food Chem 119:669–674
Acknowledgments
We greatly acknowledge all pathologists and technicians in the pathology department of Guangdong Provincial Hospital of TCM, for their helpful discussions and useful suggestions on the new technique. We thank Dr. Carlos E.E. Aparicio M.D. for the editorial review of this paper.
Conflict of interest statement
The authors declare that Qing-Lian He is in the process of filing a patent application for findings described in this article.
Author information
Authors and Affiliations
Corresponding author
Additional information
Qing-Lian He and Ya-Zhen Zhu contributed equally to this work.
Rights and permissions
About this article
Cite this article
He, QL., Zhu, YZ., Zheng, GJ. et al. A new convenient technique for making cell blocks. Cell Tissue Res 350, 395–400 (2012). https://doi.org/10.1007/s00441-012-1467-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00441-012-1467-8