Current trends in the use of liquid cytology for the analysis of neoplasia of various genesis

Authors

DOI:

https://doi.org/10.26641/1997-9665.2024.2.6-21

Keywords:

liquid cytology, traditional cytology, neoplasia, mammary and thyroid glands, urine sediment, aspirate fluids, bronchoalveolar secretion.

Abstract

Actuality. The review highlights the peculiarities of preparation and analysis of samples of various biological materials using the liquid-based cytology (LBC) method. Morphological characteristics of different clinical materials obtained by LBC and traditional cytology (TC) methods are presented and compared. Several LBC slide preparation technologies are discussed and compared in the study: BD SurePath, ThinPrep, and HurePath. It is demonstrated that materials obtained by the LBC method do not contain clusters of hematogenous and locally derived cellular elements, which interfere with assessing their qualitative and quantitative changes. Objective. To identify all the advantages and disadvantages of using LBC technologies compared to TC for the analysis of benign and malignant neoplasia of various genesis. Conclusion. The expediency of using RC for the study of squamous epithelial neoplasia: urine sediment, sputum secretions, and effusions has been proved. It is recommended to use RC technology with caution when analysing material with glandular, follicular or parafollicular structure, as changes in the morphological characteristics of neoplasms can lead to erroneous cytomorphological findings. In order to improve the quality of this type of material assessment, it is suggested to use both LBC and TC methods simultaneously.

References

  1. Huang C, Luo X, Wang S, Wan YU. Minimally Invasive Cytopathology and Accurate Diagnosis: Technical Procedures and Ancillary Techniques. In vivo. 2023;37(1):11-21.
  2. Marszałek A, Bakinowska J, Grobelna M. Assessment of the diagnostic usefulness of liquid-based cytology. The impact of modifications. Polish Journal of Pathology. 2023;74(4):271-281. DOI:10.5114/pjp.2023.134320.
  3. Ibrahim NE, Assar TM, Negm AA, Adel MM. Cytological and Bacteriological Assessment of the Cervix in Cases Having Nabothian Cysts. Benha Medical Journal. 2024;41(1):78-87. DOI:10.21608/bmfj.2024.258349
  4. Waghe T, Acharya N. Advancements in the Management of Cervical Intraepithelial Neoplasia: A Comprehensive Review. Cureus. 2024;16(4):e58645. DOI:10.7759/cureus.58645.
  5. Majidova NB, Gurbanova CF, Gurbanova FA. Importance of Cytological Screening in the Diagnosis of Cervical Diseasesl. Ukrainian journal of medicine. Biology and sport. 2022;7(3):159–164. DOI:10.26693/jmbs07.03.159.
  6. Benevolo M, Ronco G, Mancuso P, Carozzi F. Comparison of HPV-positive triage strategies combining extended genotyping with cytology or p16/ki67 dual staining in the Italian NTCC2 study. EBioMedicine. 2024;104.e105149. DOI: 10.1016/j.ebiom.2024.105149
  7. Boyko VV, Tkachenko VV, Sochnieva AL, Kritsak VV. Modern view on the problem of acute pleural empyema surgical treatment. Wiad Lek. 2024;77(2):327-337. DOI: 10.36740/WLek202402121.
  8. Peña KB, Riu F, Hernandez A, Guilarte C, Elizalde-Horcada M. Study of liquid-based cytology using next-generation sequencing as a liquid biopsy application in patients with advanced oncological disease. Biomedicines. 2023;11(6):1578. DOI:10.3390/biomedicines11061578.
  9. Iwaya H, Tanimoto A, Toyodome K, Kojima I, Hinokuchi M. Next-Generation Sequencing Analysis of Pancreatic Cancer Using Residual Liquid Cytology Specimens from Endoscopic Ultrasound—Guided Fine-Needle Biopsy: A Prospective Comparative Study with Tissue Specimens. Diagnostics. 2023;13(6):2839.1078. DOI:10.3390/diagnostics13061078.
  10. Claire MW. Liquid-based cytology technique for thyroid cytology. In Thyroid FNA Cytology: Differential Diagnoses and Pitfalls; Singapore: Springer Nature Singapore. 2024:543-555. DOI:10.1007/978-981-13-1897-9_13.
  11. Jain AK, Jain P, Jaggi K, Suresh A, Yadav M. Drug-Resistant Bone, Joint and Spine Tuberculosis: Evolution of Diagnosis and Treatment. Indian Journal of Orthopaedics. 2024;58:661–668.
  12. Patel N, Bavikar R, Buch A, Kulkarni M, Dharwadkar A. A comparison of conventional Pap smear and liquid-based cytology for cervical cancer screening. Gynecology and Minimally Invasive Therapy. 2023;12(2):77-82. DOI: 10.3390/diagnostics13172839.
  13. Dasgupta S. The Efficiency of Cervical Pap and Comparison of Conventional Pap Smear and Liquid-Based Cytology: A Review. Cureus. 2023;15(11):e48343. DOI 10.7759/cureus.48343.
  14. Karisani N, Aminimoghaddam S, Kashanian M, Baradaran H. R. Diagnostic accuracy for alternative cervical cancer screening strategies: A systematic review and meta-analysis. Health care for women international. 2024;45(3):323-362.
  15. Patel N, Bavikar R, Buch A, Kulkarni M, Dharwadkar A. A comparison of conventional Pap smear and liquid-based cytology for cervical cancer screening. Gynecology and Minimally Invasive Therapy. 2023;12(2):77-82. DOI: 10.4103/gmit.gmit_118_22.
  16. Maheshwari Y, Handa U, Aggarwal P. Comparative Analysis of Conventional Cytology and Liquid-Based Cytology in the Detection of Carcinoma Cervix and its Precursor Lesions. Journal of Cytology. 2023;40(3):114-118.
  17. Buch AC, Londhe MM, Patil TV, Rathod H, Dhaliwal S.Comparison of liquid-based cytology and conventional preparations in nongynecological cytology. International Journal of Academic Medicine. 2023;9(3):126-131. DOI: 10.4103/ijam.ijam_25_23.
  18. Jain K, Datta C, Sengupta M, Pal DK. Quest to develop a standard screening method for urothelial carcinoma using liquid-based cytology (The Paris System) and CK20. Indian Journal of Pathology and Microbiology. 2023;66(4):720-726. DOI: 10.4103/ijpm.ijpm_95_22.
  19. Sakumo K, Morihashi K, Nakamura A, Nukaya T. The usefulness of nuclear area in the diagnosis of high‐grade urothelial carcinoma cells in voided urine cytology. Cytopathology. 2023;34(4):295-301. DOI:org/10.1111/cyt.13229.
  20. Kapoor K, Datta C, Pal DK. Is liquid-based cytology an alternative to conventional cytology for detection of malignant cells in urine of bladder cancer? Eastern Indian prospective observational study. Turk J Urol. 2019;45(5):351-356. DOI: 10.5152/tud.2019.19040.
  21. Kalantari MR, Jahanshahi MA, Gharib M, Hashemi S. Direct Smear Versus Liquid-Based Cytology in the Diagnosis of Bladder Lesions. Iranian Journal of Pathology. 2022;17(1):56. DOI:10.30699/IJP.2021.528171.2646.
  22. Wu S, Li R, Jiang Y, Yu J, Zheng J. Liquid biopsy in urothelial carcinoma: Detection techniques and clinical applications. Biomedicine & Pharmacotherapy. 2023;165:115027. DOI:10.1016/j.biopha.2023.115027.
  23. Leonov MG, Alekseenko SN, Thagapso AA, Shadrynova MD, Teslenko LG. [Recurrences of urinary bladder cancer and possibilities of the cytological method of their diagnosis]. International Journal of Applied and Fundamental Research. 2016;9(3):393-396. Russian.
  24. Kalantari MR, Jahanshahi MA, Gharib M, Hashemi S. Direct Smear Versus Liquid-Based Cytology in the Diagnosis of Bladder Lesions. Iranian Journal of Pathology. 2022;17(1):56-64. DOI:10.30699/IJP.2021.528171.2646.
  25. Linder J. Recent advances in thin-layer cytology. Diagn Cytopathol. 1998;18(1):24-32.
  26. Lu DY, Nassar A, Siddiqui MT. High-grade urothelial carcinoma: comparison of SurePath liquid-based processing with cytospin processing. Diagn Cytopathol. 2009;37(1):16-20. DOI 10.1002/dc.20957
  27. Kalantari MR, Jahanshahi MA, Gharib M, Hashemi S. Direct Smear Versus Liquid-Based Cytology in the Diagnosis of Bladder Lesions. Iran J Pathol. 2022:17(1):56-64. DOI: 10.30699/IJP.2021.528171.2646.
  28. Goncalves B, Ukpai AE. Sputum induction and its diagnostic applications in inflammatory airways disorders: а review. Frontiers in Allergy. 2023;4:1282782.
  29. Demirci N Y. Diagnostic Workup for Lung Cancer. In: Airway diseases. Cham: Springer International Publishing. 2023:1-16.
  30. Cascio CM, Kaul V, Dhooria S, Agrawal A. Diagnosis of tuberculous pleural effusions: A review. Respiratory medicine. 2021;188:106607. DOI:https://doi.org/10.1016/j.rmed.2021.106607
  31. Fan YB, Wang QS, Ye L, Wang TY. Clinical application of the SurePath liquid-based Pap test in cytological screening of bronchial brushing for the diagnosis of lung cancer. Cytotechnology. 2010; 62: 53-59. DOI: 10.1007/s10616-010-9261-5
  32. Singh G, Agarwal P, Goel MM, Kumar M.Conventional vs. liquid based cytology in fine needle aspirates of lung and mediastinal masses. J Pulm Respir Med. 2017;7(400):2. DOI: 10.4172/2161-105X.1000400.
  33. Hawkins P, Stevenson Т, Powari М. Use of cytology fluid samples for predictive biomarker testing in lung cancer patients. Cytopathology. 2024;35(2):242-249. DOI:org/10.1111/cyt.13344
  34. Park СК, Malinowski DP, Cho NH. Diagnostic algorithm for determining primary tumor sites using peritoneal fluid. PloS one. 2018;13(7):e0199715 DOI:.org/10.1371/journal.pone.0199715.
  35. Paul P, Azad S, Agrawal S, Rao S. Systematic Review and Meta-Analysis of the Diagnostic Accuracy of the International Academy of Cytology Yokohama System for Reporting Breast Fine-Needle Aspiration Biopsy in Diagnosing Breast Cancer. Acta Cytologica. 2023;67(1):1-16. DOI: 10.1159/000527346.
  36. Kord S, Mokhtari M. Comparison of Liquid-based and Conventional Cytology in Diagnosis of Breast Mass. J Cytol. 2019;36(1):22–27.
  37. Gerhard R, Schmitt F. Liquid-based cytology in fine-needle aspiration of breast lesions: A review. Acta Cytol. 2014;58:533-42. DOI: 10.1159/000362805
  38. Komatsu K, Nakanishi Y, Seki T, Yoshino A.Application of liquid-based preparation to fine needle aspiration cytology in breast cancer. Acta cytologica. 2008;52(5):591-596.
  39. Oteri V, Piane S, Cocci E. The use of telecytology for the evaluation of thyroid nodules fine-needle aspiration biopsy specimens: a systematic review. J Endocrinol Invest. 2024;1-10. DOI:10.1007/s40618-024-02378-3.
  40. Cosme I, Nobre E, Bugalho MJ. Repetition of thyroid fine-needle aspiration cytology after an initial nondiagnostic result: Is there an optimal timing? Endocrinología, Diabetes y Nutrición. 2024;71(5):216-220.
  41. Reddy R, Prabhala S, Somalwar SB. Evaluation of Breast, Lymph Node, and Thyroid Fine Needle Aspiration Cytology by Liquid Based Smears and Conventional Smears. J Exp Pathol. 2023;4(1):34-44.
  42. Geers C, Bourgain С. Liquid‐based FNAC of the thyroid: A 4‐year survey with SurePath. Cancer Cytopathology. 2011;119:58-67. DOI: 10.1002/cncy.20125, wileyonlinelibrary.com.
  43. Lee SH, Jung CK, Bae JS, Jung SL, Choi YJ, Kang CS. Liquid-based cytology improves preoperative diagnostic accuracy of the tall cell variant of papillary thyroid carcinoma. Diagn Cytopathol. 2014;42(1):11–17. DOI:org/10.1002/dc.23007.
  44. Chong Y, Baek KH, Kim JY, Kim TJ. Comparison of EASYPREP® and SurePath® in thyroid fine‐needle aspiration. Diagn Cytopathol. 2016;44(4):283-290. DOI:org/10.1002/dc.23438.
  45. Agarwal S, Jain M., Singh G. Cytomorphological differences between liquid-based cytology and conventional smears in fine-needle aspirates of thyroid lesions. Journal of Cytology. 2018;35(4):208-211. DOI: 10.4103/JOC.JOC_150_17
  46. Arcolia V, Journe F, Renaud F, Leteurtre E. Combination of galectin-3, CK19 and HBME-1 immunostaining improves the diagnosis of thyroid cancer. Oncology letters. 2017;14(4):4183-4189. DOI: org/10.3892/ol.2017.6719.
  47. Nagarjoge P, Sameer MA, Mulay P. Study of utility of body fluids cytology in detection of non neoplastic and neoplastic lesion. Indian Journal of Basic & Applied Medical Research. 2023;12(2):82. DOI: 10.36855/IJBAMR/2022/98215.5565
  48. Saluja N, Jayant M, Sunita V. Comparing Conventional Cytology Smear and Cell Block Techniques for Ovarian Cancer Diagnosis: A Prospective Observational Study.Journal of Clinical & Diagnostic Research. 2023;17(9):11-15. DOI: org/10.7860/JCDR/2023/64078.18463.
  49. Sudha Sharma et al. Cytology of peritoneal implants of borderline serous tumor of ovaries in ascitic fluid. Cytojournal. 2021;18:17.DOI: 10.25259/Cytojournal_56_2020.
  50. Srinivasamurthy BC, Velu AR, Krishnan N, Patil AS. Ovarian serous borderline tumors with noninvasive and invasive peritoneal implants: A case report each. J Cancer Res Ther. 2015;11:646. DOI:10.4103/0973-1482.147707.
  51. Sadeghi S, Ylagan LR. Pelvic washing cytology in serous borderline tumors of the ovary using ThinPrep: Are there cytologic clues to detecting tumor cells? Diagn Cytopathol. 2004;30:313–9. DOI: 10.1002/dc.20032.

Published

2024-07-30

How to Cite

Lozovskaya , Y. (2024). Current trends in the use of liquid cytology for the analysis of neoplasia of various genesis. Морфологія / Morphologia / Morfologìâ, 18(2), 6–21. https://doi.org/10.26641/1997-9665.2024.2.6-21

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