Evidence map›Paper›PMID 25558272›Full record

ArticleCytoJournal2014

Diagnostic accuracy of bronchial brush cytology and the added value of immunohistochemistry and fluorescence in situ hybridization of pulmonary neuroendocrine tumors.

Jordan P Reynolds, Jesse S Voss, Shannon M Brankley, Jill M Caudill, Michael R Henry, Amy C Clayton, Kevin C Halling, Aziza Nassar

Open access · diamondAbstract read
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Article in CytoJournal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 4 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Jordan P ReynoldsAddress: Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, United States.
Jesse S VossDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States.
Shannon M BrankleyDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States.
Jill M CaudillDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States.
Michael R HenryDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States.
Amy C ClaytonDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States.
Kevin C HallingDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States.
Aziza NassarDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Jacksonville, FL, United States.
Mayo Clinic in Arizona · USCleveland Clinic · USMayo Clinic in Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBronchial brush (BB) cytology carries low sensitivity for detecting neuroendocrine carcinomas (NECs), including typical carcinoid (TC) tumors of the lung. We aimed to investigate the detection of neuroendocrine tumors including TC through BB routine cytology cell block (CB), immunohistochemistry (IHC), and fluorescence in situ hybridization (FISH). MATERIALS AND

methodsA SNOMED search showed 187 lung biopsy or resection specimens from 2008 through 2011 containing neuroendocrine or carcinoid in the diagnosis. Residual BB specimens retained in PreservCyt were used to prepare a ThinPrep slide for FISH analysis. CBs were stained with H and E and IHC for chromogranin and synaptophysin.

resultsOf the 187 cases, 16 had residual BB material available within 1 year of diagnosis and were used in CB preparation for IHC and FISH slides. Cytologic evaluation determined 1 case positive for malignancy (small cell lung carcinoma [SCLC]), 1 suspicious for adenocarcinoma, and 14 negative for malignancy. On the basis of histologic diagnosis, FISH was performed. SCLC showed polysomy (86% abnormal cells); 2 TC tumors showed a gain of 7p12 (15% abnormal cells) and a gain of 5q15 (72% abnormal cells), respectively. Two cases had CBs with positive immunoreactivity for chromogranin and synaptophysin. The sensitivity for detection of NEC was 18.8%, 15.4%, and 25% for cytologic evaluation, CB, and FISH, respectively.

conclusionNeuroendocrine tumors, including TC are difficult to detect with BB cytologic evaluation, most likely because tumor cells lack in the specimen. Assessment of further studies is needed to explore the role of cytology and ancillary methods for detection of these tumors.

Indexed as

Ancillary studiescarcinoid tumorcytologyendobronchial samplingpulmonary

Identifiers

PMID25558272
PMCPMC4278144
OpenAlexW2046554789

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.