Evidence map›Paper›PMID 26987877›Full record

Observational studyDiagnostic pathology2016

Diagnostic efficacy of cell block method for vitreoretinal lymphoma.

Satoru Kase, Kenichi Namba, Daiju Iwata, Kazuomi Mizuuchi, Nobuyoshi Kitaichi, Yoshiaki Tagawa, Hiromi Okada-Kanno, Yoshihiro Matsuno, Susumu Ishida

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Diagnostic pathology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

31 citing papers in PubMed, 48 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Satoru KaseDepartment of Ophthalmology, Hokkaido University Graduate School of Medicine, N15 W7, Kita-ku, Sapporo City, Hokkaido, 060-8638, Japan.
Kenichi NambaDepartment of Ophthalmology, Hokkaido University Graduate School of Medicine, N15 W7, Kita-ku, Sapporo City, Hokkaido, 060-8638, Japan. knamba@med.hokudai.ac.jp.
Daiju IwataDepartment of Ophthalmology, Hokkaido University Graduate School of Medicine, N15 W7, Kita-ku, Sapporo City, Hokkaido, 060-8638, Japan.
Kazuomi MizuuchiDepartment of Ophthalmology, Hokkaido University Graduate School of Medicine, N15 W7, Kita-ku, Sapporo City, Hokkaido, 060-8638, Japan.
Nobuyoshi KitaichiDepartment of Ophthalmology, Health Sciences University of Hokkaido, Sapporo, Japan.
Yoshiaki TagawaDepartment of Ophthalmology, Hokkaido University Graduate School of Medicine, N15 W7, Kita-ku, Sapporo City, Hokkaido, 060-8638, Japan.
Hiromi Okada-KannoDepartment of Surgical Pathology, Hokkaido University Hospital, Sapporo, Japan.
Yoshihiro MatsunoDepartment of Surgical Pathology, Hokkaido University Hospital, Sapporo, Japan.
Susumu IshidaDepartment of Ophthalmology, Hokkaido University Graduate School of Medicine, N15 W7, Kita-ku, Sapporo City, Hokkaido, 060-8638, Japan.
Hokkaido University · JPHokkaido University Hospital · JPHealth Sciences University of Hokkaido · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitreoretinal lymphoma (VRL) is a life- and sight-threatening disorder. The aim of this study was to analyze the usefulness of the cell block method for diagnosis of VRL.

methodsSixteen eyes in 12 patients with VRL, and 4 eyes in 4 patients with idiopathic uveitis presenting with vitreous opacity were enrolled in this study. Both undiluted vitreous and diluted fluids were isolated during micro-incision vitrectomy. Cell block specimens were prepared in 19 eyes from diluted fluid containing shredding vitreous. These specimens were then submitted for HE staining as well as immunocytological analyses with antibodies against the B-cell marker CD20, the T-cell marker CD3, and cell proliferation marker Ki67. Conventional smear cytology was applied in 14 eyes with VRL using undiluted vitreous samples. The diagnosis of VRL was made based on the results of cytology, concentrations of interleukin (IL)-10 and IL-6 in undiluted vitreous, and immunoglobulin heavy chain gene rearrangement analysis.

resultsAtypical lymphoid cells were identified in 14 out of 15 cell block specimens of VRL (positive rate: 93.3 %), but in 5 out of 14 eyes in conventional smear cytology (positive rate: 35.7 %). Atypical lymphoid cells showed immunoreactivity for CD20 and Ki67. Seven cell block specimens were smear cytology-negative and cell block-positive. The cell block method showed no atypical lymphoid cells in any patient with idiopathic uveitis.

conclusionsCell block specimens using diluted vitreous fluid demonstrated a high diagnostic sensitivity and a low pseudo-positive rate for the cytological diagnosis of VRL. The cell block method contributed to clear differentiation between VRL and idiopathic uveitis with vitreous opacity.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorDiagnosis, DifferentialFemaleGene RearrangementGenes, Immunoglobulin Heavy ChainHumansImmunohistochemistryIntraocular LymphomaMaleMiddle AgedPanuveitisPredictive Value of TestsReproducibility of ResultsBiomarkers, TumorCD20Cell blockCytologyLymphomaMasquerade syndromeUveitis

Identifiers

PMID26987877
PMCPMC4797249
OpenAlexW2300465403

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.