Evidence map›Paper›PMID 31264038›Full record

ArticleVirchows Archiv : an international journal of pathology2019

Impact of delayed and prolonged fixation on the evaluation of immunohistochemical staining on lung carcinoma resection specimen.

Maartje van Seijen, Luka Brcic, Atilio Navarro Gonzales, Irene Sansano, Matyas Bendek, Iva Brcic, Birgit Lissenberg-Witte, H Ibrahim Korkmaz, Thomas Geiger, Rosita Kammler and 3 more

Abstract read
In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
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

28 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Morphological artifacts in pulmonary pathology and literature review.Virchows Archiv : an international journal of pathology · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Digital pathology for nonalcoholic steatohepatitis assessment.Nature reviews. Gastroenterology & hepatology · 2024
    Review
  11. Article
  12. Article
  13. Impact of formalin fixation on mismatch repair protein evaluation by immunohistochemistry.Virchows Archiv : an international journal of pathology · 2023
    Article
  14. Slide-to-Slide Tissue Transfer and Array Assembly From Limited Samples for Comprehensive Molecular Profiling.Laboratory investigation; a journal of technical methods and pathology · 2023
    Article
  15. Article
  16. Pathology of Cholangiocarcinoma.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2023
    Article
  17. Article
  18. Review
  19. Article
  20. Article
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

13 authors.

Maartje van SeijenDepartment of Pathology, Amsterdam University Medical Centers, VU University Medical Center, Amsterdam, The Netherlands.
Luka BrcicInstitute of Pathology, Medical University of Graz, Graz, Austria.
Atilio Navarro GonzalesValencia Hospital General Universitario, Valencia, Spain.
Irene SansanoVall d'Hebron University Hospital Barcelona, Spain, Barcelona, Spain.
Matyas BendekNational Institute of Pulmonary Medicine Budapest, Budapest, Hungary.
Iva BrcicInstitute of Pathology, Medical University of Graz, Graz, Austria.
Birgit Lissenberg-WitteDepartment of Epidemiology and Biostatistics, Amsterdam UMC, VU University Medical Center, Amsterdam, The Netherlands.
H Ibrahim KorkmazDepartment of Pathology, Amsterdam University Medical Centers, VU University Medical Center, Amsterdam, The Netherlands.
Thomas GeigerETOP Bern, Bern, Switzerland.
Rosita KammlerETOP Bern, Bern, Switzerland.
Rolf StahelETOP Bern, Bern, Switzerland.
Erik ThunnissenDepartment of Pathology, Amsterdam University Medical Centers, VU University Medical Center, Amsterdam, The Netherlands. thunnissen@vumc.nl.
ETOP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pre-analytical factors, such as fixation time, influence morphology of diagnostic and predictive immunohistochemical staining, which are increasingly used in the evaluation of lung cancer. Our aim was to investigate if variations in fixation time influence the outcome of immunohistochemical staining in lung cancer. From lung resections, specimen with tumor size bigger than 4 cm, 10 samples were obtained: 2 were put through the standard fixation protocol, 5 through the delayed, and 3 through the prolonged fixation protocol. After paraffin embedding, tissue microarrays (TMAs) were made. They were stained with 20 antibodies and scored for quality and intensity of staining. Samples with delay in fixation showed loss of TMA cores on glass slides and deterioration of tissue quality leading to reduction in the expression of CK 7, Keratin MNF116, CAM 5.2, CK 5/6, TTF-1, C-MET, Napsin A, D2-40, and PD-L1. Prolonged fixation had no influence on the performance of immunohistochemical stains. Delay of fixation negatively affects the expression of different immunohistochemical markers, influencing diagnostic (cytokeratins) and predictive (PD-L1) testing. These results emphasize the need for adequate fixation of resection specimen.

Indexed as

Biomarkers, TumorCarcinoma, Non-Small-Cell LungHumansImmunohistochemistryLung NeoplasmsStaining and LabelingTissue FixationBiomarkers, TumorFixationImmunohistochemistryLung adenocarcinomaPre-analytical

Identifiers

PMID31264038
PMCPMC6647403

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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.