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Utilization of microdissection and the polymerase chain reaction for the diagnosis of adrenal cortical carcinoma in fine‐needle aspiration cytology

Abati, Andrea ; Sanjuan, Xavier ; Wilder, AnnaMaria ; Linehan, W. Marston ; Hewitt, Steven M. ; Merino, Maria J.

Cancer, 1999-08, Vol.87 (4), p.231-237 [Periódico revisado por pares]

New York: John Wiley & Sons, Inc

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  • Título:
    Utilization of microdissection and the polymerase chain reaction for the diagnosis of adrenal cortical carcinoma in fine‐needle aspiration cytology
  • Autor: Abati, Andrea ; Sanjuan, Xavier ; Wilder, AnnaMaria ; Linehan, W. Marston ; Hewitt, Steven M. ; Merino, Maria J.
  • Assuntos: Adrenal Cortex Neoplasms - chemistry ; Adrenal Cortex Neoplasms - diagnosis ; Adrenal Cortex Neoplasms - genetics ; adrenal cortical carcinoma ; adrenal cortical lesions ; Adult ; Biological and medical sciences ; Biopsy, Needle ; Carcinoma - chemistry ; Carcinoma - diagnosis ; Carcinoma - genetics ; Dissection ; DNA Mutational Analysis ; DNA, Neoplasm - analysis ; Endocrinology ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; loss of heterozygosity ; Loss of Heterozygosity - genetics ; Male ; Medical sciences ; microdissection ; Middle Aged ; p53 ; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; Polymerase Chain Reaction ; Tumor Suppressor Protein p53 - genetics ; von Hippel-Lindau Disease - genetics ; von Hippel‐Lindau
  • É parte de: Cancer, 1999-08, Vol.87 (4), p.231-237
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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  • Descrição: BACKGROUND Loss of heterozygosity (LOH) for several tumor suppressor genes (including loci on 3p, 1p, and 17p,) has been documented in surgical specimens of adrenal cortical carcinomas (ACCA) without accompanying losses in benign hyperplastic and adenomatous adrenal cortical lesions (ACL). This disparate pattern of LOH raises the possibility of exploitation of these differences for diagnostic utilization. Cytologic differentiation of benign versus malignant ACL may be impossible based solely on fine‐needle aspiration (FNA) material. The authors attempted to extrapolate the genetic findings on surgical specimens to FNA specimens of ACL to determine whether LOH studies could be utilized as a definitive diagnostic tool. METHODS Microdissection of archival material was performed on FNAs of ten ACCAs (stained with the Papanicolaou and Diff‐Quik stains) with corresponding histologic material (stained with hematoxylin and eosin), one FNA of a benign ACL, and three touch preparations of benign adrenal cortex. LOH analysis was performed by polymerase chain reaction (PCR) with flanking markers for the following putative tumor suppressor genes: p53 (17p13; TP53), 1p (1p36; D1S165), and the von Hippel‐Lindau gene at 3p25 (D3S1038 and D3S1110). RESULTS Similar results were obtained with cytologic and histologic material. As expected, benign ACL showed no LOH for the markers examined. Of the informative ACCA cases, 70% showed LOH for at least 1 of the 3 markers tested on both FNA and histologic samples. For all cases with amplifiable DNA, there was a 100% concordance rate for LOH between cytologic and histologic material, with at least 7 of the 10 cytologic samples originating from metastatic lesions and all of the surgical material originating from the primary adrenal neoplasm. CONCLUSIONS The results of this study suggest that the combination of microdissection and PCR for LOH of p53, 1p, and 3p25 from FNA material has the potential to be utilized to distinguish ACCA from benign ACL in informative cases. It also shows a 100% concordance rate between metastatic and primary ACCAs for the losses observed, a finding that can be extremely useful for the definitive identification of metastatic lesions. Archival cytologic preparations of ACCA are a reliable source of DNA for LOH studies. [See editorial counterpoint on pages 173–5 and reply to counterpoint on pages 176–7, this issue.] Cancer (Cancer Cytopathol) 1999;87:231–7. © 1999 American Cancer Society. Loss of heterozygosity (LOH) for several tumor suppressor genes has been documented in adrenal cortical carcinoma (ACCA) without accompanying losses in benign hyperplastic and adenomatous lesions. These genetic findings were applied to fine‐needle aspiration (FNA) specimens of adrenal cortical lesions (ACL) to determine whether LOH studies could be utilized as a diagnostic tool. Utilizing microdissection and the polymerase chain reaction (PCR), the results of this study suggest that the combination of microdissection and PCR to determine LOH from FNA material has the potential to be utilized to distinguish ACCA from benign ACL in informative cases. See also pages 173–5 and 176–7.
  • Editor: New York: John Wiley & Sons, Inc
  • Idioma: Inglês
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