Immunohistochemistry method preceded by tissue transfer – A reliable alternative to current practice

Immunohistochemistry method preceded by tissue transfer – A reliable alternative to current practice

This is an automatically generated default intro template – please do not edit.


General information


Title: Immunohistochemistry method preceded by tissue transfer – A reliable alternative to current practice
Meta keywords:
Meta description:

Images information


Images path absolute:
Images path relative:
Thumbs path absolute:
Thumbs path relative:

Fields information


Article_Title: Immunohistochemistry method preceded by tissue transfer – A reliable alternative to current practice
Authors: Denisa Anderco1*, Elena Lazar2, Angela Borda3, Sorina Taban2, Felix Mic1, Andrada Loghin3, Alis Dema2
Affiliation: 1Department of Pathology, Emergency County Hospital, Timisoara, Romania
2Department of Pathology, University of Medicine and Pharmacy Victor Babes, Timisoara, Romania
3Department of Histology, University of Medicine and Pharmacy Targu Mures, Romania
Abstract: In the context of increased incidence of the prostate cancer, the pathologists are more frequently faced with the task to establish a diagnosis on quantitatively reduced biopsy specimens. Sometimes the usual diagnostic methods do not allow a definite morphological diagnosis due to the limited nature of suspicious lesions and inability to evaluate its architecture. In addition, the loss of these atypical foci from the paraffin blocks during repeated sections is not an isolated phenomenon. In this regard, we reassessed the cases with equivocal diagnoses established on prostate biopsy specimens in our hospital over the past 2 years. We performed the tissue transfer on charged slides, followed by AMACR/p63 cocktail immunostaining in order to establish a certain diagnosis. Following this procedure we established a final diagnosis in 17 of the 19 cases (89.47%). We claim that this method is a reliable alternative to the classical processing of minute atypical glandular lesions, when minimum two H&E–stained sections that harbour suspicious foci are available.
Keywords: prostate biopsy; diagnosis; immunohistochemistry; AMACR/p63 cocktail
References: Ali TZ, Epstein JI, False positive labeling of prostate cancer with high molecular weight cytokeratin: p63 a more specific imunomarker for basal cells. Am J Surg Pathol, 32(12),1890-1895, 2008.
Bostwick DG, Meiers I, Neoplasms of the prostate. In: Bostwick DG, Cheng L (eds) Urologic Surgical Pathology, 2nd ed. Mosby Elsevier, Philadelphia, 462-473, 2008.
Bostwick D, Meiers I, Atypical small acinar proliferation in the prostate. Arch Pathol Lab Med, 130, 952-957, 2006.
Briant RJ, Hamdy FC, Screening for prostate cancer: un update. Eur Urol,53, 37-44, 2009.
Browne TJ, Hirsch MS, Brodsky G, Welch WR, Loda MF, Rubin MA, Prospective evaluation of AMACR (P504S) and basal cell markers in the assessment of routine prostate needle biopsy specimens. Hum Pathol, 35(12), 1462-1468, 2004.
Burford HN, Adams AL, Hameed O, Effect of storage on p63 immunohistochemistry: a time – course study. Appl Immunohistochem Mol Morphol,17(1), 68-71, 2009.
Carswell BM, Woda BA, Wang X, Li C, Dresse K, Jiang Z, Detection of prostate cancer by alpha-metylacyl CoA racemase (P504S) in needle biopsy specimens previously reported as negative for malignancy. Histopathology, 48(6), 668-673, 2006.
Cheng L, Poulos CK, Pan CX, Jones TD, Daggy JK, Able JN, Koch MO, Preoperative prediction of small volume cancer (less than 0,5 ml) in radical prostatectomy specimens. J Urol,174 (3), 898–902, 2005.
Dardik M, Epstein JI, Efficacy of restaining prostate needle biopsies with high-molecular weight cytokeratin. Hum Pathol, 31(9),1155-1161, 2000.
Dema A, Anderco D, Taban S, Lazar E, Cornianu M, Lazureanu C, Herman D, Muresan A, Cornea R, Faur A. Useful immunohistochemical techniques for elucidating minute atypical glandular proliferations in prostate biopsy specimens – preliminary results. Biology and therapy of cancer cell. Cluj-Napoca, 28 – 30 april, 2010, pp. 39. Abstract in Official Journal of “Prof. Dr. Ion Chiricuta” Oncology Institute Cluj-Napoca, vol. 2, suppl., ISSN: 2066 – 7558, ISBN: 978-973–75 –308–7.
Epstein JI, Netto GJ (eds), Biopsy interpretation of the prostate, 4th edn. Lippincott Williams & Wilkins, Philadelphia, 2008.
Epstein JI, Diagnosis and reporting of limited adenocarcinoma of the prostate on needle biopsy. Mod Pathol, 17, 307-315, 2004.
Flury SC, Galgano MT, Mills S, Smolkin ME, Theodorescu D, Atypical small acinar proliferation: biopsy artefact or distinct pathological entity? BJU Int, 99, 780-785, 2007.
Gong Y, Joseph T, Sneige N, Validation of commonly used immunostainson cell-transferred cytologic specimens. Cancer, 105, 158-164, 2005 .
Green R, Epstein JI, Use of intervening unstained slides for immunohistochemical stains for high molecular weight cytokeratin on prostate needle biopsies. Am J Surg Pathol, 23(5), 567-570, 1999.
Hameed O, Humphrey PA, Immunohistochemical evaluation of prostate needle biopsies using saved interval sections vs new recut sections from the block: a prospective comparison. Am J Clin Pathol,131(5), 683-687, 2009.
Hameed O, Sublett J, Humphrey PA, Immunohistochemical stains for p63 and alpha-metylacyl-CoA racemase, versus a cocktail comprising both, in the diagnosis of prostatic carcinoma: a comparison of the immunohistochemical staining of 430 foci in radical prostatectomy and needle biopsy tissues. Am J Surg Pathol, 29(5), 579-587, 2005.
Hameed O, Humphrey PA, p63/AMACR antibody cocktail restaining of prostate needle biopsy tissues after transfer to charged slides. A viable approach in the diagnosis of small atypical foci that are lost on block sectioning. Am J Clin Pathol, 124, 708-715, 2005.
Hunt JL, van de Rijn M, Gupta PK, Immunohistochemical analysis of gel-transferred cells in cytologic preparations following smear division. Diagn Cytopathol, 18, 377-380, 1998.
Iczkowski KA, Current prostate biopsy interpretation. Criteria for cancer, atypicall small acinar proliferation, high-grade prostatic intraepithelial neoplasia, and use of immunostains. Arch Pathol Lab Med, 130, 835-843, 2006.
Jiang Z, Woda BA, Wu C, Yang X, Discovery and clinical applications of a novel prostate cancer marker. Am J Clin Pathol, 122, 275-289, 2004 .
Kubier P, Miller RT, Tissue protection immunohistochemistry. A useful adjunct in the interpretation of prostate biopsy specimens and other selected cases in wich immunostains are needed on minute lesions. Am J Clin Pathol, 117, 194-198, 2002.
Lopez JL, Prostate adenocarcinoma detected after high – grade prostatic intraepithelial neoplasia or atypical small acinar proliferation. BJU Int, 100, 1272–1276, 2007.
Mancuso PA, Chabert C, Chin P, Kovac P, Skyring T, Watt WH, Napaki S, Prostate cancer detection in men with an initial diagnosis of atypical small acinar proliferation. BJU Int, 99(1), 49-52, 2007.
Miller RT, Kubier P, Immunohistochemistry on cytologic specimens and previously stained slides (when no paraffin block is available). J Histotechnol, 25(4), 251-257, 2002.
Molinié V, Fromont G, Sibony M, Vieillefond A, Vassiliu V, Cochand-Priollet B, Herve JM, Lebret T, Baglin AC, Diagnostic utility of a p63/α – methyl-CoA racemase (p504s) cocktail in atypical foci in the prostate. Mod Pathol, 17, 1180–1190, 2004.
Paner GP, Luthringer DJ, Amin MB, Best practice in diagnostic immunohistochemistry. Prostate carcinoma and its mimics in needle core biopsies. Arch Pathol Lab Med, 132, 1388–1396, 2008.
Sanderson SO, Sebo TJ, Murphy LM, Neumann R, Slezak J, Cheville JC, An analysis of the p63/α-methylacyl coenzyme A racemase immunohistochemical cocktail stain in prostate needle biopsy specimens and tissue microarrays. Am J Clin Pathol, 121, 220-225, 2004.
Schlesinger C, Bostwick DG, Iczkowski KA, High – grade prostatic intraepithelial neoplasia and atypical small acinar proliferation: predictive value for cancer in current practice. Am J Surg Pathol, 29(9), 1201–1207, 2005.
Shah RB, Current perpectives on the Gleason grading of prostate cancer. Arch Pathol Lab Med, 133, 1810-1816, 2009.
Vanguri VK, Woda BA, Jiang Z, Sensitivity of P504S/alpha – metylacyl – CoA racemase (AMACR) immunohistochemistry for the detection pf prostate carcinoma on stored needle biopsies. Appl Immunohistochem Mol Morphol, 14(3), 365-368, 2006.
Zhou M, Aydin H, Kanane H, Epstein JI, How often does alpha-metylacyl-CoA-racemase contribute to resolving an atypical diagnosis on prostate needle biopsy beyond that provide by basal cell markers? Am J Surg Pathol, 28(2), 239-243, 2004.
Read_full_article: pdf/20-2010/20-2-2010/SU20-2-10Dema.pdf
Correspondence: Anderco Denisa, Department of Pathology, Timisoara Emergency County Hospital, Iosif Bulbuca Street no. 10, Timisoara 300736, Timis, Romania, email: denisa_dobre@yahoo.com

Read full article
Article Title: Immunohistochemistry method preceded by tissue transfer – A reliable alternative to current practice
Authors: Denisa Anderco1*, Elena Lazar2, Angela Borda3, Sorina Taban2, Felix Mic1, Andrada Loghin3, Alis Dema2
Affiliation: 1Department of Pathology, Emergency County Hospital, Timisoara, Romania
2Department of Pathology, University of Medicine and Pharmacy Victor Babes, Timisoara, Romania
3Department of Histology, University of Medicine and Pharmacy Targu Mures, Romania
Abstract: In the context of increased incidence of the prostate cancer, the pathologists are more frequently faced with the task to establish a diagnosis on quantitatively reduced biopsy specimens. Sometimes the usual diagnostic methods do not allow a definite morphological diagnosis due to the limited nature of suspicious lesions and inability to evaluate its architecture. In addition, the loss of these atypical foci from the paraffin blocks during repeated sections is not an isolated phenomenon. In this regard, we reassessed the cases with equivocal diagnoses established on prostate biopsy specimens in our hospital over the past 2 years. We performed the tissue transfer on charged slides, followed by AMACR/p63 cocktail immunostaining in order to establish a certain diagnosis. Following this procedure we established a final diagnosis in 17 of the 19 cases (89.47%). We claim that this method is a reliable alternative to the classical processing of minute atypical glandular lesions, when minimum two H&E–stained sections that harbour suspicious foci are available.
Keywords: prostate biopsy; diagnosis; immunohistochemistry; AMACR/p63 cocktail
References: Ali TZ, Epstein JI, False positive labeling of prostate cancer with high molecular weight cytokeratin: p63 a more specific imunomarker for basal cells. Am J Surg Pathol, 32(12),1890-1895, 2008.
Bostwick DG, Meiers I, Neoplasms of the prostate. In: Bostwick DG, Cheng L (eds) Urologic Surgical Pathology, 2nd ed. Mosby Elsevier, Philadelphia, 462-473, 2008.
Bostwick D, Meiers I, Atypical small acinar proliferation in the prostate. Arch Pathol Lab Med, 130, 952-957, 2006.
Briant RJ, Hamdy FC, Screening for prostate cancer: un update. Eur Urol,53, 37-44, 2009.
Browne TJ, Hirsch MS, Brodsky G, Welch WR, Loda MF, Rubin MA, Prospective evaluation of AMACR (P504S) and basal cell markers in the assessment of routine prostate needle biopsy specimens. Hum Pathol, 35(12), 1462-1468, 2004.
Burford HN, Adams AL, Hameed O, Effect of storage on p63 immunohistochemistry: a time – course study. Appl Immunohistochem Mol Morphol,17(1), 68-71, 2009.
Carswell BM, Woda BA, Wang X, Li C, Dresse K, Jiang Z, Detection of prostate cancer by alpha-metylacyl CoA racemase (P504S) in needle biopsy specimens previously reported as negative for malignancy. Histopathology, 48(6), 668-673, 2006.
Cheng L, Poulos CK, Pan CX, Jones TD, Daggy JK, Able JN, Koch MO, Preoperative prediction of small volume cancer (less than 0,5 ml) in radical prostatectomy specimens. J Urol,174 (3), 898–902, 2005.
Dardik M, Epstein JI, Efficacy of restaining prostate needle biopsies with high-molecular weight cytokeratin. Hum Pathol, 31(9),1155-1161, 2000.
Dema A, Anderco D, Taban S, Lazar E, Cornianu M, Lazureanu C, Herman D, Muresan A, Cornea R, Faur A. Useful immunohistochemical techniques for elucidating minute atypical glandular proliferations in prostate biopsy specimens – preliminary results. Biology and therapy of cancer cell. Cluj-Napoca, 28 – 30 april, 2010, pp. 39. Abstract in Official Journal of “Prof. Dr. Ion Chiricuta” Oncology Institute Cluj-Napoca, vol. 2, suppl., ISSN: 2066 – 7558, ISBN: 978-973–75 –308–7.
Epstein JI, Netto GJ (eds), Biopsy interpretation of the prostate, 4th edn. Lippincott Williams & Wilkins, Philadelphia, 2008.
Epstein JI, Diagnosis and reporting of limited adenocarcinoma of the prostate on needle biopsy. Mod Pathol, 17, 307-315, 2004.
Flury SC, Galgano MT, Mills S, Smolkin ME, Theodorescu D, Atypical small acinar proliferation: biopsy artefact or distinct pathological entity? BJU Int, 99, 780-785, 2007.
Gong Y, Joseph T, Sneige N, Validation of commonly used immunostainson cell-transferred cytologic specimens. Cancer, 105, 158-164, 2005 .
Green R, Epstein JI, Use of intervening unstained slides for immunohistochemical stains for high molecular weight cytokeratin on prostate needle biopsies. Am J Surg Pathol, 23(5), 567-570, 1999.
Hameed O, Humphrey PA, Immunohistochemical evaluation of prostate needle biopsies using saved interval sections vs new recut sections from the block: a prospective comparison. Am J Clin Pathol,131(5), 683-687, 2009.
Hameed O, Sublett J, Humphrey PA, Immunohistochemical stains for p63 and alpha-metylacyl-CoA racemase, versus a cocktail comprising both, in the diagnosis of prostatic carcinoma: a comparison of the immunohistochemical staining of 430 foci in radical prostatectomy and needle biopsy tissues. Am J Surg Pathol, 29(5), 579-587, 2005.
Hameed O, Humphrey PA, p63/AMACR antibody cocktail restaining of prostate needle biopsy tissues after transfer to charged slides. A viable approach in the diagnosis of small atypical foci that are lost on block sectioning. Am J Clin Pathol, 124, 708-715, 2005.
Hunt JL, van de Rijn M, Gupta PK, Immunohistochemical analysis of gel-transferred cells in cytologic preparations following smear division. Diagn Cytopathol, 18, 377-380, 1998.
Iczkowski KA, Current prostate biopsy interpretation. Criteria for cancer, atypicall small acinar proliferation, high-grade prostatic intraepithelial neoplasia, and use of immunostains. Arch Pathol Lab Med, 130, 835-843, 2006.
Jiang Z, Woda BA, Wu C, Yang X, Discovery and clinical applications of a novel prostate cancer marker. Am J Clin Pathol, 122, 275-289, 2004 .
Kubier P, Miller RT, Tissue protection immunohistochemistry. A useful adjunct in the interpretation of prostate biopsy specimens and other selected cases in wich immunostains are needed on minute lesions. Am J Clin Pathol, 117, 194-198, 2002.
Lopez JL, Prostate adenocarcinoma detected after high – grade prostatic intraepithelial neoplasia or atypical small acinar proliferation. BJU Int, 100, 1272–1276, 2007.
Mancuso PA, Chabert C, Chin P, Kovac P, Skyring T, Watt WH, Napaki S, Prostate cancer detection in men with an initial diagnosis of atypical small acinar proliferation. BJU Int, 99(1), 49-52, 2007.
Miller RT, Kubier P, Immunohistochemistry on cytologic specimens and previously stained slides (when no paraffin block is available). J Histotechnol, 25(4), 251-257, 2002.
Molinié V, Fromont G, Sibony M, Vieillefond A, Vassiliu V, Cochand-Priollet B, Herve JM, Lebret T, Baglin AC, Diagnostic utility of a p63/α – methyl-CoA racemase (p504s) cocktail in atypical foci in the prostate. Mod Pathol, 17, 1180–1190, 2004.
Paner GP, Luthringer DJ, Amin MB, Best practice in diagnostic immunohistochemistry. Prostate carcinoma and its mimics in needle core biopsies. Arch Pathol Lab Med, 132, 1388–1396, 2008.
Sanderson SO, Sebo TJ, Murphy LM, Neumann R, Slezak J, Cheville JC, An analysis of the p63/α-methylacyl coenzyme A racemase immunohistochemical cocktail stain in prostate needle biopsy specimens and tissue microarrays. Am J Clin Pathol, 121, 220-225, 2004.
Schlesinger C, Bostwick DG, Iczkowski KA, High – grade prostatic intraepithelial neoplasia and atypical small acinar proliferation: predictive value for cancer in current practice. Am J Surg Pathol, 29(9), 1201–1207, 2005.
Shah RB, Current perpectives on the Gleason grading of prostate cancer. Arch Pathol Lab Med, 133, 1810-1816, 2009.
Vanguri VK, Woda BA, Jiang Z, Sensitivity of P504S/alpha – metylacyl – CoA racemase (AMACR) immunohistochemistry for the detection pf prostate carcinoma on stored needle biopsies. Appl Immunohistochem Mol Morphol, 14(3), 365-368, 2006.
Zhou M, Aydin H, Kanane H, Epstein JI, How often does alpha-metylacyl-CoA-racemase contribute to resolving an atypical diagnosis on prostate needle biopsy beyond that provide by basal cell markers? Am J Surg Pathol, 28(2), 239-243, 2004.
*Correspondence: Anderco Denisa, Department of Pathology, Timisoara Emergency County Hospital, Iosif Bulbuca Street no. 10, Timisoara 300736, Timis, Romania, email: denisa_dobre@yahoo.com