Impact of touch preparations on core needle biopsies

• Published in: Cancer cytopathology 2014-11, Vol.122 (11), p.851-854
• Main Authors: Tong, Leung Chu B., Rudomina, Dorota, Rekhtman, Natasha, Lin, Oscar
• Format: Article
• Language: English
• Subjects: ancillary studies; Biological and medical sciences; Biopsy, Large-Core Needle - methods; Bone and Bones - pathology; Bone Neoplasms - pathology; cellularity; core biopsy; core needle biopsy; Cytodiagnosis - methods; Humans; Lung - pathology; Lung Neoplasms - pathology; Medical sciences; Multiple tumors. Solid tumors. Tumors in childhood (general aspects); Neoplasms - pathology; Reproducibility of Results; Retrospective Studies; Sensitivity and Specificity; Tertiary Care Centers; Tomography, X-Ray Computed; touch preparation; Tumors
• ISSN: 1934-662X; 1934-6638
• DOI: 10.1002/cncy.21447

BACKGROUND Touch preparations (TPs) can be performed for on‐site adequacy assessment of core needle biopsies (CNBs). Although TPs can play a role in decreasing the number of nondiagnostic core biopsies, the impact of TPs on CNB has not been extensively evaluated. METHODS Computerized tomography–guided CNBs performed in a tertiary cancer center were retrospectively identified. On‐site adequacy assessment was performed in all cases. The matching TPs and CNBs were evaluated for diagnostic accuracy of the TP. The relation between the site of biopsy and the cellularity of the CNB was also analyzed. RESULTS A total of 1100 CNB cases with associated TPs were identified over a 6‐month period. Eighty‐four cases (8%) showed marked differences in cellularity between CNB and TP, and 43 of these 84 cases (4.3%) showed the presence of diagnostic cells in either CNB or TP, but not in both. Lung was the biopsy site where CNB was most affected by loss of diagnostic cells. CONCLUSIONS TP and CNB findings must be integrated to prevent a misdiagnosis. Lung CNBs were more frequently affected by performing TPs. Cancer (Cancer Cytopathol) 2014;122:851–854. © 2014 American Cancer Society. Touch preparations used for rapid on‐site assessment have the potential to impact the findings in core biopsies.