PMID- 15188143 OWN - NLM STAT- MEDLINE DCOM- 20040716 LR - 20190722 IS - 0046-8177 (Print) IS - 0046-8177 (Linking) VI - 35 IP - 6 DP - 2004 Jun TI - Determination of DNA ploidy by fluorescence in situ hybridization (FISH) in hydatidiform moles: evaluation of FISH on isolated nuclei. PG - 752-8 AB - In the past 20 years, the diagnosis of hydatidiform moles has become more difficult because of the widespread use of early uterine evacuation. Differentiating hydropic degeneration, partial, and complete moles is important because of their different prognosis. However, clinical diagnosis is less obvious, and the pathologist has to separate the different entities on the basis of very subtle morphologic criteria. In difficult cases, ploidy may be determined by various methods, including fluorescence in situ hybridization (FISH) on routine histological sections from paraffin-embedded specimens. However, FISH analysis is often difficult because of the presence of numerous truncated nuclei. In this context, we have tested the advantages of FISH on isolated nuclei, a well-known variant of the technique that might be more sensitive. We reviewed 24 cases of products of abortion: hydropic degenerations, complete hydatidiform moles, partial moles, and nonmolar triploidies. After histological review, FISH on isolated nuclei proved conclusive in all cases. The results could be easily interpreted thanks to the reduced number of truncated nuclei. The percentage of cells with 2 signals was always >70% in the diploid cases and >60% in the triploid cases. In conclusion, this sensitive technique seems to be a valuable tool for the diagnosis of moles. FAU - Yver, Matthieu AU - Yver M AD - Pathology Department, Hopital Pellegrin, and the Histology and Embryology Laboratory, UMR Centre National de la Recherche Scientifique 5541, V. Segalan University, Bordeaux, France. FAU - Carles, Dominique AU - Carles D FAU - Bloch, Bertrand AU - Bloch B FAU - Bioulac-Sage, Paulette AU - Bioulac-Sage P FAU - Martin Negrier, Marie-Laure AU - Martin Negrier ML LA - eng PT - Journal Article PL - United States TA - Hum Pathol JT - Human pathology JID - 9421547 SB - IM MH - Cell Nucleus/*genetics MH - Diagnosis, Differential MH - Female MH - Humans MH - Hydatidiform Mole/*diagnosis/genetics MH - In Situ Hybridization, Fluorescence MH - *Ploidies MH - Pregnancy MH - Pregnancy Complications MH - Retrospective Studies MH - Sensitivity and Specificity MH - Uterine Neoplasms/*diagnosis/genetics EDAT- 2004/06/10 05:00 MHDA- 2004/07/17 05:00 CRDT- 2004/06/10 05:00 PHST- 2004/06/10 05:00 [pubmed] PHST- 2004/07/17 05:00 [medline] PHST- 2004/06/10 05:00 [entrez] AID - S0046817704000747 [pii] AID - 10.1016/j.humpath.2004.01.020 [doi] PST - ppublish SO - Hum Pathol. 2004 Jun;35(6):752-8. doi: 10.1016/j.humpath.2004.01.020.