PMID- 29936767 OWN - NLM STAT- MEDLINE DCOM- 20180706 LR - 20190221 IS - 0253-3766 (Print) IS - 0253-3766 (Linking) VI - 40 IP - 6 DP - 2018 Jun 23 TI - [The application of conventional smears and liquid-based cytologic slides of lymphatic metastasis specimens of lung adenocarcinoma acquired by fine needle aspiration to detect the expression of anaplastic lymphoma kinase protein]. PG - 422-427 LID - 10.3760/cma.j.issn.0253-3766.2018.06.005 [doi] AB - Objective: To explore the feasibility of conventional smears and liquid-based cytologic slides of lymphatic metastasis specimens of lung adenocarcinoma acquired by fine needle aspiration cytology (FNAC) to detect the expression of anaplastic lymphoma kinase (ALK/D5F3) by immunocytochemistry (ICC) analysis. Methods: The lymphatic metastasis specimens of 147 lung adenocarcinoma, including 100 liquid-based cytologic slides and 47 conventional smears, were collected in this study. ALK fusion protein was detected by Roche Ventana ICC technology, which was compared with the ALK fusion gene assessed by fluorescence in situ hybridization (FISH) or reverse transcriptase-polymerase chain reaction (RT-PCR). Results: The positive rate of ALK (D5F3) fusion protein in advanced lung adenocarcinoma acquired by FNAC was 11.6% (17/147), and 10.6% (5/47) and 12.0% (12/100) were reached in conventional smears and liquid-based cytologic slides, respectively.Among 147 cases, 57 cases including 17 positive cases and 40 negative cases were verified by RT-PCR and FISH. The whole coincidence rate reached 96.5% (55/57). The sensitivity and specificity of ALK (D5F3) fusion protein detected in lung adenocarcinoma acquired by FNAC were 94.1% (16/17) and 97.5% (39/40), respectively. The sensitivity and specificity were both 100% (5/5 of sensitivity and 10/10 of specificity) in conventional smears, while 91.7% (11/12) and 96.7% (29/30) in liquid-based cytologic slides. Conclusion: Conventional smears and liquid-based cytologic slides of FNAC samples can be used to perform ICC analysis of ALK (D5F3) expression in advanced lung adenocarcinoma, especially for patients who have no opportunity for surgery or whose resected samples are difficult to form cell block. FAU - Jia, J AU - Jia J AD - Department of Pathology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China. FAU - Zhao, L L AU - Zhao LL AD - Department of Pathology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China. FAU - Guo, H Q AU - Guo HQ AD - Department of Pathology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China. FAU - Zhao, H AU - Zhao H AD - Department of Pathology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China. FAU - Zhang, Z H AU - Zhang ZH AD - Department of Pathology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China. FAU - Guo, L AU - Guo L AD - Department of Pathology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China. FAU - Ying, J M AU - Ying JM AD - Department of Pathology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China. LA - chi PT - Journal Article PL - China TA - Zhonghua Zhong Liu Za Zhi JT - Zhonghua zhong liu za zhi [Chinese journal of oncology] JID - 7910681 RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Adenocarcinoma/*chemistry/pathology MH - Adenocarcinoma of Lung MH - Anaplastic Lymphoma Kinase MH - Biopsy, Fine-Needle MH - Cytodiagnosis MH - Gene Rearrangement MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Liquid Biopsy MH - Lung Neoplasms/*chemistry/pathology MH - Lymphatic Metastasis MH - Receptor Protein-Tyrosine Kinases/*analysis MH - Sensitivity and Specificity OTO - NOTNLM OT - Anaplastic lymphoma kinase, ALK OT - Conventional smears OT - Fine needle aspiration OT - Liquid based cytologic slides OT - Lung neoplasms EDAT- 2018/06/26 06:00 MHDA- 2018/07/07 06:00 CRDT- 2018/06/26 06:00 PHST- 2018/06/26 06:00 [entrez] PHST- 2018/06/26 06:00 [pubmed] PHST- 2018/07/07 06:00 [medline] AID - 10.3760/cma.j.issn.0253-3766.2018.06.005 [doi] PST - ppublish SO - Zhonghua Zhong Liu Za Zhi. 2018 Jun 23;40(6):422-427. doi: 10.3760/cma.j.issn.0253-3766.2018.06.005.