PMID- 31231909 OWN - NLM STAT- MEDLINE DCOM- 20200819 LR - 20200819 IS - 1365-2303 (Electronic) IS - 0956-5507 (Linking) VI - 30 IP - 6 DP - 2019 Nov TI - Cytopathological spectrum of peripheral neuroblastic tumours in fine needle aspiration cytology and categorisation as per International Neuroblastoma Pathology Classification. PG - 634-643 LID - 10.1111/cyt.12747 [doi] AB - OBJECTIVE: The aim of this analysis was to describe the cytopathology spectrum of peripheral neuroblastic tumours (NTs) including neuroblastoma (NB), ganglioneuroblastoma (GNB) and ganglioneuroma (GN). Feasibility of applying the International Neuroblastoma Pathology Classification (INPC) to further subtype NTs in cytology was evaluated. METHODS: All peripheral NTs reported on fine needle aspiration during 2011-2015 were retrieved and detailed cytomorphological evaluation was performed. Based on INPC criteria, NBs were further categorised as undifferentiated, poorly differentiated and differentiating subtypes. Mitotic-karyorrhectic index was evaluated. Immunocytochemistry on cell blocks was reviewed wherever available. MYCN amplification by fluorescence in situ hybridisation was performed in 11 cases on smears. RESULTS: A total of 90 cases including 83 NBs, six GNB and one GN were evaluated. The age range was 12 days-12 years, with 55 males and 45 females. Both the primary and metastatic locations were aspirated. Applying the INPC criteria, there were 61 poorly differentiated, 14 undifferentiated, eight differentiating NB and six GNB. Immunocytochemistry on cell blocks showed positivity for at least two neuronal markers in NB. Mitotic-karyorrhectic index was high in 63, low in 22 and intermediate in two cases, respectively. MYCN amplification by fluorescence in situ hybridisation was feasible on smears and was amplified in 6 out of 11 cases tested. CONCLUSION: Peripheral NT types including NB, GNB and GN have distinctive cytomorphology. NBs can be further subtyped as undifferentiated, poorly differentiated and differentiating subtypes as per INPC criteria. CI - (c) 2019 John Wiley & Sons Ltd. FAU - Koshy, Abin AU - Koshy A AD - Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. FAU - Jain, Richa AU - Jain R AD - Hemato-Oncology Unit, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India. FAU - Srinivasan, Radhika AU - Srinivasan R AUID- ORCID: 0000-0002-1771-091X AD - Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. FAU - Bhatia, Prateek AU - Bhatia P AD - Hemato-Oncology Unit, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India. FAU - Kakkar, Nandita AU - Kakkar N AD - Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. FAU - Rajwanshi, Arvind AU - Rajwanshi A AD - Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. FAU - Gupta, Nalini AU - Gupta N AUID- ORCID: 0000-0003-3385-1955 AD - Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. FAU - Dey, Pranab AU - Dey P AUID- ORCID: 0000-0001-9297-5400 AD - Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. FAU - Trehan, Amita AU - Trehan A AD - Hemato-Oncology Unit, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India. FAU - Bansal, Deepak AU - Bansal D AD - Hemato-Oncology Unit, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India. LA - eng PT - Journal Article DEP - 20190725 PL - England TA - Cytopathology JT - Cytopathology : official journal of the British Society for Clinical Cytology JID - 9010345 SB - IM MH - Biopsy, Fine-Needle/*methods MH - Child MH - Child, Preschool MH - Cytodiagnosis/methods MH - Diagnosis, Differential MH - Female MH - Ganglioneuroblastoma/classification/*diagnosis/pathology MH - Ganglioneuroma/classification/*diagnosis/pathology MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Neuroblastoma/classification/*diagnosis/pathology MH - Prognosis OTO - NOTNLM OT - International Neuroblastoma Pathology Classification OT - MYCN amplification OT - fine needle aspiration OT - ganglioneuroblastoma OT - neuroblastoma OT - peripheral neuroblastic tumours EDAT- 2019/06/25 06:00 MHDA- 2020/08/20 06:00 CRDT- 2019/06/25 06:00 PHST- 2019/01/17 00:00 [received] PHST- 2019/05/01 00:00 [revised] PHST- 2019/06/08 00:00 [accepted] PHST- 2019/06/25 06:00 [pubmed] PHST- 2020/08/20 06:00 [medline] PHST- 2019/06/25 06:00 [entrez] AID - 10.1111/cyt.12747 [doi] PST - ppublish SO - Cytopathology. 2019 Nov;30(6):634-643. doi: 10.1111/cyt.12747. Epub 2019 Jul 25.