PMID- 36480866 OWN - NLM STAT- MEDLINE DCOM- 20221215 LR - 20221215 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 102 IP - 45 DP - 2022 Dec 6 TI - [Potential application of improved hard tissue section technique in the clinical pathological diagnosis of bone and bone marrow]. PG - 3617-3623 LID - 10.3760/cma.j.cn112137-20220408-00756 [doi] AB - Objective: To discuss the application value of hard tissue section in the clinicopathology diagnosis. Methods: From March 2021 to December 2021, bone slices of 19 patients (1 patient with osteochondroma, 2 patients with chondrosarcoma, 4 patients with osteosarcoma, 2 patients with fibrous dysplasia, 2 patients with bone metastasis from thyroid papillary carcinoma, 2 patients with osteomyelitis, 4 patients with giant cell tumor of bone, 2 patients with Ewing sarcoma) and 16 hemopathy patients were collected from the Department of Pathology, Shanghai Sixth People's Hospital. Of the osteopathy patients, there were 14 male and 5 female with a median age of 31 (10-66) years. Meanwhile, there were 7 male and 9 female with a median age of 28 (16-65) years among these hemopathy patients. Thirty-five cases were treated with modified hard tissue slicing technique and paraffin embedding technique, respectively. The advantages and disadvantages of the two methods for clinical diagnosis of bone disease were compared by Hematoxylin-Eosin staining (H&E staining), immunohistochemical staining (IHC), fluorescence in situ hybridization (FISH) and Sanger sequencing. Results: The improved resin-embedded method showed better histological morphology and cell structure. Besides, the expression of Ki67, SATB2, CD34, SMA, CD68,MPO,CD4 and CD33 in immunohistochemical staining in bone tissues which were embedded in resin were more clear in the accurate positive localization than those using paraffin-embedded. MDM2 of FISH exhibited a higher fluorescence intensity and more accurate location. Meanwhile, both methods treated with Sanger sequencing met the requirements of DNA purity and mutation detection. Conclusion: The improved hard tissue section method is simple and short time-consuming, which is suitable for optimizing the clinical bone and bone marrow pathological diagnosis process. FAU - Yin, J H AU - Yin JH AD - Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, Shanghai 200233, China. FAU - Zhou, J AU - Zhou J AD - Department of Pathology, Shanghai Sixth People's Hospital, Shanghai 200233, China. FAU - Chen, Y W AU - Chen YW AD - Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, Shanghai 200233, China. FAU - Li, H P AU - Li HP AD - Department of Hematology, Shanghai Sixth People's Hospital, Shanghai 200233, China. FAU - Tao, Y AU - Tao Y AD - Department of Hematology, Shanghai Sixth People's Hospital, Shanghai 200233, China. FAU - Chang, C K AU - Chang CK AD - Department of Hematology, Shanghai Sixth People's Hospital, Shanghai 200233, China. FAU - Zhang, C Q AU - Zhang CQ AD - Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, Shanghai 200233, China. FAU - Liu, Zhiyan AU - Liu Z AD - Department of Pathology, Shanghai Sixth People's Hospital, Shanghai 200233, China. LA - chi GR - 81802247/National Natural Science Foundation of China/ GR - 2018YFC1106300/National Key Research and Development Project of China/ PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 SB - IM MH - Female MH - Male MH - Animals MH - *Bone Marrow MH - In Situ Hybridization, Fluorescence MH - China MH - *Bone and Bones EDAT- 2022/12/09 06:00 MHDA- 2022/12/15 06:00 CRDT- 2022/12/08 22:13 PHST- 2022/12/08 22:13 [entrez] PHST- 2022/12/09 06:00 [pubmed] PHST- 2022/12/15 06:00 [medline] AID - 10.3760/cma.j.cn112137-20220408-00756 [doi] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2022 Dec 6;102(45):3617-3623. doi: 10.3760/cma.j.cn112137-20220408-00756.