PMID- 9349518 OWN - NLM STAT- MEDLINE DCOM- 19971104 LR - 20190620 IS - 0008-543X (Print) IS - 0008-543X (Linking) VI - 81 IP - 5 DP - 1997 Oct 25 TI - Detection of hyperdiploid malignant cells in body cavity effusions by fluoresence in situ hybridization on ThinPrep slides. PG - 299-308 AB - BACKGROUND: Benign body cavity effusions sometimes cannot be distinguished from malignant ones by conventional cytology. The authors performed fluorescence in situ hybridization (FISH) on ThinPrep slides using chromosome specific probes to see if hyperdiploid malignant cells could be detected in 20 body cavity effusions. The results were then compared with those of conventional cytology. METHODS: A total of 20 body cavity effusions from 19 patients were studied using conventional cytology and FISH. Probes specific for chromosomes 3, 8, 10, and 12 were used to detect hyperdiploidy on ThinPrep slides (Cytyc Corporation, Boxborough, MA). RESULTS: A total of 13 patients had malignant conditions (either prior history of malignancy or the presence of malignancy anywhere in the body). Conventional cytology and FISH were both positive in 5 of these patients (6 samples) and negative in 2 patients. The results for one sample were inconclusive by both methods. There were 5 discrepant cytology-FISH results in patients with malignant conditions. One sample was positive by FISH and negative by cytology, one was positive by FISH and "atypical" by cytology, and three were inconclusive by FISH and negative by cytology. FISH results were either negative (in 4 samples) or inconclusive (in 2 samples) in the 6 patients with benign conditions. CONCLUSIONS: FISH can detect hyperdiploid malignant cells in body cavity effusions and is especially useful when the major cell population consists of malignant cells that cannot be differentiated from mesothelial or "atypical" cells. It is less useful in detecting a small population of malignant cells hidden in an inflammatory or reactive cell background. More studies are needed to establish diagnostic criteria further and to assess the clinical usefulness of this procedure. FAU - Florentine, B D AU - Florentine BD AD - Los Angeles County-University of Southern California Medical Center, Los Angeles 90033, USA. FAU - Sanchez, B AU - Sanchez B FAU - Raza, A AU - Raza A FAU - Frankel, K AU - Frankel K FAU - Martin, S E AU - Martin SE FAU - Kovacs, B AU - Kovacs B FAU - Felix, J C AU - Felix JC LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Cancer JT - Cancer JID - 0374236 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Ascitic Fluid/metabolism/*pathology MH - Chromosomes, Human, Pair 10/metabolism MH - Chromosomes, Human, Pair 12/metabolism MH - Chromosomes, Human, Pair 3/metabolism MH - Chromosomes, Human, Pair 8/metabolism MH - *Diploidy MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Neoplasms/metabolism/*pathology MH - Pericardial Effusion/metabolism/*pathology MH - Pleural Effusion, Malignant/metabolism/*pathology EDAT- 1998/02/12 04:51 MHDA- 2000/06/20 09:00 CRDT- 1998/02/12 04:51 PHST- 1998/02/12 04:51 [pubmed] PHST- 2000/06/20 09:00 [medline] PHST- 1998/02/12 04:51 [entrez] AID - 10.1002/(SICI)1097-0142(19971025)81:5<299::AID-CNCR8>3.0.CO;2-I [pii] AID - 10.1002/(sici)1097-0142(19971025)81:5<299::aid-cncr8>3.0.co;2-i [doi] PST - ppublish SO - Cancer. 1997 Oct 25;81(5):299-308. doi: 10.1002/(sici)1097-0142(19971025)81:5<299::aid-cncr8>3.0.co;2-i.