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Original Article
Clinical Usefulness of SurePath(TM) Liquid-based Cytology in Thyroid Fine Needle Aspiration: Comparison with the Conventional Smear in Diagnostic Efficacy and Applicability of BRAF Mutation Test.
Wook Youn Kim, Sang Hwa Lee, Young Sin Ko, So Dug Lim, Wan Seop Kim, Hye Seung Han, Hye Sil Seol, Seo Young Oh, Won Jin Moon, Tae Sook Hwang
Korean J Pathol. 2011;45(2):188-195.
DOI: https://doi.org/10.4132/KoreanJPathol.2011.45.2.188
  • 4,623 View
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  • 8 Crossref
AbstractAbstract PDF
BACKGROUND
Recently, liquid-based cytology (LBC) has been introduced as an alternative to the conventional smear (CS) technique in thyroid fine needle aspiration, due to its diagnostic convenience.
METHODS
We assessed 77 cases of thyroid fine needle aspiration using the SurePath(TM) method (SP) as LBC and CS via split-sample techniques. BRAF mutation tests were carried out via polymerase chain reaction and pyrosequencing immediately after diagnosis or a delay of more than one year.
RESULTS
In a comparison between SP and CS, the rate of concordance between SP and CS was as high as 84.4% (kappa value, 0.754). In comparison with histologic diagnosis, the overall sensitivity was 100% for both. The specificity was 62.5% for SP and 56.3% for CS. Relative to CS, papillary carcinomas on SP slides revealed more accentuated nuclear irregularities, nucleoli, and reduced nuclear size. In contrast to CS, the delayed BRAFV600E mutation test using SP slides after 1-2 years failed. The use of new primers amplifying shorter product size could help the delayed test achieve success.
CONCLUSIONS
Differences in the diagnostic efficacy of SP and CS were negligible. The failure of the delayed BRAF mutation test on the SP slides might be associated with DNA degradation.

Citations

Citations to this article as recorded by  
  • Comparison of Liquid-Based Preparations with Conventional Smears in Thyroid Fine-Needle Aspirates: A Systematic Review and Meta-Analysis
    Yun Jin Kang, Hyeon Woo Lee, Gulnaz Stybayeva, Se Hwan Hwang
    Cancers.2024; 16(4): 751.     CrossRef
  • Liquid‐based cytology of pigmented phaeohyphomycotic lesion of the palm masquerading as a metastatic tumor
    Thara Keloth, Debasis Gochhait, S Sivaranjani, Neelaiah Siddaraju
    Diagnostic Cytopathology.2019; 47(8): 828.     CrossRef
  • DNA degradation in liquid‐based cytology and its comparison with conventional smear
    Wook Youn Kim, Seo Young Oh, Hyunkyung Kim, Tae Sook Hwang
    Diagnostic Cytopathology.2016; 44(5): 450.     CrossRef
  • Comparison of EASYPREP® and SurePath® in thyroid fine‐needle aspiration
    Yosep Chong, Ki Hyun Baek, Jee Young Kim, Tae‐Jung Kim, Eun Jung Lee, Chang Suk Kang
    Diagnostic Cytopathology.2016; 44(4): 283.     CrossRef
  • Conventional smears versus liquid-based preparations for thyroid fine-needle aspirates: a systematic review and meta-analysis
    Neeraja Nagarajan, Alireza Najafian, Eric B. Schneider, Martha A. Zeiger, Matthew T. Olson
    Journal of the American Society of Cytopathology.2015; 4(5): 253.     CrossRef
  • Liquid‐based cytology improves preoperative diagnostic accuracy of the tall cell variant of papillary thyroid carcinoma
    Sung Hak Lee, Chan Kwon Jung, Ja Seong Bae, So Lyung Jung, Yeong Jin Choi, Chang Suk Kang
    Diagnostic Cytopathology.2014; 42(1): 11.     CrossRef
  • Stability of DNA, RNA, cytomorphology, and immunoantigenicity in Residual ThinPrep® Specimens
    Younghye Kim, Kap Ro Choi, Moon Jung Chae, Bong Kyung Shin, Han Kyeom Kim, Aeree Kim, Baek‐hui Kim
    APMIS.2013; 121(11): 1064.     CrossRef
  • The Development of the Liquid Cell Smear Device for Liquid-Based Cytology Test
    Han Yeong Oh, Ha Ju So, Seong Hyun Kim, Dong Wook Kim, Hyun Chang Kim
    Applied Mechanics and Materials.2013; 284-287: 1564.     CrossRef

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