Comparison of the Cellient(™) automated cell block system and agar cell block method.
OBJECTIVE
To compare the Cellient(TM) automated cell block system with the agar cell block method in terms of quantity and quality of diagnostic material and morphological, histochemical and immunocytochemical features.


METHODS
Cell blocks were prepared from 100 effusion samples using the agar method and Cellient system, and routinely sectioned and stained for haematoxylin and eosin and periodic acid-Schiff with diastase (PASD). A preliminary immunocytochemical study was performed on selected cases (27/100 cases). Sections were evaluated using a three-point grading system to compare a set of morphological parameters. Statistical analysis was performed using Fisher's exact test.


RESULTS
Parameters assessing cellularity, presence of single cells and definition of nuclear membrane, nucleoli, chromatin and cytoplasm showed a statistically significant improvement on Cellient cell blocks compared with agar cell blocks (P < 0.05). No significant difference was seen for definition of cell groups, PASD staining or the intensity or clarity of immunocytochemical staining. A discrepant immunocytochemistry (ICC) result was seen in 21% (13/63) of immunostains.


CONCLUSIONS
The Cellient technique is comparable with the agar method, with statistically significant results achieved for important morphological features. It demonstrates potential as an alternative cell block preparation method which is relevant for the rapid processing of fine needle aspiration samples, malignant effusions and low-cellularity specimens, where optimal cell morphology and architecture are essential. Further investigation is required to optimize immunocytochemical staining using the Cellient method.
Cytopathology, SA Pathology, Adelaide, SA, Australia.
A M
AM
Kruger
M W
MW
Stevens
K J
KJ
Kerley
C D
CD
Carter
D000362:Agar; D001202:Ascitic Fluid / Q000473:pathology; D014408:Biomarkers, Tumor / Q000276:immunology / Q000378:metabolism*; D044963:Biopsy, Fine-Needle; D003581:Cytodiagnosis; D006801:Humans; D007150:Immunohistochemistry; D016066:Pleural Effusion, Malignant / Q000175:diagnosis* / Q000378:metabolism / Q000473:pathology
D014408:Biomarkers, Tumor; D000362:Agar
CellientTM; automated cell block; cell block; cytology; immunocytochemistry; serous effusion