Use of a 2-tier histologic grading system for canine cutaneous mast cell tumors on cytology specimens

© 2016 American Society for Veterinary Clinical Pathology.

Bibliographische Detailangaben
Veröffentlicht in:Veterinary clinical pathology. - 1975. - 45(2016), 3 vom: 19. Sept., Seite 477-83
1. Verfasser: Hergt, Franziska (VerfasserIn)
Weitere Verfasser: von Bomhard, Wolf, Kent, Michael S, Hirschberger, Johannes
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2016
Zugriff auf das übergeordnete Werk:Veterinary clinical pathology
Schlagworte:Journal Article Cytomorphologic criteria dog fine-needle aspirates nuclear abnormalities
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245 1 0 |a Use of a 2-tier histologic grading system for canine cutaneous mast cell tumors on cytology specimens 
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500 |a CommentIn: Vet Clin Pathol. 2016 Dec;45(4):531. - PMID 27716984 
500 |a Citation Status MEDLINE 
520 |a © 2016 American Society for Veterinary Clinical Pathology. 
520 |a BACKGROUND: Mast cell tumors (MCT) represent the most common malignant skin tumor in the dog. Diagnosis of an MCT can be achieved through cytologic examination of a fine-needle aspirate. However, the grade of the tumor is an important prognostic marker and currently requires histologic assessment. Recently a 2-tier histologic grading system based on nuclear features including number of mitoses, multinucleated cells, bizarre nuclei, and karyomegaly was proposed 
520 |a OBJECTIVES: The aim of this study was to assess if the cytomorphologic criteria proposed in the 2-tier histologic grading system are applicable to cytology specimens 
520 |a METHODS: A total of 141 MCT specimens reported as grade I, II, or III according to the Patnaik system with both histologic specimens and fine-needle aspirates available were histologically and cytologically reevaluated in a retrospective study 
520 |a RESULTS: According to the 2-tier grading system, 38 cases were diagnosed histologically as high-grade and 103 as low-grade MCT. Cytologic grading resulted in 36 high-grade and 105 low-grade tumors. Agreement between histologic and cytologic grading based on the 2-tier grading system was achieved in 133 cases (sensitivity 86.8%, specificity 97.1%, kappa value 0.853), but 5 high-grade tumors on histology were classified as low-grade on cytology 
520 |a CONCLUSION: Cytologic grading of MCT in the dog is helpful for initial assessment. However, the reliability of cytology using the 2-tier grading system is considered inadequate at this point. Prospective studies including clinical outcome should be pursued to further determine diagnostic accuracy of cytologic mast cell grading 
650 4 |a Journal Article 
650 4 |a Cytomorphologic criteria 
650 4 |a dog 
650 4 |a fine-needle aspirates 
650 4 |a nuclear abnormalities 
700 1 |a von Bomhard, Wolf  |e verfasserin  |4 aut 
700 1 |a Kent, Michael S  |e verfasserin  |4 aut 
700 1 |a Hirschberger, Johannes  |e verfasserin  |4 aut 
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773 1 8 |g volume:45  |g year:2016  |g number:3  |g day:19  |g month:09  |g pages:477-83 
856 4 0 |u http://dx.doi.org/10.1111/vcp.12387  |3 Volltext 
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