1.CD10 expression pattern in prostatic adenocarcinoma: Elucidation of differences between Gleason’s grades
Mandeep Kaur MD ; Sarika VERMA ; Ruchika GUPTA ; Leela PANT ; Sompal SINGH
The Malaysian Journal of Pathology 2018;40(1):57-60
CD10, a transmembrane endopeptidase, has been shown to be lost as an early event in prostate cancer. We aimed at evaluating the pattern of expression of CD10 in various Gleason’s grades of prostatic adenocarcinoma in comparison with nodular hyperplasia of prostate. This retrospective study included 30 cases of nodular hyperplasia and 30 of prostatic adenocarcinoma of various Gleason’s grades. Immunohistochemical staining for CD10 was performed on all cases and positivity evaluated as percentage of cells as well as location (membranous or cytoplasmic or both). Of prostatic adenocarcinomas, grade 3 was seen in 10 foci, grade 4 in 28 and grade 5 in 22 foci. CD10 positivity in carcinoma was lower than in nodular hyperplasia, with the lowest positivity in grade 5. The pattern of expression of CD10 also changed from membranous in grade 3 to cytoplasmic in grade 5. Loss of CD10 expression appears to be associated with increasing tumour grade in carcinoma prostate and this can potentially be useful in stratification of such patients.
2.Nuclear morphometry and texture analysis on cytological smears of thyroid neoplasms: a study of 50 cases
Lopamudra Deka ; Shilpa Gupta ; Kusum Gupta ; Cj Kaur Md ; Sompal Singh
The Malaysian Journal of Pathology 2017;39(1):33-37
Fine needle aspiration cytology (FNAC) is a reliable and reproducible diagnostic
technique for thyroid lesions with certain limitations. Computed morphometric methods have been
introduced with a view to improve the diagnostic yield of thyroid aspirates. However, a review of
the existing literature revealed conflicting reports regarding morphometric parameters in thyroid
neoplasms. Materials and Methods: This study included 50 cases of thyroid lesions (20 cases of
colloid goitre, 15 of follicular adenoma, 5 of follicular carcinoma and 10 papillary carcinomas).
Digital images of cytologic smears of these cases were captured using a dedicated photomicrography
system and nuclear profiles traced manually. With self-designed image analysis software, nuclear
morphometric measurements, including texture analysis, were performed. Discriminant analysis
was performed including the morphometric parameters and percentage of correctly classified nuclei
noted. Results: Nuclear morphometry parameters showed that papillary thyroid carcinoma had the
highest perimeter, area, radius and elongation factor compared to other thyroid lesions. Discriminant
analysis revealed that altogether 77.9% of cells could be correctly classified to their lesion category
based on the nuclear morphometric and textural parameters. Of the neoplastic cases, 84.5% of cells
of follicular neoplasms and 72.5% of papillary carcinoma were classified to the respective category.
Conclusion: Nuclear morphometry, including texture analysis, can assist in the cytologic diagnosis
of thyroid lesions, considering the high degree of accuracy of classification. Further studies and
methodological refinements can achieve higher accuracy.