NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

Does delay in fixation affect the number of mitotic figures in processed tissue?

Author(s): Cross S S, Start R D, Smith J H

Publication: J Clin Pathol, 1990, Vol. 43, Page 597

PubMed ID: 2199539 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of differing total ischemia durations (up to 6 h; defined as the time from arterial clamp placement to immersion in fixative) on the number of mitotic cells (figures) quantified in formalin-fixed paraffin-embedded (FFPE) colectomy tissue.

Conclusion of Paper

The number of mitotic figures observed at fixation-delay time points were compared to those counted at 30 minutes post arterial clamp, which was the shortest time to fixation. The authors reported a 30% decrease in mitotic figures with a two-hour delay and a 50% decrease with a delay of six hours. They concluded that variations in the length of time between arterial clamp and fixation could have significant diagnostic ramifications.

Studies

  1. Study Purpose

    The purpose of this study was to determine if a fixation delay (30 min - 6 h; defined from the time of arterial clamp placement through storage at 20 degrees C post surgical resection) impacts the number of mitotic figures quantifiable in FFPE tissue.

    Summary of Findings:

    Although there was a great degree of variation between specimens, the authors reported a 30% decrease in mitotic figures with a two-hour delay and a statistically significant 50% decrease with a delay of six hours. They cautioned that the rate at which mitotic figures decrease with increasing fixation delays may be tissue-specific.

    Biospecimens
    Preservative Types
    • Formalin
    Diagnoses:
    • Normal - Normal Adjacent
    Platform:
    AnalyteTechnology Platform
    Morphology H-and-E microscopy
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Acquisition Unspecified ischemia time 30 min
    1 h
    2 h
    3 h
    6 h

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