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Article

High neutrophil incorporation rate of ascitic fluid cytology as an indicator of cancerous ascites

  • Authors:
    • Misa Fujimori
    • Haruyo Tsuchihashi
    • Shumpei Fujimori
    • Sayaka Kobayashi
    • Yuri Nomi
    • Junko Hirato
    • Tetsunari Oyama
    • Toshio Fukuda
    • Masanao Saio
  • View Affiliations / Copyright

    Affiliations: Laboratory of Histopathology and Cytopathology, Department of Laboratory Sciences, Gunma University Graduate School of Health Sciences, Maebashi, Gunma 371‑8514, Japan, Department of Pathology, Public Tomioka General Hospital, Tomioka, Gunma 370‑2316, Japan, Department of Pathology, Gunma University Hospital, Maebashi, Gunma 371‑8514, Japan
  • Pages: 1214-1222
    |
    Published online on: September 3, 2020
       https://doi.org/10.3892/ijo.2020.5118
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Abstract

The cell‑in‑cell phenomenon (CiCP) involves the incorporation of a viable cell by other cells (host cells) and includes two concepts: Emperipolesis and cell cannibalism. The former involves the incorporation of hematopoietic cells as the incorporated cells, while the latter involves cell incorporation by tumor cells as host cells. A total of 239 peritoneal cavity fluid cytology specimens were evaluated for CiCP and the number of singly detectable nuclei (SDN) were measured by examining virtual slide image files. The rates of CiCP‑positive cases (RCPCs) and CiCP emergence rate (CER)/SDN were significantly higher in ascites samples than in peritoneal washing samples (P<0.0001 and P=0.0026, respectively), although the numbers of SDN were not significantly different between the groups (P=0.8063). Both the RCPCs and CER/SDN were significantly higher in tumor‑positive specimens than in tumor‑negative specimens (P=0.0220 and P=0.0312, respectively), although the numbers of SDN were not significantly different between the samples (P=0.2471). Most of the incorporated cells were lymphocytes and the host cells were macrophages; however, the rate of neutrophil incorporation (NI) by host cells in the total CiCP cells in a sample was significantly higher in tumor‑positive specimens than in tumor‑negative specimens (P=0.0288). NI was mainly performed via emperipolesis by macrophages, with only six examples not by macrophages observed among all CiCP samples. The threshold NI rate/total CiCP (NI/CiCP) between tumor‑positive and tumor‑negative groups was 11.1% (P=0.0115). Using this threshold, the peripheral blood leukocyte count was significantly higher in the high‑NI/CiCP group than in the low‑NI/CiCP group (P=0.0022). The present findings revealed novel aspects of less frequently observed CiCP in ascitic fluid cytology by utilizing combined manual and computer assisted image analysis evaluation of samples. Notably, the present study indicated the importance of increased NI as an indicator of cancerous ascites.
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Copy and paste a formatted citation
Spandidos Publications style
Fujimori M, Tsuchihashi H, Fujimori S, Kobayashi S, Nomi Y, Hirato J, Oyama T, Fukuda T and Saio M: High neutrophil incorporation rate of ascitic fluid cytology as an indicator of cancerous ascites. Int J Oncol 57: 1214-1222, 2020.
APA
Fujimori, M., Tsuchihashi, H., Fujimori, S., Kobayashi, S., Nomi, Y., Hirato, J. ... Saio, M. (2020). High neutrophil incorporation rate of ascitic fluid cytology as an indicator of cancerous ascites. International Journal of Oncology, 57, 1214-1222. https://doi.org/10.3892/ijo.2020.5118
MLA
Fujimori, M., Tsuchihashi, H., Fujimori, S., Kobayashi, S., Nomi, Y., Hirato, J., Oyama, T., Fukuda, T., Saio, M."High neutrophil incorporation rate of ascitic fluid cytology as an indicator of cancerous ascites". International Journal of Oncology 57.5 (2020): 1214-1222.
Chicago
Fujimori, M., Tsuchihashi, H., Fujimori, S., Kobayashi, S., Nomi, Y., Hirato, J., Oyama, T., Fukuda, T., Saio, M."High neutrophil incorporation rate of ascitic fluid cytology as an indicator of cancerous ascites". International Journal of Oncology 57, no. 5 (2020): 1214-1222. https://doi.org/10.3892/ijo.2020.5118
Copy and paste a formatted citation
x
Spandidos Publications style
Fujimori M, Tsuchihashi H, Fujimori S, Kobayashi S, Nomi Y, Hirato J, Oyama T, Fukuda T and Saio M: High neutrophil incorporation rate of ascitic fluid cytology as an indicator of cancerous ascites. Int J Oncol 57: 1214-1222, 2020.
APA
Fujimori, M., Tsuchihashi, H., Fujimori, S., Kobayashi, S., Nomi, Y., Hirato, J. ... Saio, M. (2020). High neutrophil incorporation rate of ascitic fluid cytology as an indicator of cancerous ascites. International Journal of Oncology, 57, 1214-1222. https://doi.org/10.3892/ijo.2020.5118
MLA
Fujimori, M., Tsuchihashi, H., Fujimori, S., Kobayashi, S., Nomi, Y., Hirato, J., Oyama, T., Fukuda, T., Saio, M."High neutrophil incorporation rate of ascitic fluid cytology as an indicator of cancerous ascites". International Journal of Oncology 57.5 (2020): 1214-1222.
Chicago
Fujimori, M., Tsuchihashi, H., Fujimori, S., Kobayashi, S., Nomi, Y., Hirato, J., Oyama, T., Fukuda, T., Saio, M."High neutrophil incorporation rate of ascitic fluid cytology as an indicator of cancerous ascites". International Journal of Oncology 57, no. 5 (2020): 1214-1222. https://doi.org/10.3892/ijo.2020.5118
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