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Background

This is a new field of medicine and science which examines the proteins produced by different genetic sequences. By utilizing sophisticated measurements, pathologists are able to produce a protein fingerprint of various neoplasms, aiding in the diagnosis and prognosis of these tumors.

LABORATORY/RADIOLOGIC/
OTHER TESTS

CHARACTERIZATION
LABORATORY MARKERS  
SELDI AFFINITY MASS SPECTROMETRY  
Proteomic Evaluation of Archival Cytologic Material Using SELDI Affinity Mass Spectrometry
Potential for Diagnostic Applications


Patricia A. Fetsch, MT(ASCP)
Nicole L. Simone
Peter K. Bryant-Greenwood, MD
Francesco M. Marincola, MD
Armando C. Filie, MD
Emmanuel F. Petricoin, PhD,
Lance A. Liotta, MD, PhD
and Andrea Abati, MD

Am J Clin Pathol 2002;118:870-876 Abstract quote

Proteomic studies of cells via surface-enhanced laser desorption/ionization spectrometry (SELDI) analysis have enabled rapid, reproducible protein profiling directly from crude samples.

We applied this technique to archival cytology material to determine whether distinct, reproducible protein fingerprints could be identified for potential diagnostic purposes in blinded specimens. Rapid Romanowsky–stained cytocentrifuged specimens from fine-needle aspirates of metastatic malignant melanoma (with both known cutaneous primary and unknown primary sites), clear cell sarcoma, and renal cell carcinoma and reactive effusions were examined using the SELDI technology. A unique characteristic fingerprint was identified for each disease entity. Fifteen "blinded" unknown samples then were analyzed.

When the protein profile fingerprints were plotted against the known fingerprints for the aforementioned diagnoses, the appropriate match or diagnosis was obtained in 13 (87%) of 15 cases. These preliminary findings suggest a substantial potential for SELDI applications to specific pathologic diagnoses.

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Commonly Used Terms

Basic Principles of Disease
Learn the basic disease classifications of cancers, infections, and inflammation

Commonly Used Terms
This is a glossary of terms often found in a pathology report.

Diagnostic Process
Learn how a pathologist makes a diagnosis using a microscope

Surgical Pathology Report
Examine an actual biopsy report to understand what each section means

Special Stains
Understand the tools the pathologist utilizes to aid in the diagnosis

How Accurate is My Report?
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Last Updated 12/10/2002

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