V. Ledoussal et al., AN UPDATE ON METHODS FOR EXAMINING SMALL SPECIMENS FOR FACTORS INDICATIVE OF PROGNOSIS AND RESPONSE TO TREATMENT, La Semaine des hopitaux de Paris, 74(31-32), 1998, pp. 1175-1177
Small specimens are specimens obtained by fine-needle biopsy, core bio
psy, or removal of tumors less than 1 cm in diameter. Morphologic and
immunohistochemical techniques provide the prognostic information supp
lied by hormone receptors, cell growth markers, oncogenes, and tumor s
uppressor genes. With fine-needle biopsy specimens; in addition to nuc
lear grade, DNA-ploidy, and S phase determinations, the paraffin minib
loc method allows to perform the above-mentioned immunohistochemical s
tudies. Biochemical methods measure enzymes (protease, thymidine-kinas
e, and thymidilate synthetase) of prognostic significance, whereas flo
w cytometry evaluates growth; molecular studies are not yet available
on a routine basis.