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S F Patten

Publications and source records attributed to S F Patten.

48 records · Page 3Linked to original sources
PubMedDate not supplied

Epithelial repair and regeneration in the uterine cervix. I. An analysis of the cells.

Cell studies from 1,376 patients with abnormal cells derived from so-called tissue repair or regeneration comprised the basis for this study. Planimetric measurements were performed on camera lucida tractings of 1,573 atypical reparative cells (ARC). A total of 3,377 ARC were anlyzed with respect to cytoplasmic and nuclear features. On the basis of these analyses, ARC were subclassified into three types. In most instances, the morphologic type corresponded with the cervical epithelium of origin. The differential morphologic features of ARC were compared with the morphologic features of endocervidal adenocarcinoma and large cell nonkeratininzing squamous cell carcinoma. The biologic potential and clinical significance of ARC is to be the subject of a subsequent report.

Adenocarcinoma↗
PubMedDate not supplied

Fine needle aspiration cytopathology of retroperitoneal lymph nodes in the evaluation of metastatic disease.

Fine needle aspiration biopsy of retroperitoneal lymph nodes was performed in 47 patients with abnormal lymphograms during the course of evaluation for metastatic disease. The biopsies were positive for malignant tumor in 11 patients. Utilizing established cytopathologic criteria a definitive diagnosis could be established. Fine needle aspiration of abnormal lymph nodes detected by lymphography is an easily performed, accurate diagnostic technique.

Biopsy, Needle↗
PubMedDate not supplied

Pemphigus vulgaris and microinvasive squamous-cell carcinoma of the uterine cervix.

Although patients with disseminated pemphigus vulgaris may have involvement of the uterine cervix, such involvement is often detected only after vaginal discharge or bleeding. When a cervical smear is obtained, distinctive cytologic abnormalities may be observed; these may be attributed to the changes of pemphigus or to an associated reparative/inflammatory reaction. This study documents the first two cases of microinvasive squamous-cell carcinoma of the uterine cervix developing in association with uterine cervical pemphigus. The gross pathologic, cytologic and histologic features of these lesions are illustrated. The cytologic criteria that may be helpful in distinguishing between cells derived from microinvasive squamous-cell carcinoma and pemphigus of the uterine cervix are described.

Adult↗
PubMedDate not supplied

Fine needle aspiration biopsy in the evaluation of lymphoreticular tumors of the thorax.

The role of fine needle aspiration (FNA) biopsy in the evaluation of lymphoreticular disorders involving the lung and mediastinum was evaluated in a study of 16 cases from the authors' institutions. The cytologic material from these cases was reviewed, and the original cytologic interpretations were compared to the tissue diagnoses, with the overall accuracy of the cytologic interpretation evaluated. There were no false-positive diagnoses of malignancy in this series. A definite diagnosis of malignant lymphoma was most readily made in those cases in which the lymphoma was of the large-cell type. Small-cell and mixed large-cell and small-cell lymphoid proliferations were less able to be definitively interpreted, with pseudolymphoma presenting particular difficulty. The results support the conclusion that FNA biopsy can be useful in evaluating these lesions but also emphasize the fact that accurate diagnosis requires correlation of cytologic, clinical and laboratory data.

Aged↗
PubMedDate not supplied

Presidential address.

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Cytodiagnosis↗
PubMedDate not supplied

Pulmonary fine needle aspiration cytopathology. A five-year correlation study.

Transthoracic fine needle aspiration specimens with abnormal cytology were obtained from 272 patients between 1976 and 1980 at the University of Rochester Medical Center. A comparison was made between the original specific cytologic and final histologic diagnoses on 116 patients; an additional 16 patients with the cytologic diagnosis of small-cell carcinoma were evaluated by clinical criteria. Analysis of the data indicated that malignant neoplasms were identified correctly with an accuracy of 99%. There was a single false-positive diagnosis. Predictive values for a specific morphologic variant of pulmonary neoplasm were 70% for squamous-cell carcinoma, 86% for adenocarcinoma and 95% for small-cell carcinoma. The probable bases for diagnostic error are discussed. Confidence intervals calculated from these data compared favorably with those in recently reported studies. The results reconfirmed the value of fine needle aspiration cytopathology for the diagnosis of pulmonary neoplasms.

Adenocarcinoma↗
PubMedDate not supplied

A new post-staining fixation technique for Acridine Orange.

A technique for Acridine Orange staining of cells for automated flow analysis involving post-staining fixation with Millonig's glutaraldehyde buffer is presented. Preliminary data indicate that with this protocol there is decreased background fluorescence and increased signal to noise ration in flow. In addition, stained cells may be stored for several months without alteration in cellular morphology or fluorescence characteristics. Finally, nuclear and cytoplasmic fluorescence do not appear to vary significantly with respect to cell concentration or distribution on a slide or filter when cells are stained according to the glutaraldehyde protocol.

Acridines↗
PubMedDate not supplied

A clinical trial of the AutoPap 300 QC system for quality control of cervicovaginal cytology in the clinical laboratory.

OBJECTIVE: False-negative reports of cervicovaginal (CV) smears (FNs) due to interpretive errors pose a significant and persistent problem in cytology. Using routinely prepared CV smears, the AutoPap 300 QC System, an automated cytology screening device, can provide an enriched population of slides for manual rescreening. In this clinical trial, the performance of the AutoPap System was assessed and compared to current random quality control (QC) selection techniques. STUDY DESIGN: A total of 3,487 "within normal limits" cases were rescreened, both manually and by the AutoPap 300 QC System. Detected FNs were classified by three different methods: cytotechnologist rescreen, internal discrepancy panel and external discrepancy panel. The sensitivity of the AutoPap System to these FNs was established at five QC score thresholds. RESULTS: By cytotechnologist rescreening, 106 FNs were identified. Subsequent internal and external discrepancy panel reviews confirmed the FNs in 80 cases and 86 cases, respectively. At a 10% review rate, the AutoPap System identified approximately 50% of the squamous intraepithelial lesion FNs. CONCLUSION: The AutoPap 300 QC System is a sensitive automated cytology system that has the potential of yielding five times as many FNs as a 10% random rescreen.

Costs and Cost Analysis↗
PubMedDate not supplied

A poststaining fixation technique for acridine orange: quantitative aspects.

A poststaining fixation technique was developed for acridine orange staining of cytologic specimens. A quantitative evaluation was performed to assess the suitability of this technique for routine use in analytic cytology and its potential for future use in automated screening equipment. Three major advantages of the poststaining fixation technique over conventional acridine orange staining methods were documented: (1) stained cells may be stored for several months without alteration of cellular morphology or fluorescence characteristics; (2) the protocol minimizes diffusion of stain out of cells; and (3) poststaining fixation reduces dependence of nuclear or total cell fluorescence on cell distribution or concentration on a slide or in flow.

Acridine Orange↗