Volume 35, Issue 2 pp. 242-249
ORIGINAL ARTICLE

Use of cytology fluid samples for predictive biomarker testing in lung cancer patients

Paul Hawkins

Paul Hawkins

Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK

Search for more papers by this author
Tracey Stevenson

Corresponding Author

Tracey Stevenson

Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK

Correspondence

Tracey Stevenson, Department of Cellular Pathology, Royal Devon University Healthcare NHS Foundation Trust, Church Lane, Exeter, Devon EX2 5AD, UK.

Email: [email protected]

Search for more papers by this author
Manish Powari

Manish Powari

Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK

Search for more papers by this author
First published: 01 December 2023

Abstract

Objective

To provide a method of directly using cytology fluid samples for predictive biomarker testing in lung cancer patients and to determine the efficacy of a variety of fluid sample types.

Method

A review of our in-house data from a range of cytology samples including endobronchial ultrasound (EBUS) fine-needle aspirate (FNA) needle washings (NW) and serous effusions tested on the Biocartis Idylla platform. All fluid samples were originally tested using Sanger sequencing.

Results

Using our method for fluid samples all of our cytology samples tested for epithelial growth factor receptor (EGFR) yielded valid results on this platform and all variant cases identified. The data showed serous fluids provided the best quality DNA, and variant genotype reports were obtained within 150 minutes.

Conclusion

Cytology fluid samples can be used for predictive biomarker testing for lung cancer patients to provide in-house results with all fluids providing good-quality DNA.

Graphical Abstract

All types of cytology fluid samples provide good-quality DNA for predictive biomarker testing on lung cancer patients on an in-house platform. A stepwise method for testing is demonstrated.

CONFLICT OF INTEREST STATEMENT

Idylla cartridges supplied by Biocartis for original validation study; no grant or funding to declare.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.