Choice of fixative affects programmed death‐ligand 1 expression in cell blocks from pleural effusions with metastatic pulmonary adenocarcinoma

PD-L1 ICC expression in CBs depends on the fixative and antibody used. Alcohol-based fixatives, particularly with low cutoffs, risk underestimating PD-L1 positivity, and may contribute to false-negative results. ICC protocol optimization is essential before diagnostic use.

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Publication Details

Journal
Cancer Cytopathology
Published
2026-02-09
DOI
https://doi.org/10.1002/cncy.70078
Primary Topic
Occupational and environmental lung diseases
Type
article
Field-Weighted Citation Impact
0.00

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article

Choice of fixative affects programmed death‐ligand 1 expression in cell blocks from pleural effusions with metastatic pulmonary adenocarcinoma

Rita Pedersen, Tomas Seidal, Levent M. Akyürek, Kim Hejny et al.
Cancer Cytopathology
Occupational and environmental lung diseases
article

Choice of fixative affects programmed death‐ligand 1 expression in cell blocks from pleural effusions with metastatic pulmonary adenocarcinoma

Rita Pedersen, Tomas Seidal, Levent M. Akyürek, Kim Hejny, Louise Pettersson, Ulrich Mager, Ivana Kholová, Frida Kronqvist, Mohammed S. I. Mansour, Anna Aronsson
article en

Abstract

PD-L1 ICC expression in CBs depends on the fixative and antibody used. Alcohol-based fixatives, particularly with low cutoffs, risk underestimating PD-L1 positivity, and may contribute to false-negative results. ICC protocol optimization is essential before diagnostic use.

Cancer CytopathologyVol. 134(3)
Tampere University (FI), University of Eastern Finland (FI), Malmö University (SE), Lund University (SE), Kristianstad University (SE), Sahlgrenska University Hospital (SE), Kuopio University Hospital (FI), Fimlab (Finland) (FI), Landstinget i Kalmar län (SE), Hallands sjukhus Halmstad (SE), Halmstad University (SE), University of Gothenburg (SE)
Tampereen Tuberkuloosisäätiö, Japan Society for the Promotion of Science
Good health and well-being
Openalex Percentile: Top 63%
Occupational and environmental lung diseases
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Choice of fixative affects programmed death‐ligand 1 expression in cell blocks from pleural effusions with metastatic pulmonary adenocarcinoma — Rita Pedersen, Tomas Seidal, et al. · Cancer Cytopathology (2026) | TGRS Research Map | TGRS