HISTOGRAM
CLASSIFICATION
The classification
of cells by five types of histograms is the simplest and most generally
accepted method in current use at M.D. Anderson Cancer Center.
 |
U1:
These
histograms are characterized by a single DNA content peak in the diploid
(2c) region. Only a few cells may deviate from the normal value. |
 |
U2:
These
histograms are characterized by one peak in the diploid (2c) region, with
a few cells (up to 15%) outside the normal DNA content value; these latter
cells have a DNA content in the 5c region or greater.* |
 |
U3a:
This
type of histogram differs from U2 by having a significant number of cells
with an aneuploid DNA content (values between 2c and 4c and cells greater
than 5c.)** |
 |
U3b:
These
histograms reveal pronounced tetraploid subpopulations (tetraploid DNA
content cells comprise at least 10% of population with corresponding octaploid
peak.)*** |
 |
U4:
Polyploid
DNA pattern (i.e., peak(s) at 2c, 4c, 6c, 8c, and even 10c). U4 polyploid
pattern is most typically associated with viral cytopathic effect. |
*: U2 intermediate
patterns have a strong positive prediction for presence of histologically
confirmed or cystoscopically visualized neoplasm(s). In a few cases, the
underlying neoplasm may be initially occult. However, it will manifest
itself over a sufficiently long follow-up time.) Occasionally this pattern
may be seen with lithiasis (stones), therapy effect, or in specimens containing
seminal vesicle cells; hence, clinical correlation is essential.
**: U3a
clearly shows aneuploid pattern(s). Sensitivity (>90%) for carcinoma in
situ and invasive TCCs (or its variants).
***: U3b
shows tetraploid pattern slightly less sensitive than U3a for predicting
the presence of neoplasm. |