Carnoy's Solution Versus Formalin in Rectal and Gastric Cancer Specimens Following: a Randomized Trial

NCT ID: NCT02629315

Last Updated: 2020-07-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-10

Study Completion Date

2014-02-10

Brief Summary

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This study evaluates the number of lymph nodes dissected in specimens following fixation with 10% neutral buffered formaldehyde or Carnoy's solution. Specimens were randomized for fixation in each solution.

Detailed Description

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Carnoy's solution is a tissue fixative that has alcohol allowing for fat clearing along with tissue fixation. Specimens were randomized after the surgical procedure. The perivisceral fat was removed from the stomach and the lymph node stations disected and then fixed in formalin or carnoy's solution for 24-48h. After dissection the residual fat from the formalin group was re-fixed in carnoy and re-disected.

Conditions

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Rectal Cancer Gastric Adenocarcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Caregivers
Randomization occurred after surgery, the surgeon was blind during the procedure

Study Groups

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10% neutral buffered formaldehyde

Specimens will be fixed for 24-48hours in 10% neutral buffered formaldehyde and then dissected for lymph nodes.

Group Type ACTIVE_COMPARATOR

10% neutral buffered formaldehyde

Intervention Type OTHER

Carnoy's solution

Specimens will be fixed for 24-48hours in Carno'ys solution and then dissected for lymph nodes.

Group Type EXPERIMENTAL

Carnoy's solution

Intervention Type OTHER

Interventions

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Carnoy's solution

Intervention Type OTHER

10% neutral buffered formaldehyde

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Long course neoadjuvant chemoradiation
* Low anterior resection with total mesorectal excision


\- Rectosigmoidectomy


* Gastric adenocarcinoma
* Subtotal gastrectomy
* D2 lymphadenectomy

Exclusion Criteria

* Previous surgery
* Incomplete neoadjuvant chemoradiation
* Refuse to sign the informed consent
* T4b and/or Multivisceral resection


* Previous surgery
* Neoadjuvant chemoradiation
* Refuse to sign the informed consent
* T4b and/or Multivisceral resection


* Distant metastasis
* Previous upper abdomen radiotherapy
* Previous surgery over stomach or omentum
* Refuse to sign the informed consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Instituto do Cancer do Estado de São Paulo

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

References

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Dias AR, Pereira MA, Mello ES, Zilberstein B, Cecconello I, Ribeiro Junior U. Carnoy's solution increases the number of examined lymph nodes following gastrectomy for adenocarcinoma: a randomized trial. Gastric Cancer. 2016 Jan;19(1):136-42. doi: 10.1007/s10120-014-0443-2. Epub 2014 Nov 20.

Reference Type BACKGROUND
PMID: 25410474 (View on PubMed)

Pereira MA, Dias AR, Faraj SF, Cirqueira Cdos S, Tomitao MT, Nahas SC, Ribeiro U Jr, de Mello ES. Carnoy's solution is an adequate tissue fixative for routine surgical pathology, preserving cell morphology and molecular integrity. Histopathology. 2015 Feb;66(3):388-97. doi: 10.1111/his.12532. Epub 2014 Nov 10.

Reference Type BACKGROUND
PMID: 25307771 (View on PubMed)

Luz DA, Ribeiro U Jr, Chassot C, Collet E Silva Fde S, Cecconello I, Corbett CE. Carnoy's solution enhances lymph node detection: an anatomical dissection study in cadavers. Histopathology. 2008 Dec;53(6):740-2. doi: 10.1111/j.1365-2559.2008.03148.x. No abstract available.

Reference Type BACKGROUND
PMID: 19076686 (View on PubMed)

Duldulao M, Booth C, Denham L, Choi A, Friedman G, Kazanjian K. Alcohol fat clearing increases lymph node yield after surgery for colorectal cancer. Am Surg. 2014 Oct;80(10):1054-8.

Reference Type BACKGROUND
PMID: 25264659 (View on PubMed)

Scabini S, Montecucco F, Nencioni A, Zoppoli G, Sartini M, Rimini E, Massobrio A, De Marini L, Poggi A, Boaretto R, Romairone E, Ballestrero A, Ferrando V. The effect of preoperative chemoradiotherapy on lymph nodes harvested in TME for rectal cancer. World J Surg Oncol. 2013 Nov 18;11:292. doi: 10.1186/1477-7819-11-292.

Reference Type BACKGROUND
PMID: 24246069 (View on PubMed)

Dias AR, Pereira MA, de Mello ES, Nahas SC, Cecconello I, Ribeiro U Jr. Lymph Node Yield After Neoadjuvant Chemoradiotherapy in Rectal Cancer Specimens: A Randomized Trial Comparing Two Fixatives. Dis Colon Rectum. 2018 Aug;61(8):888-896. doi: 10.1097/DCR.0000000000001097.

Reference Type BACKGROUND
PMID: 29944580 (View on PubMed)

Dias AR, Pereira MA, Mello ES, Cecconello I, Ribeiro-Jr U, Nahas SC. CARNOY'S SOLUTION INCREASES LYMPH NODES COUNT IN COLON CANCER SPECIMENS WHEN COMPARED TO FORMALIN FIXATION: A RANDOMIZED TRIAL. Arq Bras Cir Dig. 2022 Jun 17;35:e1656. doi: 10.1590/0102-672020210002e1656. eCollection 2022.

Reference Type DERIVED
PMID: 35730885 (View on PubMed)

Other Identifiers

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NP458/13

Identifier Type: -

Identifier Source: org_study_id

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