Background:The tissue microarray (TMA), first described by Battifora and first implemented in 1998 by Kononen et al, is a powerful research tool, allowing simultaneous analysis of specimens from a large number of cases on one slide. Unfortunately, commercial aray instruments are very expensive and thus not suitable for laboratories with limited funds. We describe simple and cost-effective method for constructing of manual TMA that can be performed by any anatomic pathology laboratory, requiring minimum skill and time.Methods: Skin punch biopsy needle of 2-mm diameter was used for extracting cores from 15 positive control breast cancer cases, 15 normal bladder tissue and 30 muscle-invasive bladder cancer and for injecting into recipient block.
Result:We constructed TMA block using skin punch biopsy needle of 2-mm, and succesfulfully performed HER2 immunodetection and Chromogenic In Situ Hybridization study, without substantial tissue loss. 10% of our tumor cases exhibited Her-2 neu overexpression. An open source software programme "ТМА-Ј" was applied to facilitate management, viewing, analysis of tissue microarray images and associated clinico-pathology data.
Conclusion:This method could be done by any pathology laboratory and represents good and reliable alternative for commercially available, expensive devices and software solutions.