Abstract
Background: Cytological analyses of pleural effusions play an important role in the diagnosis of various lesions. Most importantly it gives a significant contribution in diagnosis and management. Methods: A retrospective study for one year duration from January 2015 to December 2015 was conducted in the Cytology section, Department of Pathology, Govt. Medical College & Sir- T hospital Bhavnagar. Pleural fluids which were come for cytological analysis from all the departments are included in the study, then physical examination and microscopy done by staining with Gimsa, Papanicolaou stain and Hematoxylin and Eosin Stains for evaluation. Result: 295 cases of pleural effusion evaluated in which 29% are female and 71% are male and 12% of effusions are Bilateral, 32% are left sided, 57% right sided pleural effusion, 95% non Malignant lesions and only in 5% of cases were reported as malignant and further non-malignant lesions comprises of pleural effusions with reactive mesothelial cells 11% while remaining fluids 40% are of lymphocytic predominant effusions and 13% are of acute inflammatory conditions with abundant polymorphs, remaining 36% of pleural effusions were scant-cellular and have no suggestive role by cytological evaluation. Conclusion: This study showed that meticulous evaluation of the pleural fluids for their cytological properties will help the clinicians in clinching the diagnosis as well as early approach in management of these cases. DOI: 10.21276/APALM.1277
Highlights
Pleural fluid cytology is a simple and a minimally invasive technique as the preliminary step for the diagnostic evaluation of pleural effusions, assisting the clinician in establishing the differential diagnosis
This study was carried out to determine the diagnostic utility of pleural fluid cytology
Pleural fluids which received for cytological analysis from the various departments of our institute with the proper complete history and clinical brief are included in the study
Summary
Pleural fluid cytology is a simple and a minimally invasive technique as the preliminary step for the diagnostic evaluation of pleural effusions, assisting the clinician in establishing the differential diagnosis. The diagnostic yield of the cytological analysis may be attributable to the cell population present in the sediment that is representative of a much larger surface area than the pleural biopsy [1, 2]. It is very useful in the very first initial work up for the management of the case of pleural effusion. Cytological analyses of pleural effusions play an important role in the diagnosis of various lesions. Most importantly it gives a significant contribution in diagnosis and management
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