DIAGNOSTIC VALUE OF CYTOPATHOLOGY IN PLEURAL AND ASCITIC FLUIDS

Mousmi Agrawal; Suparna Bindu (Pingle); C P Bhale

Volume : IX, Issue : VII, July - 2020

DIAGNOSTIC VALUE OF CYTOPATHOLOGY IN PLEURAL AND ASCITIC FLUIDS

Mousmi Agrawal, Suparna Bindu Pingle , C P Bhale

Abstract :

Introduction: Cytological study of body fluids is better than biopsy as focal lesions may be missed by biopsy. Aim: To study cytology of aspirated pleural and ascitic fluids and categorise them according to age, gender, gross appearance and neoplastic or non – neoplastic type. Methods: Total 190 fluids were studied, of which 137 were pleural fluid and 53 were ascitic fluid. The received fluid was centrifuged and smears were prepared from the sediment and stained with Papanicolaou stain. Results: Maximum cases were observed in 41-50 years of age group with male preponderance. Overall male : female ratio was 1.7:1. Most common primary site of malignancy was lung and stomach in pleural and ascitic fluid respectively. Conclusion: Arrangement of cells and nuclear characteristics gives clue about ongoing pathology. Cytology should be considered first line of investigation as it is simple and cost effective procedure.