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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 4, Issue.: 11 (11-20 April)

Original-research-article

The Value of Cytology in the Diagnosis of Pleural Effusions

 

Cuneyt Tetikkurt1*, Bilge Yılmaz Kara1, Seza Tetikkurt2, Nail Yılmaz1, Ilknur Yasar1 and Rian Disci3
1Department of Pulmonary Diseases, Cerrahpasa Medical Faculty, Istanbul University, Turkey.
2Department of Pathology, Bagcılar Training and Research Hospital, Istanbul, Turkey.
3Department of Biostatistics and Medical Informatics, Istanbul Medical Faculty, Istanbul University, Turkey.

Article Information

Editor(s):

(1) Alexandre Zanchenko Fonseca, Department of General Surgery, university of Santo Amaro, São Paulo Brazil.

Reviewers:

(1) Prashant L. Patil, Govt. Medical College, India.

(2) M. Hendaus, Qatar.

(3) Kamal Verma, Princess Marina Hospital, Botswana.

(4) Anonymous.

(5) Takuji Tanaka, The Tohkai Cytopathology Institute, Japan.

Complete Peer review History: http://www.sciencedomain.org/review-history/3428

Abstracts

The aim of this study is to assess the value of cytology in the diagnosis of pleural effusions. It is a retrospective review of the patients with pleural effusions admitted at our clinic in a 8-year period. We evaluated the cytological and diagnostic results of 470 patients. Male to female ratio was 3:1 with a mean age of 38.6 years (range 18-76 years). Samples were processed and evaluated according to the standard methods. Cytology results were reviewed and the patients were stratified according to the their final diagnosis of the 470 effusions, 40 were transudates. Among 430 exudates, 190 (74.8%) were malignant on pleural fluid analysis alone. Adenocarcinoma was the most common malignancy. Tuberculosis was the second most frequent etiology for the exudative effusions. Cells in benign or malignant effusions were easily recognized without further invasive evaluation, contributing to diagnosis and therapeutic decisions. Diagnostic power of cytology was high and showed a good correlation with the eventual pathologic diagnosis, with an overall 70.6% sensitivity. Cytologic examination of the pleural fluid is a simple minimally invasive procedure as an initial step in the diagnostic work-up of patients with pleural effusions. It does not only provide high diagnostic sensitivity but also leads the clinician in the correct algorithm as the most informative and leading test even when not diagnostic on its own.

Keywords :

Pleural effusion; cytology; pleural fluid; diagnostic cytology.

Full Article - PDF    Page 2203-2211

DOI : 10.9734/BJMMR/2014/7165

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