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Role of Ancillary Techniques in Fluid Cytology

Authors
  • Yu, Gordon H.
  • Glaser, Laurel J.
  • Gustafson, Karen S.
Type
Published Article
Journal
Acta Cytologica
Publisher
S. Karger AG
Publication Date
Apr 24, 2019
Volume
64
Issue
1-2
Pages
52–62
Identifiers
DOI: 10.1159/000496568
PMID: 31018204
Source
Karger
Keywords
License
Green
External links

Abstract

The cytologic evaluation of serous effusions may be challenging for a number of reasons. Distinction of benign, reactive conditions from malignancy represents the main focus when examining these specimens. The morphologic diagnosis of malignancy may be difficult due to the relative paucity of abnormal cells. In other situations, cellularity is not an issue, but the ability to confidently identify a second, foreign (i.e., tumor) population within a background mesothelial cells on the basis of cytomorphologic features alone may pose problems. Cases with definitive morphologic evidence of malignancy may require additional studies in order to determine the tumor subtype and, in the case of carcinoma, the primary site of origin. Cases in which a definitive and precise diagnosis of malignancy is made may be optimal candidates for further molecular testing in order to gain prognostic information and guide personal therapeutic decisions. Finally, while an inflammatory or infectious condition can be suggested on the basis of cellular components and associated background elements, the identification of causative agent(s) may be difficult without additional studies. In all of these situations, the use of ancillary studies and techniques is critical; their utility and appropriate application are the subject of this review.

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