Diagnostic significance of cytological examination in the differential diagnostics of pleural effusion.

Authors

  • Irada AHUNDOVA Research Institute of Pulmonary Diseases
  • GHIULZAR ALIEVA Research Institute of Pulmonary Diseases
  • KENIUL KERIMOVA Research Institute of Pulmonary Diseases

DOI:

https://doi.org/10.52692/1857-0011.2022.3-74.35

Keywords:

cytology, pleural fluid, tumors, tuberculosis

Abstract

The cytological examination of the evacuated pleural fluid is very important in the diagnosis and differential diagnosis of the etiology of pleural effusion syndrome. Assessment of the effectiveness of using the cytological diagnostic method in a routine way was conducted within the frames of the given study. Materials of 320 patients with pleural effusion have been studied. In cases of malignant tumors pleurisies were seen in 8.1% of patients, the diagnosis of tuberculous pleurisy was confirmed in 26.9% of cases. Pleurisy of non-tumor nature (reactive, tuberculotic, etc.) has been noticed in 32.8% of cases. Rare forms of pleural effusion, such as cholesterol or caused by perforation of an echinococcal cyst into the pleura, consist 3% of all identified types. The most difficult for diagnosing are initial pleura tumors and their differentiation.

Author Biographies

Irada AHUNDOVA, Research Institute of Pulmonary Diseases

Candidate of Medical Sciences

GHIULZAR ALIEVA, Research Institute of Pulmonary Diseases

Candidate of Medical Sciences

KENIUL KERIMOVA, Research Institute of Pulmonary Diseases

Candidate of Medical Sciences

References

Hooper C, Lee YC, Maskell N. BTS Pleural Guideline Group. Investigation of a unilateral pleural effusion in adults: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010

Jing X, Li QK, Bedrossian U, Michael CW. Morphologic and immunocytochemical performance of effusion cell blocks prepared using 3 different methods. Am J Clin Pathol. 2013;139:177–82.

Ferreiro L, Toubes ME,et al. Advances in pleural effusiondiagnostics Expert Review of Respiratory Medicine Volume 14, 2020, Pages 51-66

Парфри Х., Чайлверс Э. Р. Заболевания плевры: диагностика и лечение // Лечащий врач. — 2003. — № 1. — С. 28–34.

Nathan NA, Narayan E, Smith MM, Horn MJ. Cytology improved preparation and its efficacy in diagnostic cytology. Am J Clin Pathol. 2000; 114:599–606.

Published

2022-12-12

Issue

Section

Research Article

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