Use of the term atypical cells in the reporting of ascitic fluid cytology: A caveat
| العنوان: | Use of the term atypical cells in the reporting of ascitic fluid cytology: A caveat |
|---|---|
| المؤلفون: | Shrijeet Chakraborti, Pooja K Suresh, Pai Rr, Jessica Minal, Flora D. Lobo, Krithika Damodar Shenoy |
| المصدر: | CytoJournal CytoJournal, Vol 16, Iss 1, Pp 13-13 (2019) |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, Cirrhosis, Malignancy, Pathology and Forensic Medicine, 03 medical and health sciences, Mesothelial hyperplasia, 0302 clinical medicine, Cytology, Ascites, Paracentesis, medicine, atypical mesothelial cell, effusion cytology, lcsh:QH573-671, medicine.diagnostic_test, lcsh:Cytology, business.industry, reactive mesothelial cells, cytology smear, medicine.disease, Cytopathology, 030220 oncology & carcinogenesis, Etiology, 030211 gastroenterology & hepatology, Radiology, medicine.symptom, business, Atypical cytology, Research Article |
| الوصف: | Background:Abdominal paracentesis is a routine diagnostic procedure for assessment of patients with recent onset or worsening of ascites.Objectives:The objective of the study is to (1) review clinically confirmed cases of malignancy with negative, atypical, and suspicious cytology reports and provide reasoning for discrepancies and (2) recalculate sensitivity, specificity, and predictive values after review.Materials and Methods:Papanicolaou smears of ascitic fluid paracentesis samples received over one calendar year were reviewed retrospectively by an expert in cytopathology blinded to the final clinical and/or histopathological diagnoses. Cases with discrepancies after review were noted. Sensitivity, specificity, and predictive values were calculated before and after review of slides. Data were analyzed using SPSS version 16.Results:Malignant etiology was identified in 49/115 cases (42.6%) with female genital tract being the most common site of malignancy (22, 44.8%). The remaining 66 (57.4%) had a benign etiology with hepatic cirrhosis in 42 cases (63.6%). A review revealed discrepancies in five cases, three of which were earlier called negative for malignant cells (one case each of ovarian adenocarcinoma, cecal adenocarcinoma, and cholangiocarcinoma). Two cases of ovarian adenocarcinoma that were reported as atypical/reactive mesothelial hyperplasia showed malignant cells upon review. Sensitivity and specificity after review were 69.4% and 100%, respectively, with 100% positive predictive value.Conclusion:Being a minimally invasive procedure, abdominal paracentesis continues to be an important diagnostic tool in guiding patient management. A proper morphological assessment with adequate clinical information and correlation with other investigations can be used to arrive at a definitive diagnosis in most cases. The term “atypical” can be misleading and is often used for want of clinical information and is best avoided. |
| تدمد: | 0974-5963 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d1cdb36b61dba8535066661fe35828d0 https://pubmed.ncbi.nlm.nih.gov/31367221 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....d1cdb36b61dba8535066661fe35828d0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 09745963 |
|---|