Cytological Study of Pleural Effusions and its Utility in Clinical Approach

  • Pravin Gojiya Govt. Medical College and Sir T hospital, Bhavnagar- 364001, Gujarat
  • Alpeshpuri Goswami
  • Shaila Shah
Keywords: Pleural fluid cytology, Benign effusion, reactive mesothelial cells, malignant effusions


Background: Cytological analyses of pleural effusions play an important role in the diagnosis of various lesions. Most importantly it gives a significant contribution in diagnosis and management.Methods: A retrospective study for one year duration from January 2015 to December 2015 was conducted in the Cytology section, Department of Pathology, Govt. Medical College & Sir- T hospital Bhavnagar. Pleural fluids which were come for cytological analysis from all the departments are included in the study, then physical examination and microscopy done by staining with Gimsa, Papanicolaou stain and Hematoxylin and Eosin Stains for evaluation.Result: 295 cases of pleural effusion evaluated in which 29% are female and 71% are male and 12% of effusions are Bilateral, 32% are left sided, 57% right sided pleural effusion, 95%  non Malignant lesions and only in 5% of cases were reported as malignant and further non-malignant lesions comprises of pleural effusions with reactive mesothelial cells 11% while remaining fluids 40% are of  lymphocytic predominant effusions and 13% are of acute inflammatory conditions with abundant polymorphs, remaining 36% of pleural effusions were scant-cellular and have no suggestive role by cytological evaluation.Conclusion: This study showed that meticulous evaluation of the pleural fluids for their cytological properties will help the clinicians in clinching the diagnosis as well as early approach in management of these cases.  DOI: 10.21276/APALM.1277

Author Biography

Pravin Gojiya, Govt. Medical College and Sir T hospital, Bhavnagar- 364001, Gujarat
Department of Pathology


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Original Article