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| Cytology exam of pleural fluid |
Definition A cytology examination of pleural fluid is a laboratory test to detect cancerous cells in the pleural space, the area that surrounds the lungs. See: Cytologic evaluation | Alternative Names Pleural fluid cytology | How the test is performed A sample of fluid from the pleural space is needed. For information on how the sample is obtained, see: Thoracentesis. The fluid sample is sent to a laboratory where it is examined under the microscope to determine what the cells look like, and whether they are abnormal. "Cytology" refers to the study of cells. | How to prepare for the test The laboratory test requires no preparation. For information on how to prepare for removal of the fluid sample, see: Thoracentesis | How the test will feel See: Thoracentesis | Why the test is performed A cytology exam is used to look for cancer and precancerous cells. Your doctor may order a cytology examination of pleural fluid if you have signs of fluid buildup in the pleural space, a condition called pleural effusion. The test may also be done if you have signs of lung cancer. | Normal Values Normal cells are seen. | What abnormal results mean In an abnormal test, there are cancerous (malignant) cells. This may mean there is a cancerous tumor. This test most often detects: | What the risks are There are no risks involved with a cytology exam. For information risks related to the procedure to remove a sample of pleural fluid, see: Thoracentesis | Special considerations | References Celli BR. Diseases of the diaphragm, chest wall, pleura, and mediastinum. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 100. |
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Review Date: 9/15/2010
Review By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Denis Hadjiliadis, MD, Assistant Professor of Medicine, Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania, Philadelphia, PA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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