Abstract
Excess fluid in serous cavities is an abnormal state and quite variable; thus, standards for specimen adequacy are difficult to establish. This chapter discusses the current status of serous fluid adequacy and provides guidance for ensuring discovery of pathologic entities. There are no large-scale studies to support the use of cell numbers for adequacy. An adequate sample should be representative of the underlying disease process, in the context of clinical and radiologic findings. As the disease processes leading to effusions may vary widely in their cellularity and composition, the absence of mesothelial cells does not always necessitate categorization as non-diagnostic (ND). Generally, this category should be uncommon in serous fluid reporting.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Rooper LM, Ali SZ, Olson MT. A minimum fluid volume of 75 mL is needed to ensure adequacy in a pleural effusion: a retrospective analysis of 2540 cases. Cancer Cytopathol. 2014;122(9):657–65.
Rooper LM, Ali SZ, Olson MT. A minimum volume of more than 60 mL is necessary for adequate cytologic diagnosis of malignant pericardial effusions. Am J Clin Pathol. 2016;145(1):101–6.
Thomas SC, Davidson LR, McKean ME. An investigation of adequate volume for the diagnosis of malignancy in pleural fluids. Cytopathology. 2011;22(3):179–83.
Swiderek J, Morcos S, Donthireddy V, et al. Prospective study to determine the volume of pleural fluid required to diagnose malignancy. Chest. 2010;137(1):68–73.
Abouzgheib W, Bartter T, Dagher H, Pratter M, Klump W. A prospective study of the volume of pleural fluid required for accurate diagnosis of malignant pleural effusion. Chest. 2009;135(4):999–1001.
Sallach SM, Sallach JA, Vasquez E, Schultz L, Kvale P. Volume of pleural fluid required for diagnosis of pleural malignancy. Chest. 2002;122(6):1913–7.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Saieg, M., Sundling, K., Kurtycz, D. (2020). Non-diagnostic (ND) and Adequacy. In: Chandra, A., Crothers, B., Kurtycz, D., Schmitt, F. (eds) The International System for Serous Fluid Cytopathology. Springer, Cham. https://doi.org/10.1007/978-3-030-53908-5_2
Download citation
DOI: https://doi.org/10.1007/978-3-030-53908-5_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-53907-8
Online ISBN: 978-3-030-53908-5
eBook Packages: MedicineMedicine (R0)