Srinivasan Radhika, Rekhi Bharat, Rajwanshi Arvind, Pathuthara Saleem, Mathur Sandeep, Jain Deepali, Gupta Nalini, Gautam Upasana, Rai Naresh, Nijhawan Vijay Shrawan, Iyer Venkat, Dey Pranab, Deb Prabal, Prasoon Dev
Indian Academy of Cytologists, India.
J Cytol. 2020 Jan-Mar;37(1):1-11. doi: 10.4103/JOC.JOC_157_19. Epub 2019 Dec 23.
Cytological examination plays an important role in the initial work-up of the serous cavity effusion fluids to find out the possible etiology as benign or malignant. Among malignant effusions, cytology is helpful in determining the exact type, site, and stage of the tumor. However, for reporting effusion cytology specimens, there is no consistent and reproducible reporting system.
The aim of these guidelines is to provide a standardized format for effusion cytopathology right from sample receipt to its ultimate report sign-out for implementation in all cytopathology laboratories. The Indian Academy of Cytologists in consultation with experts across the country has prepared guidelines pertaining to collection, preparation, and diagnostic categories of effusion specimens to reduce reporting variability. The guidelines are made keeping in mind the different areas of practices in India, especially low- and medium-resource settings. The guidelines are broadly divided into essential, optimal, and optional categories for best usage and appropriate allocation of the precious specimens. In referral centers or well-established setups, essential ancillary techniques can be done for accurate and final diagnosis. By adhering to and implementing these uniform guidelines, it is hoped that clinical patient care and management in India will improve and be of uniformly good quality by enabling and facilitating good laboratory practices.
细胞学检查在浆液性腔积液的初始检查中起着重要作用，以找出可能的病因，判断是良性还是恶性。在恶性积液中，细胞学有助于确定肿瘤的确切类型、部位和分期。然而，对于积液细胞学标本的报告，目前尚无一致且可重复的报告系统。
本指南的目的是提供一种标准化格式，用于积液细胞病理学，从样本接收直至最终报告签发，以便在所有细胞病理学实验室实施。印度细胞学家学会与全国各地的专家协商，制定了有关积液标本采集、制备和诊断类别的指南，以减少报告的变异性。制定这些指南时考虑到了印度不同的实践领域，特别是资源有限的中低水平地区。为了最佳利用和合理分配珍贵标本，这些指南大致分为基本、最佳和可选类别。在转诊中心或成熟的机构中，可以采用基本的辅助技术进行准确的最终诊断。希望通过遵守和实施这些统一的指南，能够促进良好的实验室操作，从而改善印度的临床患者护理和管理，并使其质量始终保持良好。
