Jha Shilpy, Sethy Madhusmita, Adhya Amit Kumar
Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
J Cytol. 2022 Apr-Jun;39(2):72-77. doi: 10.4103/joc.joc_88_21. Epub 2022 May 30.
A five-tiered reporting system for effusion fluid cytology has been published by the Indian Academy of Cytologists (IAC). Only a single study has evaluated the applicability of this system in routine reporting.
We intend to evaluate the practical utility of this system in routine reporting of ascitic fluid cytology.
Nine hundred and sixty-one cases of ascitic fluid cytology were included in this study. The clinical, radiological, cytomorphological, and follow-up data of these cases were reviewed. All cases were recategorized according to the proposed IAC system, and the risk of malignancy (ROM) for each category was estimated.
Age of the patients ranged from 1 to 92 years, and fluid volume ranged from 10 ml to 3 l. The number of cases included in each category and their respective ROM were as follows: category 1: 41, 21.42%; category 2: 805, 14.9%; category 3: 5, 33.3%; category 4: 31, 90%; and category 5:79, 96.4%.
The new IAC guidelines for the serous fluid is representative, informative, and could be easily applied at our institutional level. We used the recommended diagnostic categories for reclassifying the ascitic fluid samples based on their cytosmear findings and conclude that the system has enormous utility at each level starting from the collection of fluid samples till the delivery of the report.
印度细胞学家学会（IAC）发布了一种用于积液细胞学的五级报告系统。仅有一项研究评估了该系统在常规报告中的适用性。
我们旨在评估该系统在腹水细胞学常规报告中的实际效用。
本研究纳入了961例腹水细胞学病例。对这些病例的临床、放射学、细胞形态学及随访数据进行了回顾。所有病例均根据IAC提议的系统重新分类，并估算了每个类别的恶性风险（ROM）。
患者年龄范围为1至92岁，腹水量范围为10毫升至3升。每个类别纳入的病例数及其各自的ROM如下：第1类：41例，21.42%；第2类：805例，14.9%；第3类：5例，33.3%；第4类：31例，90%；第5类：79例，96.4%。
新的IAC浆液性液体指南具有代表性、信息丰富，且可在我们机构层面轻松应用。我们使用推荐的诊断类别，根据腹水涂片结果对腹水样本进行重新分类，并得出结论，该系统从液体样本采集到报告出具的每个环节都具有巨大效用。
