The Sensitivity of Cytology in the Differential Diagnosis of Ascites among Adult Nigerians in a Tertiary Health Institution
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 2
Abstract
Ascites is a common clinical problem confronting physicians and is commonly encountered in many patients with liver diseases, cardiac failure, renal diseases, and malignancies. Currently, differentiation of the fluid by laboratory analysis into malignant and non-malignant ascites has not been fully achieved yet. The aim was to assess the diagnostic accuracy of cytology in the differential diagnosis of ascites. A total of seventy five unselected patients with ascites were studied. Thirty seven of them had malignancy-related ascites (7 males, 30 females), while 38 had non-malignant ascites (18 males, 20 females). Cytology was done for all ascitic fluid samples collected from these patients. Cytology yielded an accuracy of 78.7% and a sensitivity of 56.8%. Hence, it is found that cytology alone may not be too useful in differentiating malignant from non-malignant ascites as its sensitivity is low and so other biochemical parameters may be needed to supplement cytology in the differential diagnosis of ascites. Keywords: Ascites, Cytology, Malignant, Non-malignant, Differential diagnosis.
Authors and Affiliations
Ekpe EEL, Omotoso AJ
Conservative Treatment by Topical Mitomycin C as Primary and Sole Treatment Strategy for Localized Ocular Surface Squamous Neoplasia – A Success Story
Abstract: Our aiims was to study the outcome of topical mitomycin C (MMC) used as sole treatment strategy for ocular surface squamous neoplasia (OSSN). This is a Prospective, non-comparative interventional case series of...
Variation in the presence of the Communicating Branch of Lateral Plantar Nerve
The principal nerve entrapment syndromes in foot include those symptom complexes that are primarily neurologic in origin and result from embarrassment to any of peripheral nerve trunk or branches of foot. It is universal...
Neurological Disorders In Hypothyroidism: An observational study on recently detected hypothyroid patients
Abstract: Endocrinal diseases especially, hypothyroidism can present with a wide variety of symptoms pertaining to different bodily systems and can lead to, at times, in diagnostic delays and dilemmas. This study was don...
Haematological Parameters of Malaria Parasites Infected Patients in Kaduna State, Nigeria
Abstract: Haematological parameters are often needed to assist in the management of malaria infection. This study was conducted to determine the value of some haematological parameters and their effects among malaria par...
Chloroquine Vs Co-Artemether in Uncomplicated Malaria
Abstract: The objective of this paper was to compare the efficacy of chloroquine and co-artemether in uncomplicated malaria cases. It was a prospective interventional study. The subjects included children with PBF proven...