{"id":1969,"date":"2017-07-31T19:32:51","date_gmt":"2017-07-31T19:32:51","guid":{"rendered":"http:\/\/cytologystuff1.wpengine.com\/non-gyn-atlas\/effusions-mesothelioma\/"},"modified":"2025-02-10T20:03:06","modified_gmt":"2025-02-10T20:03:06","slug":"effusions-mesothelioma","status":"publish","type":"page","link":"https:\/\/cytologystuff.com\/zh-hans\/non-gyn-atlas\/effusions-mesothelioma\/","title":{"rendered":"Effusions &#8211; Mesothelioma"},"content":{"rendered":"<p>[vc_row 0=&#8221;&#8221;][vc_column 0=&#8221;&#8221; offset=&#8221;vc_hidden-lg vc_hidden-md&#8221;][vc_raw_html 0=&#8221;&#8221;]JTNDY2VudGVyJTNFJTNDYSUyMGNsYXNzJTNEJTIyc2hpZnRuYXYtdG9nZ2xlJTIwc2hpZnRuYXYtdG9nZ2xlLWJ1dHRvbiUyMiUyMGRhdGEtc2hpZnRuYXYtdGFyZ2V0JTNEJTIyc2hpZnRuYXYtbWFpbiUyMiUzRSUzQ2klMjBjbGFzcyUzRCUyMmZhJTIwZmEtYmFycyUyMiUzRSUzQyUyRmklM0UlMjBUYWJsZSUyMG9mJTIwQ29udGVudHMlMjAlM0MlMkZhJTNFJTNDJTJGY2VudGVyJTNF[\/vc_raw_html][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Cytology of Pleural, Pericardial and Peritoneal Cavity Effusions &#8211; Effusions Mesothelioma&#8221; font_container=&#8221;tag:h1|text_align:center&#8221; use_theme_fonts=&#8221;yes&#8221;][\/vc_column][\/vc_row][vc_row el_id=&#8221;acknowledgements&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text]<a name=\"acknowledgements\"><\/a><\/p>\n<p class=\"subhead\">EFFUSIONS &#8211; MESOTHELIOMA<\/p>\n<p style=\"padding-left: 7px;\"><a style=\"width: 300px; display: block;\"><img loading=\"lazy\" decoding=\"async\" id=\"selfAssessImg\" src=\"\/images\/button27h.gif\" width=\"300\" height=\"17\" \/><\/a><\/p>\n<div class=\"highslide-gallery\">\n<p><strong>Reminder: You may click on any slide image<br \/>\nfor an enlarged view.<\/strong><\/p>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0422.jpg\" name=\"pap\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0422.jpg\" alt=\"Image 2\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>Figure 22<\/strong><br \/>\nPleural effusion Mesothelioma. 10X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>Figure 22<br \/>\n<\/strong>Pleural effusion:<br \/>\nMesothelioma.<br \/>\n10X<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0423.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0423.jpg\" alt=\"Image 3\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>Figure 23<\/strong><br \/>\nPleural effusion Mesothelioma. 20X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>Figure 23<br \/>\n<\/strong> Pleural effusion:<br \/>\nMesothelioma.<br \/>\n20X<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0424.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0424.jpg\" alt=\"Image 3\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>Figure 24<\/strong><br \/>\nPleural effusion Mesothelioma. 40X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>Figure 24<\/strong><br \/>\nPleural effusion:<br \/>\nMesothelioma.<br \/>\n40X<\/div>\n<div class=\"newRow\"><\/div>\n<p><strong>Figures 22-24:<\/strong><br \/>\nVarious magnifications show &#8220;cannon-ball&#8221; masses of tumor cells. The key to diagnosing mesothelioma is not identifying a second malignant cell population. Final determination may require immunocytochemistry or a cell block with immunohistochemistry, electron microscopy, or other specialized techniques.<\/p>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0425.jpg\" name=\"pap\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0425.jpg\" alt=\"Image 2\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>Figure 25<\/strong><br \/>\nPleural effusion Mesothelioma. 60X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>Figure 25<\/strong><br \/>\nPleural effusion:<br \/>\nMesothelioma.<br \/>\n60X<\/div>\n<div class=\"newRow\"><\/div>\n<p>Individual malignant mesothelial cells exhibit a rim of ruffled, less dense cytoplasm (ectoplasm), surrounding dense cytoplasm around the nucleus (endoplasm).<\/p>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0426.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0426.jpg\" alt=\"Image 3\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>Figure 26<\/strong><br \/>\nPleural effusion Mesothelioma. 20X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>Figure 26<\/strong><br \/>\nPleural effusion:<br \/>\nMesothelioma.<br \/>\n20X<\/div>\n<div class=\"newRow\"><\/div>\n<p>Tumor cells may be seen in a background of blood and proteinaceous debris. Groups of more than 12 cells may be a feature of malignancy.<\/p>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0427.jpg\" name=\"pap\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0427.jpg\" alt=\"Image 2\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>Figure 27<\/strong><br \/>\nPleural effusion Mesothelioma. 60X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>Figure 27<\/strong><br \/>\nPleural effusion:<br \/>\nMesothelioma.<br \/>\n60X<\/div>\n<div class=\"newRow\"><\/div>\n<p>At higher magnification, the high N\/C ratio with variability in nuclear size and occasional multi-nucleation confirm the malignant nature of these cells. Differential diagnoses include adenocarcinoma and mesothelioma. Fine microscopic features of peripheral cell membranes and intercellular windows may suggest mesothelioma.<\/p>\n<div class=\"chartColumnCell\"><a class=\"highslide\" href=\"\/gallery\/images_large\/slide0428.jpg\"><br \/>\n<img decoding=\"async\" title=\"Click to enlarge\" src=\"\/gallery\/images\/slide0428.jpg\" alt=\"Image 3\" border=\"0\" \/><\/a><\/p>\n<div class=\"highslide-caption\"><strong>Figure 28<\/strong><br \/>\nPleural effusion Mesothelioma. 60X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\"><strong>Figure 28<\/strong><br \/>\nPleural effusion:<br \/>\nMesothelioma.<br \/>\n60X<\/div>\n<\/div>\n<div class=\"newRow\"><\/div>\n<p>Abnormal mitotic figures may be noted with mesothelioma, other malignancies, as well as occasional reactive mesothelial cells in effusions.[\/vc_column_text][vc_column_text el_class=&#8221;back-to-top&#8221;]<strong><a href=\"#main\">Back to Top<\/a><\/strong>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243; offset=&#8221;vc_hidden-sm vc_hidden-xs&#8221;][vc_widget_sidebar sidebar_id=&#8221;consulting-right-sidebar&#8221;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row 0=&#8221;&#8221;][vc_column 0=&#8221;&#8221; of<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":1947,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-1969","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/pages\/1969","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/comments?post=1969"}],"version-history":[{"count":0,"href":"https:\/\/cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/pages\/1969\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/pages\/1947"}],"wp:attachment":[{"href":"https:\/\/cytologystuff.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=1969"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}