Abdominal bleeding or trauma, hemorrhagic pancreatitis or tumor infiltrate may result in hemorrhagic color. Prominent nucleoli may be present. If SAAG is definitive: determine SAAG only on the 1st paracentesis specimen and donot repeat in subsequent paracentesis. Serum Ascites … It helps in differentiating as well as finding the malignant cells. This fluid is called ascitic fluid. Ascites Fluid Cytology CYTONG Cytology, Non-Gyn + See More. NGYN. In case of intestinal perforation, pancreatitis or ruptured gall bladder may cause bile stained or green colored fluid. DEPARTMENT: Cytology SPECIMEN REQUIREMENT: 5-500 mL fresh fluid in clean glass or hard plastic container with screw top lid TESTING SCHEDULE: Monday - Friday 08:00 - 15:30. Glucose level is mostly equal to that of blood glucose level; however, it's low in case of bacterial ascites and tuberculosis. Serum AFP is more sensitive than peritoneal fluid cytology in HCC (rarely sheds cells in ascitic fluid). Cytology is to be performed only when there is a suspicion of malignancy. Peritoneum related neoplastic diseases like peritoneal carcinomatosis and lymphomatous disorders. Abstract. In order to differentiate transudate from exudate, serum protein and ascitic fluid protein ratio is of great importance. LabCorp test details for Miscellaneous Fluid Cytology. Analysis of ascitic fluid can help determine the underlying cause and identify signs of infection. The specific gravity of the exudate is greater than 1.015, yet the figure is less than 1.015 for transudate. Paracentesis fluid analysis involves testing for albumen and protein, cytology, cell count and differential, LD, bacterial culture, glucose, triglycerides, ascites fluid PH, Gram's stain, amylase, special cultures for tuberculosis and fungi, CEA, and hyaluronic acid. Body Fluid Cytology. The figure can be greater than 0.6 in exudate. In inflammatory conditions there is a greater number of reactive mesothelial and polys, whereas in case of transudate, there may be a greater number of lymphocytes. Your email address will not be published. Sitemap. Carcinoembryonic antigen (CEA) is a glycoprotein that is shed from the surface of malignant cells. Cookies and Privacy policy  Mycobacterium from ascitic fluid or peritoneal biopsy remains the gold standard test according to national and international guidelines, also allowing antibiotic susceptibility testing.7 Cytology Ascitic fluid cytology should be performed in case of suspicion of malignant ascites or when the underlying Upright chest xray (gas under diaphragm); Contrast studies of GI tract. SYNONYMS. Looking to order a test? Each subgroup had a distinctive ascitic fluid analysis. The ratio's value must be greater than 0.5 for the diagnosis of exudate. Typically low serum-albumin ascites level; if the ratio is greater than 1.1g/dl then it confirms the presence of transudates. CPT CODE: 88112, 88108, 88104, 88305 SYNONYMS: Pleural fluid, peritoneal fluid, pericardial fluid, ascites, etc. The Culture and Sensitivity Ascitic Fluid test diagnoses the cause of the formation of this fluid. The specific gravity is essential in the ascitic fluid analysis. Both serum and ascitic fluid sample must be obtained nearly simultaneously (on the same day, preferably within same hour). This test is better done on cytospin. Amylase is elevated if conditions like pancreatic pseudocyst, intestinal perforation, intestinal necrosis, acute pancreatitis and pancreatic trauma are present. Ascitic fluid amylase >100 U/L: Pancreatic ascites: Abdominal CT ≥250 (<50% … Patients with other causes of malignancy-related ascites almost always have a negative cytology. Submitting Specimens. 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