Lab test interpretation

Cytological Diagnosis of Malignant Mesothelioma

Morphological features of malignant mesothelioma cells in pleural fluid and ascites: clear cell and small cell cytological variants.

Cytology. Malignant Mesothelioma Cells. 🔬 Images 1 and 2: Malignant mesothelioma, unusual variants. In rare cases, mesotheliomas show marked cytoplasmic vacuolization (“clear cell type”). 🔬 Images 3 and 4: Some mesotheliomas consist of small cells; however, the use of the term “small cell mesothelioma” is not recommended to avoid confusion with small cell lung carcinoma.

(1 and 3 – Papanicolaou stain; 2 and 4 – hematoxylin and eosin stain).

WHERE ARE THESE CELLS FOUND?

  1. Pleural effusion – the most common source. Mesothelioma is often accompanied by fluid accumulation in the pleural cavity.
  2. Ascites (peritoneal effusion) – in peritoneal mesothelioma.
  3. Pericardial effusion – in pericardial mesothelioma (rare).

Mesothelium is an epithelial tissue lining the serous membranes of body cavities (peritoneum, pleura, pericardium) in vertebrate animals and humans. It develops from the mesoderm.

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Source of images for publication: Cibas - Cytology. Diagnostic Principles and Clinical Correlates 5 ed (2021)