Diagnostic accuracy of the immunocytochemical study of body fluids

C Y Li1, S C Ziesmer, Y C Wong

  • 1Division of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN 55905.

Acta Cytologica
|September 1, 1989
PubMed

Insights

Immunocytochemical stains accurately characterize cells in body fluids like pleural and CSF. This method enhances cytologic diagnosis, especially for challenging cases.

Area of Science:

  • Cytopathology
  • Immunohistochemistry
  • Fluid analysis

Background:

  • Cytologic examination of body fluids is crucial for diagnosis.
  • Morphologic assessment can be challenging in certain cases.
  • Immunocytochemistry offers potential for improved diagnostic accuracy.

Purpose of the Study:

  • To evaluate the diagnostic accuracy of immunocytochemical characterization of body fluids.
  • To compare immunocytochemistry with routine morphologic examination.
  • To assess the utility of specific immunocytochemical markers.

Main Methods:

  • Evaluated 100 body fluid specimens (pleural, peritoneal, pericardial, CSF).
  • Utilized immunocytochemical markers: common-leukocyte antigen, epithelial membrane antigen, keratin, desmin.
  • Performed additional studies on CSF for neurofilaments, GFAP, vimentin, and melanoma-associated antigen.

Main Results:

  • Immunocytochemical characterization demonstrated high accuracy.
  • Confirmed the reliability of using a panel of immunocytochemical stains.
  • Specific markers were applied based on fluid type and diagnostic need.

Conclusions:

  • Immunocytochemistry is an accurate method for body fluid cell characterization.
  • Recommended as an adjunct to improve cytologic diagnosis accuracy.
  • Particularly beneficial for diagnostically difficult morphologic features.