cytology 2cytologyAn old female patient came with dyspneu, very heavy breathing, due to plentiful of effusion on her right pleura. This effusion then aspirated by the pulmonologist and sent to my laboratory.

The microscopic cytology of the aspirated effusion were malignant cells positive. Both pictures show clear cut cytomorphology /cytopathology of Mucinous Adenocarcinoma that we know a metastases from the primary tumor elsewhere in her body.

We have to counter check with the titer of her serological-CEA which usually will be high, and I suspected the primary tumor resides in one of these sites : breast, lung, colorectal or ovary.

Well, still far away to find her primer malignancy. We will see in a few days..

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Posted Thursday, March 6th, 2008 at 8:17 pm
Filed Under Category: Cancer
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6 Responses to “Pleural Effusion in 67 years old Female”

  1. 6
    Dr. Sukma Says:

    Hai Nabila,

    Iya anda benar. Diafragma kiri lebih rendah daripada yang kanan.

    Kemungkinan daya imbibisi pleura visceralis kanan lebih kuat dibandingkan yang kiri. Sehingga cairan akan cenderung lebih mudah mengalir ke kanan. (Jawaban ini berdasar logika saja).

    Mungkin saya salah, siapapun boleh mengkoreksi saya. Mari kita berbagi dan urun pendapat dalam forum ini..

  2. 5
    Nabila Says:

    Doc,ga salah diafragma kanan lbh tggi dr yg kiri,jd harusnya merembes ke kiri kan doc,?

  3. 4
    Dr. Sukma Says:

    Halo Kurnia Lahna,

    Efusi pleura disebabkan adanya radang di paru atau selaput patu/pleura. Radang mengakibatkan edem yang akan menarik cairandari sekitar radang dan akhirnya terkumpul didalam rongga pleura, yaitu rongga antara selaput bagian dalam dan bagian luar paru.

    Indikasinya : penderita tampak sesak nafas dan pada rontgen paru terlihat sudut phrenico-costalis yang tumpul.

  4. 3
    Kurnia Lahna Says:

    dokter, apa sih penyebab pleural effusion? bagaimana indikasinya? Apa yang biasa dikeluhkan mereka? TQ

  5. 2
    Dr. Sukma Says:

    Hai Bagus,

    Memang benar pada DHF/plasma leakage biasanya terjadi pleural effusion dextra atau disebelah kanan.

    Kemungkinan karena POSISI diaphragma kanan lebih rendah dibandingkan diaphragma sebelah kiri. Jadi cairan merembes/mengalir ke bagian yang lebih rendah yaitu ke rongga pleura kanan.

  6. 1
    Bagus Pramantha Says:

    dok, saya mau tanya pleural effusion, terutama pada pasien dgn plasma leakage (i.e DHF), knapa munculnya mostly di sisi kanan?

    trima kasih

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  • About

    Dr. Sukma Merati, DSPADr. Sukma Merati is founder and owner of Riau Pathology Center in Pekanbaru, Riau. Dr. Merati has had various international experience and training, including as a fellow doctor at The Mount Sinai Hospital in New York City, NY, USA (2000-2002). More >

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