Follow-up diagnosis of malignancy? |
Initial cytologic interpretation |
Details of follow-up, laterality of effusion to transplanted lung |
No (57) |
Negative for malignancy (54) |
52 Ipsilateral
1 Contralateral |
Atypical favor reactive (1) |
Ipsilateral |
Atypical lymphocytes (3) |
Ipsilateral, flow cytometry negative |
Yes (6) |
Negative for malignancy (5) |
2 patients (1 fluid each) with lung biopsy demonstrating PTLD - both ipsilateral
1 patient (1 fluid) with CLL/SLL involvement of pleural space by flow cytometry - ipsilateral
1 patient (2 fluids) with pleural biopsy demonstrating adenocarcinoma (3rd effusion called atypical, suspicious, see below) - both contralateral |
Atypical suspicious for malignancy (1) |
Patient found to have pleural involvement by poorly differentiated adenocarcinoma favored to be metastasis - contralateral |