Cytology is usually the first step in investigating serous effusions, to either detect or exclude an underlying malignancy. This study will try to answer the need for improved diagnostic yield of cytologic examination by cell block technique and immunohistochemical testing of three markers which are EZH2, Claudin-4 and MOC-31.
This is a prospective study that will be conducted at the pathology lab of Assiut University Hospital. The study will include effusion specimens (pleural, peritoneal \& pericardial) and the aspirated fluid will be examined for physical characters e.g. color and appearance. The sample will be divided into 2 equal parts: one for conventional smear preparation, and the other for cell block. A minimum of 2 thin smears will be prepared and stained with Papanicolou stain. Cell block sections of 4-6 μ thickness will be prepared and stained with the hematoxylin and eosin stain (H\&E). For immunohistochemistry, cell blocks will be used. Expression of claudin 4, EZH2, and MOC-31 will be evaluated in benign and malignant cells by using immunoperoxidase technique.
Study Type
OBSERVATIONAL
Enrollment
100
Assiut University Hospital
Asyut, Egypt
RECRUITINGDiagnostic performance of EZH2
sensitivity and specificity of EZH2 for diagnosis of malignancy
Time frame: within 48 hours
Diagnostic performance of claudin4
sensitivity and specificity of claudin-4 for diagnosis of malignancy
Time frame: within 48 hours
Diagnostic performance of MOC-31
sensitivity and specificity of MOC-31 for diagnosis of malignancy
Time frame: within 48 hours
Prevalence of malignancy among cases presenting with effusion
percentage of cases diagnosed with malignancy among all cases presenting with effusion
Time frame: one year
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