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The study of cells, their origin, structure, function, and pathology
is called cytology. Cells are continually shed (exfoliated) from
tissues that line the cavities and hollow organs of the body. These
exfoliated cells may float in the fluid and mucous material which
bathes or passes through these cavities. These cells can be examined
microscopically to determine their tissue of origin and whether
or not they are malignant. The term exfoliative cytology refers
to "microscopic examination of cells contained within body fluids".
The three body cavities, the pleura (enclosing the lungs), the
peritoneum (enclosing the intestinal tract), and the pericardium
(enclosing the heart), may be checked for fluid. The normal fluids
within the body cavities are limited to an insignificant lubricating
layer that cannot be aspirated. Therefore, fluid in any body cavity
which can be aspirated indicates a pathological process, commonly
malignant and metastatic. It is believed that the formation of malignant
ascites (fluid in the abdominal cavity), for example, is brought
about by colonies of cancer cells which damage the capillaries and
lymphatics resulting in leakage of cancer cells and plasma directly
into the abdominal cavity.
The table below lists the sources of some of the specimens that
are examined histologically and some that are examined cytologically.
As a further guide, histology is the study of tissues, while
cytology is the study of cells.
| Histologic Examination |
Cytologic Examination |
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Biospy material
Frozen section
Bone marrow biopsy/aspiration (tissue)
Operative specimen
Autopsy specimen
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Sputum
Breast Secretion
Gastric fluid
Peritoneal fluid
Pleural fluid
Bone marrow aspiration (cells)
Bronchial brushing
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Bronchial washing
Prostate secretion
Spinal fluid
Urinary sediment
Cervical & vaginal smears
Tracheal washing
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