Estudio clínico citológico de pacientes con ascitis en un hospital nacional general del Perú

Juan Carrasco; Walter Guitton; José Ernesto Raez; Edith Paz; Roger Verona; Elizabeth Neira; Dina Carayhua; Fernando Arévalo; Carlos Ernesto Nava; Carlos Barrionuevo

doi:10.37711/rpcs.2022.4.1.365

Authors

Juan Carrasco Universidad Nacional Mayor de San Marcos, Lima, Perú https://orcid.org/0000-0003-2091-6078
Walter Guitton Universidad Nacional Mayor de San Marcos, Lima, Perú. https://orcid.org/0000-0003-2993-2840
José Ernesto Raez Universidad Nacional Mayor de San Marcos, Lima, Perú https://orcid.org/0000-0002-4854-9938
Edith Paz Universidad Nacional Mayor de San Marcos, Lima, Perú. https://orcid.org/0000-0003-2740-0867
Roger Verona Universidad Nacional Mayor de San Marcos, Lima, Perú. https://orcid.org/0000-0003-1676-9394
Elizabeth Neira Universidad Nacional Mayor de San Marcos, Lima, Perú. https://orcid.org/0000-0002-6777-5260
Dina Carayhua Universidad Nacional Mayor de San Marcos, Lima, Perú. https://orcid.org/0000-0002-5591-4200
Fernando Arévalo Universidad Nacional Mayor de San Marcos, Lima, Perú. https://orcid.org/0000-0002-4114-5949
Carlos Ernesto Nava Universidad Nacional Mayor de San Marcos, Lima, Perú. https://orcid.org/0000-0001-8728-8286
Carlos Barrionuevo Instituto Nacional de Enfermedades Neoplásicas, Lima, Perú https://orcid.org/0000-0003-2474-914X

DOI:

https://doi.org/10.37711/rpcs.2022.4.1.365

Keywords:

malignant ascites, cytological study

Abstract

Objective. To evaluate the sensitivity, specifcity and predictive values of the
clinical cytological study of patients with ascites in a national general hospital in Peru. Methods. Patients presenting with clinical manifestations of ascites, biochemical, cytological and histological studies were included. Results. Fifteen patients with ascites were studied. The mean age was 62 years, being 80% female and 20% male. The fnal diagnoses revealed various malignant neoplasms (93.3%) and peritoneal tuberculosis (6.7%). The most frequent clinical manifestation was mild to severe abdominal pain (80%). The cellular components were: red blood cells (73.3%), histiocytes (26.7%), lymphocytes (73.3%), polymorphonuclear cells (40%), mesothelial cells (86.7%) and clusters of epithelioid cells with varying degrees of atypia (80%). Two cases
showed atypical lymphoid cells. The sensitivity and positive predictive value
were 87% and 80%, respectively. Conclusions. According to a dichotomous test, the present study demonstrates the high sensitivity and high positive predictive value of the clinical cytologic study in patients with ascites

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