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Child and family law. Ascitic fluid analysis or peritoneal fluid analysis is the major diagnostic test to study the pathophysiology of accumulation of fluid in the peritoneum including diagnosing the causes and inflammation of the fluids. Reactive mesothelial cells can be found when there is an infection or an inflammatory response present in a body cavity. There is chromatin clumping and changed the nuclearcytoplasmic ratio.
The ascitic fluid is aspirated from the peritoneal cavity. This condition can be due to the presence of a bacterial viral or fungal infection. It can also be the result of trauma or the presence of metastatic tumor.
In inflammatory conditions there is a greater number of reactive mesothelial and polys whereas in case of transudate there. The reactive mesothelial proliferations form smaller uniform less complex groups compared to malignant mesothelial proliferations. Carlos w m bedrossian discusses at length the great variability of mesothelial cells.
Further work up the tumor cells were also positive for wt1 calretinin figure 1c1 and andc2 c2 p53 and cytokeratin 56 and stained negatively for pax 8 berep4 desmin cea and ttf 1. Some time reactive mesothelial cells and malignant cell differentiation is difficult. Cytospin preparations from ascitic fluid showed reactive mesothelial cells admixed with few smooth contoured clusters of cells with moderate cytoplasm vesicular nuclei with prominent nucleolus.
Serosal reaction to injury p26 51 dr. Malignant cells have the variable morphology of the cells and nuclei.
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