학술논문

Diagnostic Yield of Cytologic Analysis of Pericardial Effusion in Dogs
Document Type
article
Source
Journal of Veterinary Internal Medicine. 28(1)
Subject
Infectious Diseases
Good Health and Well Being
Animals
Dog Diseases
Dogs
Erythrocyte Count
Erythrocyte Indices
Female
Hematocrit
Leukocyte Count
Male
Pericardial Effusion
ROC Curve
Retrospective Studies
Cardiac tamponade
Cytology
Hemangiosarcoma
Idiopathic
Mesothelioma
Veterinary Sciences
Language
Abstract
BackgroundPericardial effusion cytology is believed by many to be of limited value, yet few studies have evaluated its diagnostic utility.ObjectivesTo determine the diagnostic utility of cytologic analysis of pericardial effusion in dogs and to determine if consideration of additional data could improve the diagnostic yield.AnimalsTwo hundred and fifty-nine dogs with cytologic analysis of pericardial effusion performed between April 1990 and June 2012.MethodsElectronic medical records from a university teaching hospital were retrospectively reviewed; signalment, complete blood count, serum biochemistry, cytologic analysis of pericardial effusion, and echocardiographic data were recorded. Cytology was classified as diagnostic (infectious or neoplastic) or nondiagnostic (hemorrhagic or other) and groups were compared with multiple Student's t-tests.ResultsCytology was grouped as nondiagnostic (92.3%) or diagnostic (7.7%) and characterized as hemorrhagic (90%), neoplastic (4.6%), infectious (3.1%), or other (2.3%). Overall cytologic analysis of pericardial effusion diagnostic utility was 7.7% and increased to 20.3% if the effusion hematocrit (HCT)