1. Diagnostic Pitfalls of Discriminating Lymphoma-Associated Effusions
- Author
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Chen, Hung-Jen, Huang, Kuo-Yang, Tseng, Guan-Chin, Chen, Li-Hsiou, Bai, Li-Yuan, Liang, Shinn-Jye, Tu, Chih-Yen, and Light, Richard W
- Subjects
Biomedical and Clinical Sciences ,Oncology and Carcinogenesis ,Hematology ,Clinical Research ,Cancer ,Lymphoma ,Rare Diseases ,Algorithms ,Cell Count ,Diagnosis ,Differential ,Exudates and Transudates ,Female ,Humans ,L-Lactate Dehydrogenase ,Male ,Middle Aged ,Paracentesis ,Pleural Effusion ,Retrospective Studies ,Sensitivity and Specificity ,Taiwan - Abstract
High serum lactate dehydrogenase (LDH) level, immunologic defects, enlarged mediastinal lymph nodes, and frequent hydration and diuresis in lymphoma patients may affect the development of pleural effusion (PE). The study was to assess the clinical utility of "Light criteria" and the "recommended algorithm for investigating PEs" in patients with lymphoma.The characteristics of 126 PEs of lymphoma patients who underwent diagnostic thoracentesis between January 1, 2003, and April 30, 2012, were reviewed. Using Light criteria, 29 (23%) PEs were incorrectly classified. The sensitivity for exudates in Light criteria was 88% and the specificity was only 44%. In 32 transudates, PE LDH correlated with blood LDH concentration (P
- Published
- 2015