Table 1:
Blood-derived constituents of effusions.
Cells | Diff-Quik stain | Papanicolaou stain |
---|---|---|
Red blood cells | Eosinophilic, anucleated, round, with central pallor | Eosinophilic |
Biconcave disks | ||
Anucleated | ||
Neutrophils | Nucleus: basophilic, multilobed with 2–5 lobes | Nucleus: basophilic, multilobed with 2–5 lobes |
Cytoplasm: faintly eosinophilic with fine granularity | Cytoplasm: faintly cyanophilic, granular | |
Eosinophils | Nucleus: basophilic, bilobed (may have up to four lobes) | Nucleus: basophilic, bilobed (may have up to four lobes) |
Cytoplasm: numerous, coarse, eosinophilic granules | Cytoplasm: light pink to light green with coarse granularity | |
Basophils | Nucleus: central, rounded to irregularly shaped | Nucleus: central, rounded to irregularly shaped Cytoplasm: coarsely granular, light pink to light green |
Cytoplasm: coarse, basophilic granules which may overlap the nucleus | ||
Histiocytes | Nucleus: reniform (kidney or bean shaped), central to eccentric | Nucleus: reniform (kidney or bean shaped), central to eccentric |
Cytoplasm: vacuolated, foamy, without distinct ectoendoplasmic staining pattern, and without peripheral cytoplasmic blebs. Hemosiderin appear as gray to blue granular material in Diff Quik stained preparations | Cytoplasm: foamy, may contain phagocytosed material such as hemosiderin pigment, which appear as yellow to brown granular material in Pap stained preparations. | |
Megakaryocytes | Morphology similar to that in bone marrow smears Nucleus: large, multilobed nuclei Multilobation may not be distinct in all cells Cytoplasm: variable amount |
Large, multilobed nuclei Cytoplasm: variable amount. Megakaryocytes with high N/C ratio may be misinterpreted as neoplastic or viral cytopathic effect, especially in PAP-stained preparations |