Skip to main content
. 2021 Dec 6;18:30. doi: 10.25259/CMAS_02_01_2021

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