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Questionnaire
Pleural fluid smear of a 38-year old female patient presented with complaints of breathlessness, dull aching lower right sided back pain of one week duration. Patient had history of low grade carcinoma of right salivary gland, undergone right supra omohyoid dissection for the same followed by radiotherapy one year ago. The patient was on regular follow-up and the disease was controlled loco-regionally. Ultrasonography (USG) and Positron Emission Tomography (PET CT) scan showed metabolically active mediastinal nodes, skeletal metastatic lesions, bilateral lung nodules and pleural thickening with massive pleural effusion.
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Reactive mesothelial cells
Adenocarcinoma
Poorly differentiated carcinoma.
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