Purpose: Microscopic examination of CSF to evaluate cellular components and detect abnormal or malignant cells.
Clinical Indications:
Suspected CNS malignancy or leptomeningeal metastasis
Evaluation of unexplained neurological symptoms
Suspected lymphoma/leukemia involving the CNS
Detection of atypical or malignant cells in CSF
Monitoring known CNS malignancy
Test Includes:
Preparation of cytology smears from CSF
Cellular morphology assessment
Evaluation for atypical, suspicious, or malignant cells
Cytological interpretation and reporting
Sample Requirement: Fresh CSF collected in a sterile, appropriately labeled container; prompt transportation to the laboratory is recommended.
Result Interpretation: Results are reported based on the cytological findings, including presence/absence and description of abnormal or malignant cells.
Limitations: A negative cytology result does not completely exclude CNS malignancy, particularly when the cellular yield is low. Clinical correlation and repeat CSF examination may be advised when clinically indicated.