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Value of ascitic lipids in the differentiation between cirrhotic and malignant ascites

✍ Scribed by Dieter Jüngst; Alexander L. Gerbes; Robert Martin; Gustav Paumgartner

Publisher
John Wiley and Sons
Year
1986
Tongue
English
Weight
470 KB
Volume
6
Category
Article
ISSN
0270-9139

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✦ Synopsis

Ascitic fluid concentrations of cholesterol, triglycerides and phospholipids, were compared with ascitic fluid total protein in 40 patients with chronic liver disease, 51 patients with various neoplasms and 1 patient with cardiac failure. Seven patients with both chronic liver disease and malignancy were considered separately. The first 64 patients (23 cirrhotic and 31 with malignancy) were u88d to determine median values and ranges and to define the most suitable cutoff concentrations be- tween both groups. Median values for cholesterol (75 mg per dl), phospholipids 0.79 mmole per liter), triglycerides (75 mg per dl) and protein (3.8 gm per dl) were higher in malignant ascites compared to ascitic fluid concentrations of cholesterol (20 mg per dl), phospholipids (0.33 mmole per liter), triglycerides (51 mg per dl) and protein (1.9 gm per dl) in patients with cirrhosis.

The best discrimination values were 48 mg per dl for cholesterol, 0.6 mmole per liter for phospholipids, 65

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