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Pericardial fluid cytology should be used judiciously for cases where there is a strong clinical suspicion for malignancy. A thorough morphological assessment with adequate clinical information and correlation with other investigations can be used to arrive at a definitive diagnosis in most cases. Pericardial fluid tapping is mostly done through xiphisternum approach under full aseptic conditions and under the continous constant monitoring of ECG ( Lead II)
Cytopathology Requisition Form is mandatory.