BACKGROUND Abnormalities of nucleolar morphology are constant features of cancer cells. The importance of the nucleolus for the diagnosis of malignancy has been reconsidered after the observation that structural and morphological reorganisation is a consequence of the redistribution of the fibrillar components within the nucleolus. The nucleolar fibrillar components (fibrillar centre and associated dense fibrillar component) are the sites where ribosomal genes are located during interphase. They therefore represent the interphase counterpart of metaphase Nucleolar Organizer Regions (NOR's). The use of this parameter relative to interphase, NOR distribution has become of great importance after the finding that interphasic NOR's can be clearly visualised at the light microscopic level using a silver reaction, which stains the acidic proteins of the NOR's (AgNOR Proteins) on routinely prepared histo-and cytological samples. By means of this technique, silver-stained interphasic NOR's has been used for the diagnosis of malignancy of numerous neoplastic lesions. Cancer cells in fact have a greater number of silver-stained NOR's than the corresponding benign cells. The diagnosis of malignancy in cytologic preparations of pleural and peritoneal effusions is not always easily performed. Interest therefore has focussed on identifying reliable methods of supplementing conventional cytological methods to differentiate malignant cells from benign cells. Recently, AgNOR's (Silver Staining of Nucleolar Organizer Regions) have come to limelight. NOR's are being increasingly used in diagnosing a variety of tumours. Aims and Objectives: The objectives of the present study were 1. To identify reliable methods of supplementing conventional cytological methods to differentiate malignant cells from benign cells in serous effusions. 2. To study various serous effusions by conventional cytological methods. 3. To differentiate benign and malignant serous effusions on the basis of conventional cytological methods. 4. To study AgNOR count in differentiating malignant cells from benign cells in serous effusions and 5. To find out the utility of AgNOR counts in malignant vs benign cell differentiation in fluids. MATERIALS AND METHODS This is a descriptive study. We studied 65 cases of serous effusions over a period of one year from December 2016-December 2017. Samples for this study were collected from various outpatients and inpatients admitted in Medicine and Surgical wards. Staining and counting procedure. 1. Fluids collected were subjected to- Pap staining. 'AgNOR' staining. 2. Cytopathological evaluation of smears was done using Papanicolaou staining and further differentiation using AgNOR count. 3. The number of AgNOR's present in each nucleus were counted. Two hundred nuclei were taken into account. The mean AgNOR count of the specimen was then calculated. The AgNOR's were visualised using oil immersion objective and to avoid biased results, counts were done by two different observers. RESULTS A total of 43 cases (66.15%) of benig...