Test ID PATH1002 Cytology, Body Fluid/Other
AKA
Serous Effusions (Pleural, Pericardial, Peritoneal/Ascites), Brushings (Biliary, Hepatobiliary, Esophageal), CSF, Pelvic/Gutter/Cul de Sac Washings, Anal pap, Nipple Smear
Specimen Type/Requirements
Fresh Body Fluid – Refrigerated if not immediately sent to the lab
Collection Instructions:
1. Gather a specimen tube or tightly sealed container.
2. Obtain sample and place into labeled container.
A. Fluids:
- Collect the specimen “fresh” in a capped syringe or labeled container – send immediately to the lab.
- Refrigerate the specimen if a delay in transport is expected and send to the lab ASAP in a cooler with ice blocks.
B. Brushings (not Anal Pap):
- Immediately cut off tip and place into a specimen tube with sterile saline.
- If additional brushings are collected from the same site, repeat using same specimen container.
- Use a new specimen tube for each additional site.
C. Direct Smears (Nipple):
- Label slides with 2 patient identifiers using a pencil on the frosted end of the slide.
- Immediately spray fix with Cytology fixative.
D. Anal Pap:
- Swirl collection device in ThinPrep vial to remove cells and then discard device. Do not snip off and send in vial.
3. Label specimen container in presence of the patient at the time of collection:
- Two unique patient identifiers (Name, MRN, or DOB)
- Specimen source and method of collection
- Collection date & time
4. Transportation:
- Specimens must be submitted in an appropriately labeled container with a secure lid to prevent leakage during transport and placed in a biohazard transport bag.
- All specimens must be submitted with the appropriate Cytology Order requisition – place in the outer fold of the biohazard bag.
Specimen Volume
Preferred Volume | 20 mL up to 100 mL |
---|---|
Minimum Volume | 10.0 mL |
Stability/Transport
Room Temperature |
7 days (with fixative) 1 day (without fixative) |
|
---|---|---|
Refrigerated |
7 days (with fixative) 3 days (without fixative) |
|
Frozen | Not Acceptable |
Performed Test Frequency
Monday through Friday 8:00am-3:00pm
Specimens received after 3:00pm will be processed the following day.
Report Available
Typically within 72 hours from receipt into the testing laboratory.
Methodology
ThinPrep, Cytospin, Cell Block (certain preparations), Direct Smears
Performing Lab
Sanford Laboratory Bismarck Cytology
CPT
88108 (Cytospin), 88112 (ThinPrep), 88305 (Cell Block), 88104 (Nipple Smear)