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Test Code 00017 Cytology, Gastrointestinal Tract Brushing or Washing

Methodology

Includes direct smear slide preparation, 1 THIN PREP® preparation, cell block preparation (if adequate material), Papanicolaou staining, and microscopic cytologic examination.

Specimen Requirements

Submit only 1 of the following specimens:

 

BRUSHING

 

Container/Tube: CYTOLYT® Preservative Fluid vial and 2 slides

Specimen Volume: Entire specimen

 

Collection Instructions:

Note: Do not apply excessive pressure when smearing material onto slide. Gently roll brush.

1. Using a lead pencil, label frosted end of 2 slides with patient’s full legal and date of birth.

2. Collect gastrointestinal brush specimen.

3. Prepare 2 smears by gently rolling brush across glass slide.

4. Immediately fix slides into Coplin Jar filled with 100% ethanol fixative.

5. Clip brush into vial of CYTOLYT® Preservative Fluid.

6. Label vial (not lid) with patient’s legal name, date of birth, specimen source, and date and time of collection.

 

Note: Specimen source, patient’s name, age, and sex are required.

 

Forms: “Cytology Requisition” (Listed in Special Instructions)

 

WASHING

 

Container/Tube: CYTOLYT® Preservative Fluid vial

Specimen Volume: 5 mL of saline washings of lesion

 

Collection Instructions:

1. Collect saline washing of lesion.

2. Transfer washing to vial.

3. Label vial (not lid) with patient’s legal name, date of birth, specimen source, and date and time of collection.

 

Note: Specimen source, patient’s name, age, and sex are required.

 

Forms: “Cytology Requisition” (Listed in Special Instructions)

 

Specimen Retention Time

Two weeks from received date

Day(s) Test Set Up

Monday through Friday

Maximum Laboratory Time

5-10 days from received date

Specimen Stability

Ambient

Reference Values

Negative for malignant cells

Performing Laboratory

Logan Health Medical Center Laboratory

Test Classification and CPT Coding

88104

Special Instructions

Note: Complete ALL information including specimen source and all pertinent clinical data (clinical symptoms, history of malignancy, chemotherapy, radiation therapy, and tentative diagnosis) and forward with specimen.