Cytology, Anal Pap Test


Sunquest Code:NGNCTCoPath Code:NGYN
Epic Code:LAB4600Epic Name:Cytology Non Gyn
Sunquest Code (non-Epic sites):COPATH  
Synonyms:Anal Pap; Anal Sampling
Methodology:Preparation, staining and microscopic evaluation
Test Includes:Preparation and microscopic evaluation, if special stains or immunoperoxidase stains are indicated they are ordered by the pathologist and performed by laboratory at additional charge. Molecular testing for HPV DNA is possible if reflex is requested by physician.
Turnaround Time:Performed Mon-Fri; 0800-1500; results are reported within 1-3 days. If HPV, special stains, or immunohistochemical procedures are needed, additional time may be necessary.
Special Instructions:Provide pertinent clinical history.


Collection Instructions

Specimen:Anal canal scrapings/brushing
Container:SurePath collection vial
Collection Instructions:The target of sampling includes the entire anal canal, the keratinized and nonkeratinized portions and the anal transformation zone. Samples should be collected using a Rover's Cervex Brush (preferred method). A moistened Dacron fiber swab could also be used. The swab should be inserted approximately 1.5 to 2 inches into the anal canal. Samples are often collected unvisualized, although use of an anoscope with collection device may assist in visualization. After thoroughly sampling the anal-rectal canal, the collection device should be thoroughly rinsed and swirled and placed immediately into a SurePath Pap preservative vial. The vial should be labeled with patient's full name and a second unique identifier (date of birth or medical record number).
Causes for Rejection:Lack of two patient identifiers, unapproved fixatives.


Processing and Shipping

Specimen Processing:Store at room temperature.
Shipping Instructions:Ship at room temperature.
Test Performed at or Referral Lab Cytology  (UMMC-East Bank, Fairview Ridges - FRH, Fairview Southdale - FSH, UMMC/UMMCH-West Bank)


Interpretive

Reference Range:Results reported using Bethesda Pap test nomenclature and as negative to positive for pre-malignant or malignant abnormalities.
Use:Diagnosis of pre-malignant neoplasms; malignant neoplasms, and HPV infection.


Click HERE to Report test errors or omissions.
*If no email program is associated with this computer, please contact:
systemlabguide@fairview.org for TestID: 4395"