Cytology, Body Fluid


Sunquest Code:NGNCTCoPath Code:NGYN
Epic Code:LAB4600Epic Name:Cytology Non Gyn
Sunquest Code (non-Epic sites):COPATH  
Synonyms:Body Fluid, Cytology; Pericardial Fluid, Cytology; Peritoneal Fluid, Cytology; Pleural Fluid, Cytology; Synovial Fluid, Cytology; Ascites; Pelvic Washing
Methodology:Preparation, routine staining and microscopic evaluation; special stains if indicated
CPT Code:88112-26, 88112
Test Includes:Preparation, routine staining and microscopic evaluation; if special stains or immunohistochemical procedures are indicated, they are ordered by the pathologist and performed at additional charge.
Turnaround Time:Performed Mon-Fri, 0800-1500: results are reported within 1-3 days.
Special Instructions:Provide pertinent clinical history.


Collection Instructions

Specimen:Pleural fluid, peritoneal fluid, pericardial fluid, pelvic washing or synovial fluid
Optimal Volume:Prefer 100 mL or more.
Minimum\Peds Volume:5 mL (Submission of a small volume aliquot from a large volume fluid collection may result in insufficient cellular material needed to make an accurate diagnosis.)
Container:Plastic leakproof container, sterile (See Collection Instructions, Plastic Vacuum Container)
Collection Instructions:If aliquoting, shake original container to re-suspend cells prior to pouring into aliquot container. Add 1 unit of heparin per mL of fluid. Do not send fluids in chest drainage apparatus as any clots which may form cannot be removed without potential infection hazard. A plastic vacuum container such as the orthopedic patient vacuum is acceptable.
Causes for Rejection:Syringe with needle attached.


Processing and Shipping

Specimen Processing:Store in refrigerator.
Shipping Instructions:Ship at refrigerated 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 as negative to positive for malignant cells or other abnormalities.
Use:Establish the presence of primary or metastatic neoplasms; aid in the diagnosis of myeloproliferative and lymphoproliferative disorders. Examination of synovial fluid from a joint effusion may aid in the diagnosis of metabolic arthritis (gout or pseudogout), rheumatoid arthritis, or traumatic arthritis.


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