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:----------CPTCODES HERE----------
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 an anticoagulant such as heparin (1 unit of heparin per mL of fluid) to prevent clotting. (Clotted fluid cannot be examined satisfactorily since tumor cells may be held in the clot.) 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:Fixation of any type, specimens with clots; 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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