Cytology, Anal Pap Test
| Abbrev Code: | NGNCT | ||
| Order Code: | LAB1001 | Order Name: | Cytology Non Gyn |
| Synonyms: | Anal Pap; Anal Brushing | ||
| Methodology: | Preparation, staining and microscopic evaluation | ||
| CPT Codes: | 88112 x1, 88112-26 x1 | ||
| 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 or polyester swab could also be used. The swab should be inserted approximately 1.5 to 2 inches into the anal canal. Rotate the swab 360 degrees and maintain lateral pressure on swab against the walls of the anus. Rotate at least 10 times while withdrawing the swab. After 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 | UM Cytology (UMMC East 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. |
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