Cytology, Cyst Fluid


Sunquest Code:NGNCTCoPath Code:NGYN
Epic Code:LAB1001Epic Name:Cytology Non Gyn
Synonyms:Cyst Fluid Cytology
Methodology:Preparation, routine staining and microscopic evaluation
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.
  • If pancreatic cyst panel is ordered, the cyst fluid must first go to the UMMC Endocrine Lab. They will send to Cytology Lab when their testing is completed.


Collection Instructions

Specimen:Cyst fluid
Optimal Volume:10-200 mL; collect as much fluid as possible
Minimum\Peds Volume:5 mL
Container:Plastic leakproof container, sterile (See Collection Instructions)
Collection Instructions:Add an anticoagulant such as heparin (3 mL 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 glass vacuum tube or in chest drainage apparatus as any clots which may form cannot be removed without potential infection hazard.
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.
Stability:Fresh unfixed fluid: 24  hours at room temperature; 72 hours refrigerated; frozen is unacceptable.
Test Performed at or Referral Lab Cytology  (UMMC-East Bank, St. Joseph's)


Interpretive

Reference Range:Results reported as negative to positive for malignant cells.
Use:Establish diagnosis of cystic process, i.e., benign, malignant, or infectious.


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