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Anal Pap, Cytology

Important Note

24 hours prior to collection, patient should abstain from having receptive anal intercourse, using enemas or douches, or inserting anything into the anus.

eD-H Order Code

LAB13

Specimen Collection Information

Specimen Container
Dacron Swab
 

Specimen Transport Temperature

Deliver to Lab Specimen Receiving (LSR), Borwell level 4.

Specimen Stability

Refrigerate

Additional Specimen Instructions

Collection with dacron swab is preferred; cytobrush is acceptable.
ThinPrep CytoLyt is preferred; PreservCyt is acceptable.

If HPV testing is requested, please add a separate HPV order.

Additional Testing Information

Specimen sample is best achieved with patient positioned on their side in the fetal position with knees toward chest.

Specimen Collection:
1. Label ThinPrep CytoLyt container with patient full name and date of birth or MRN (if available). Indicate specimen source.
2. Insert a water-moistened Dacron swab 5-8 cm (length of patient little finger) into the anus to ensure sampling of the anorectal transformation zone.
NOTE: Use of lubricating jelly will interfere with cytologic examination.
3. Slowly rotate the Dacron swab in a circular arc pattern while maintaining firm pressure against the rectal wall mucosa to ensure complete sampling of the rectum until the device is withdrawn.
4. When fully withdrawn from the anus, the swab should be placed in the ThinPrep CytoLyt vial as quickly as possible and rotated 10 times while pushing against the container wall, and then vigorously stirred for at least 15 seconds to further release material. Discard the swab.
5. Tighten the cap so that the torque line on the cap passes the torque line on the vial.
6. Complete the Cytopathology Non-Gynecological requisition/order by filling in all appropriate sections, indicating specimen site, and including pertinent clinical data (i.e., previous abnormal sampling, suspected lesion or therapy)
7. If HPV testing is requested, please put in a separate HPV order.

Container: ThinPrep CytoLyt container. Call Central Stores/Distribution 630-650-6101 (5-6101) for supplies and delivery.
NOTE: ThinPrep CytoLyt is the ideal collection preservative. If it is unavailable, ThinPrep PreservCyt may be used.

Label: Patient full name and date of birth or MRN (if available), as well as specimen type.

Requisition/Order: Cytopathology Non-Gynecological (form F-312) e-DH number LAB13

Required pertinent information including: patient demographics; clinical history; complete specimen identification (type, source and laterality); collection date; tests or studies requested; providers name, location and number is required. Indicate if there is a known, suspected lesion or previous malignancy or any chemotherapy/radiation or surgical therapy.

Day(s) Performed

Monday through Friday; 7:30 a.m. – 5 p.m.

CPT(s)

88112, corresponding professional fees will also apply

Performing Lab Section

Cytology

Turnaround Time

48 hours upon receipt of specimen in the department, excluding holidays and weekends.