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Breast Discharge, Nipple Discharge, Cytology

Important Note

For breast cyst aspirations, see collection instructions in “Fine Needle Aspiration, Cytology” procedure.

eD-H Order Code

LAB13

Specimen Collection Information

Specimen Container
Glass Slides
Spray-fixed Slides in Cardboard Transport Folder

Specimen Transport Temperature

Deliver to Lab Specimen Receiving (LSR), Borwell level 4. Refrigerate if not delivered immediately.

Specimen Stability

Ambient

Additional Testing Information

NOTE: This applies to direct smears from the nipple discharge (for aspirated material, see Fine Needle Aspirations)

Specimen Collection:
1. Label slides with patient full name and date of birth on the frosted end of a clear glass slide with a No. 2 lead pencil. Also include source and laterality.
2. Gently express the nipple and subareolar area of any secretions which may be lying in the collecting ducts.
3. Allow a small drop of fluid to collect.
4. Immobilize the breast and smear the slide across the drop of fluid.
5. One of two options listed below:
Preferred Option: Spread secreted material onto the specimen surface of the glass slide. IMMEDIATELY place slide into 95% ethanol transport vial (do not allow to air dry).
Alternate Option: IMMEDIATELY spray fix the slide. Allow to dry, then place slide into cardboard slide folder.
NOTE: A delay in fixation may result in marked cellular distortion.
6. Complete Cytopathology Non-Gynecological requisition/order filling in all appropriate sections, indicating specimen site, laterality and including pertinent clinical data.
7. Send order/requisition with specimen to Lab Specimen Receiving (LSR), Borwell 4th floor.

Container: 95% alcohol slide transport container or cardboard mailer if spray fixative was used
NOTE: If sending in cardboard mailer, please indicate whether the slides have been spray fixed or air dried.

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

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)

88161, 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. If ancillary testing is required, it may require more time.