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Test Code Pathology Needle Aspiration Request, Breast Cytology, Breast

Important Note

To order in Cerner place a Pathology Needle Aspiration Request and answer prompts.

Performing Laboratory

Memorial Hospital Laboratory-Cytology Laboratory 304-388-5562

Specimen Requirements

Aspirate

  1. Rinse syringe and lumen of needle with 50% isopropyl alcohol several times to dislodge any tissue particles or material that is lodged in syringe.
  2. Place specimen in a screw-capped, plastic container.
  3. Label container with patient’s first and last name and second identifer, date of collection, physician’s name, and hospital identification number (if applicable).
  4. Please complete a Cytology Request Form including patient’s name, date of birth, date of collection, physician’s name, address, specimen source, and pertinent clinical history; and forward it with the specimen.
  5. Place specimen in a plastic specimen bag with Cytology Request Form inserted into pocket separate from specimen; and, if possible, deliver specimen to Cytology Laboratory.

 Slides

  1. Using a lead pencil at site of procedure, cytotechnologist/pathologist and/or person assisting should label frosted end of glass slide with patient’s first and last name and second identifier and specimen type.
  2. After physician has collected nipple discharge or secretions, he/she will deposit aspirated material on a glass slide
  3. Semi-solid aspirate should be spread by flat pressure with another slide.
  4. Aspirate consisting of a droplet of blood or other fluid should be evenly distributed along slide with another slide or wooden applicator.
  5. Prepare 6 to 8 slides with aspirate, if there is sufficient material.
  6.  Permit 2 slides to air dry in order that they might be stained by the Wright-Giemsa method. 
  7.  Mark air-dried slides with A.D.
  8. The remaining slides should be immediately fixed by spraying with a cellular fixative.
  9. Place slides in a slide/cardboard holder.
  10. Please complete a Cytology Request Form including patient’s first and last name and second identifier, date of birth, date of collection, physician’s name, address, specimen source, and pertinent clinical history; and forward it with the specimen.
  11. Place specimen in a plastic specimen bag with Cytology Request Form inserted into pocket separate from specimen; and, if possible, deliver specimen to Cytology Laboratory.

Specimen Rejection

The following specimens will be returned to submitting physician:

  • No requisition form
  • Name on requisition does not match name on specimen
  • Broken slides that cannot be reconstructed
  • Unlabeled specimen
  • No doctor’s name given

Storage and Stability

14 days

Reference Values

Critical Value: All suspicious and positives

 

The cells observed in the specimen received may not represent the true nature of the lesion or clinical conditions because of sampling fallibility. A negative cytologic diagnosis does not rule out the possibility of an existing malignancy.

Days Test Set Up and Turnaround

Monday through Friday. 8:00-5:00pm

Specimens received after hours, weekends or holidays will be processed the next business day.

Results avaliable in 4 business days

CPT Coding

88173-breast apiration

88104-breast secretion

88305-cell block