Test Code Pathology Needle Aspiration Request, Breast Cytology, Breast
Performing Laboratory
Memorial Hospital Laboratory-Cytology Laboratory | 304-388-5562 |
Specimen Requirements
Aspirate
- Rinse syringe and lumen of needle with 50% isopropyl alcohol several times to dislodge any tissue particles or material that is lodged in syringe.
- Place specimen in a screw-capped, plastic container.
- Label container with patient’s first and last name and second identifer, date of collection, physician’s name, and hospital identification number (if applicable).
- 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.
- 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
- 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.
- After physician has collected nipple discharge or secretions, he/she will deposit aspirated material on a glass slide
- Semi-solid aspirate should be spread by flat pressure with another slide.
- Aspirate consisting of a droplet of blood or other fluid should be evenly distributed along slide with another slide or wooden applicator.
- Prepare 6 to 8 slides with aspirate, if there is sufficient material.
- Permit 2 slides to air dry in order that they might be stained by the Wright-Giemsa method.
- Mark air-dried slides with A.D.
- The remaining slides should be immediately fixed by spraying with a cellular fixative.
- Place slides in a slide/cardboard holder.
- 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.
- 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