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- Abdominal Effusion Cytology
- Pelvic Washings
Establish the presence of primary or metastatic neoplasms; aid in the diagnosis of fungal and parasitic infestation of serous cavities
Allowing fluid to stand for a prolonged period before processing may cause deterioration and artifact. First tapping of fluids of long duration may be degenerated and require a second tap after reaccumulation.
The fluid will be centrifuged, supernatant poured off, and diagnostic cells aspirated from the remaining material. Filters, monolayers, and/or cytospins will be made along with a cell block, if applicable. Microscopic examination is performed.
50 mL or more
More than 5 mL
1200-cc Cardinal Health Guardian™ disposable hard canister or 120-mL BD Vacutainer® sterile urine collection cup with integrated sampling device available from the courier service
In order to suspend the cells in the fluid, move the patient into several different positions. Perform the paracentesis.
Label the container with patient's name, hospital number, room number, date, and type of specimen. Deliver immediately to the cytology laboratory. If more than a 24-hour delay is anticipated between collection and receipt in the laboratory, please add the following: 1 mL (1000 units) of heparin for each 300 mL of collected fluid. To the entire volume (up to 1 liter) add an equal volume of 50% ethyl alcohol or Saccomanno fixative. (Note: Specimens prepared with fixatives that contain 50% ethyl alcohol, eg, Saccomanno fixative, are not acceptable for microbiology testing.)
After hours, place in the laboratory refrigerator.
Causes for Rejection
Improper labeling; gross contamination due to spillage; improper fixation; specimen submitted in vial that expired according to manufacturer's label
Include patient's name, date of birth, sex, Social Security number, previous malignancy, drug therapy, radiation therapy, and all other pertinent clinical information, including history of alcohol abuse, on the request form.
|Order Code||Order Code Name||Order Loinc||Result Code||Result Code Name||UofM||Result LOINC|
|009050||Abdominal Fluid Cytology||191115||Specimen type:||22633-2|
|009050||Abdominal Fluid Cytology||191152||Source:||22633-2|
|009050||Abdominal Fluid Cytology||191160||Clinician provided ICD9:||52797-8|
|009050||Abdominal Fluid Cytology||191174||Clinician provided ICD10:||52797-8|
|009050||Abdominal Fluid Cytology||191118||DIAGNOSIS:||22637-3|
|009050||Abdominal Fluid Cytology||191165||Recommendation:||22638-1|
|009050||Abdominal Fluid Cytology||191140||Comment:||22638-1|
|009050||Abdominal Fluid Cytology||191157||Pathologist provided ICD9:||52797-8|
|009050||Abdominal Fluid Cytology||191175||Pathologist provided ICD10:||52797-8|
|009050||Abdominal Fluid Cytology||191117||Clinical history:||22636-5|
|009050||Abdominal Fluid Cytology||191126||Amended report:||N/A|
|009050||Abdominal Fluid Cytology||191127||Addendum:||22639-9|
|009050||Abdominal Fluid Cytology||191147||Diagnosis provided by:||N/A|
|009050||Abdominal Fluid Cytology||191119||Signed out by:||19139-5|
|009050||Abdominal Fluid Cytology||191120||Performed by:||N/A|
|009050||Abdominal Fluid Cytology||191116||Gross description:||22634-0|
|009050||Abdominal Fluid Cytology||191156||Microscopic description:||22635-7|
|009050||Abdominal Fluid Cytology||191141||Special procedure:||N/A|
|009050||Abdominal Fluid Cytology||191179||Previous history:||N/A|
|009050||Abdominal Fluid Cytology||191144||QA comment:||N/A|
|009050||Abdominal Fluid Cytology||019018||.||11546-9|
|009050||Abdominal Fluid Cytology||000000||NonGyn CPT Code Automation||N/A|
|009050||Abdominal Fluid Cytology||191167||Photomicrograph||N/A|