800-551-0488

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Beaumont Laboratory

Miscellaneous Smear

Smear - any body site, Scraping - any body site, Touch prep - any body site, Tzanck smear - skin scraping used specifically for the identification of Herpes, Smear, Miscellaneous, CYTOLOGY, MEDICAL (NON-GYN/FNA), EPIC: LAB6797, SOFT:CYT

Instructions

The Cytology Laboratory can provide slide and spray fixative for specimen collection:

  • Farmington Hills: 248-471-8249.
  • Grosse Pointe: 313-473-1850 or extension 1850.
  • Royal Oak: 248-898-9035 or extension 89035.
  • Troy: 248-964-9050 or extension 49050.
  • Outreach: 800-551-0488.

Specimen Collection Criteria

Collect: Cellular material from a scraping on a clear glass slide with a frosted end. Label the frosted end with the patient's name prior to specimen collection, using a lead pencil.
  • Label the slide carrier with the patient's full name, date of birth, hospital number, source of specimen, and date of test.
  • Label the frosted end with two patient-specific identifiers (such as patient name and date of birth) prior to specimen collection, using a lead pencil.
  • Specimen may be procured with a spatula or scraper. An optimal scraping specimen includes the cells of the target legion. Any scraping such as a skin, oral, nasal or conjunctival scrapings can be smeared on a slide, spray fixed and cytologically evaluated.
  • Scrape the lesion vigorously and smear the spatula sample across the glass slide longitudinally and spray fix immediately. Make sure the spray fixative is held at least 3 inches from the specimen smear for adequate fixation. Air dry the spray fixed slide and place in a glass slide carrier. (Slide must be dry prior to placing it in a slide carrier.)
  • In house cytology specimens should be ordered in EPIC order entry. In the “additional orders” field input “CYTOLOGY, MEDICAL (NON-GYN/FNA)” and fill in all appropriate fields. IMPORTANT: ORDER AND SIGN EACH CYTOLOGY TEST INDIVIDUALLY. THE LABORATORY INFORMATION SYSTEM CANNOT FILE MULTIPLE TESTS ORDERED IN THE SAME SESSION AND SOME ORDERS MAY BE LOST. Label specimen container and requisition with SOFT ID labels.
  • All Cytology specimens must be accompanied by a requisition and must include the patient name, hospital and visit number, date of birth, date of specimen collection, pertinent patient history, physician name and source of specimen.

Physician Office/Drawsite Specimen Preparation

Maintain the slide at room temperature (20-26°C or 68-78.8°F) prior to transport to the Laboratory. Place slide in appropriate slide container for transport.

Preparation for Courier Transport

Transport: Slide container at room temperature (20-26°C or 68-78.8°F).

Rejection Criteria

  • Improper labeling of specimen container or requisition.
  • Specimen not accompanied by requisition.
  • Requisitions not accompanied by a specimen.
  • Improper collection of specimen (such as improper fixation).
  • Any specimen received without all of the required information will result in a delay of processing until all information can be verified.

Storage

Specimen Stability for Testing:

Room Temperature (20-26°C or 68-78.8°F): Indefinite
Refrigerated (2-8°C or 36-46°F): Acceptable, but not recommended
Frozen (-20°C/-4°F or below): Unacceptable

Specimen Storage in Department Prior to Disposal:

Room Temperature (20-26°C or 68-78.8°F): 5 years

Laboratory

Farmington Hills Cytology Laboratory.
Grosse Pointe Cytology Laboratory
Royal Oak Cytology Laboratory
Troy Cytology Laboratory

Performed

Monday - Friday, 8:00 a.m. - 4:30 p.m. (Royal Oak and Farmington Hills).
Monday - Friday, 7:00 a.m. - 4:30 p.m. (Grosse Pointe and Troy).
Results available within 24-36 hours of receipt in the Cytology Laboratory, if received Monday - Friday. The Cytology Laboratory is closed on weekends and holidays. Specimens received after 3:00 p.m. on Friday will be processed the following Monday and resulted on Tuesday.

Test Methodology

Smear preparation.

CPT Code

CPT: 88104.
LOINC: 33716-2. 

Test Codes

EPIC: LAB6797, SOFT:CYT

Last Updated

09/28/2017

Microtainer® and Vacutainer® are registered trademarks of Becton, Dickinson and Company.
UroVysion® is a registered trademark of Abbott Laboratories. ThinPrep® is a registered trademark of Hologic, Incorporated.

This directory currently reflects information only for specimens collected and/or processed at the Farmington Hills, Grosse Pointe, Royal Oak, and Troy campuses.