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Anal Sampling (Anal Pap)

Anal, Anal pap, Anal Brushing, ARC, Anal rectal cytology, Cytology, Non-Gyn, Male pap, CYTOLOGY, MEDICAL NON-GYN

Test Codes

EPIC: LAB6797

Department

Cytology

Instructions

For supplies or questions regarding specimen collection and transport, please contact the Cytology Laboratory.

• Dearborn: 313-436-2369
• Farmington Hills: 947-521-8247
• Grosse Pointe: 313-473-1801
• Royal Oak: 248-898-9035
• Taylor: 313-295-5365
• Trenton: 734-671-3868
• Troy: 248-964-9050
• Wayne: 734-467-4275
• Outreach: 800-511-0488

Specimen Collection Criteria

Collect: 

• Use cytobrush to collect specimen.
• Rinse brush as quickly as possible in ThinPrep^® Preservcyt solution by rotating device in solution 10 times while pushing against the vial wall. Swirl the device vigorously to further release material.  Discard the brush.
• If HPV testing is also requested submit two separate specimens in ThinPrep^® Preservcyt vials and indicate the HPV test request (LAB6364) on the cytology requisition. requisition  Deliver both vials to Cytology first where it will be triaged for all testing.
• Label the specimen container with an EPIC specimen label with the patient name, medical record number, source of specimen, test ordered, and date of test.
• In house cytology specimens should be ordered in EPIC order entry. In the “additional orders” field input “CYTOLOGY, MEDICAL NON-GYN” and fill in all appropriate fields. Label specimen container and requisition with EPIC specimen labels.
• All Cytology specimens must be accompanied by a requisition and must include the patient name, medical record and visit number/CSN, date of birth, date of specimen collection, pertinent patient history, ordering physician name and source of specimen. Place an EPIC specimen label on the requisition. 

Physician Office/Draw Specimen Preparation

Specimens in a ThinPrep® Preservcyt Solution tube/vial may be maintained at room temperature (20-26°C or 68-78.8°F) or refrigerated (2-8°C or 36-46°F) prior to transport. 

Preparation for Courier Transport

Transport:  ThinPrep^® Preservcyt Solution tube/vial 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). 
• Specimens contaminated with a foreign material.
• Frozen specimens.
• Specimens that leak outside of specimen container into transport bags.
• Any specimen received without all the required information will result in a delay of processing until all information can be verified.
  

Inpatient Specimen Preparation

Grosse Pointe

• Deliver the specimen directly to the AP Laboratory (first level) Monday – Friday, 8:30 am – 4:00 pm.  After hours the specimens are taken to the main lab (first floor) and placed in the fridge.
• Specimens are also picked up throughout the day from the surgical floors and Clinical Pathology, Monday – Friday, 8:30 am – 4:00 pm. GP surgical specimens are picked up from the main OR every 2 1/2 hours.  Endoscopy specimens are delivered to the AP lab throughout the day.
• When the AP Laboratory is closed, specimens must be delivered to the Clinical Pathology Specimen Processing area. Specimens are to be placed in the fridge closest to the door after hours.

Farmington Hills

• Deliver the specimen directly to the Cytology Laboratory (2nd floor, East) Monday – Friday, 7:00 am – 4:00 pm.
• Specimens are also picked up throughout the day from the surgical floors and Endoscopy, Monday – Friday, 8:00 am – 3:00 pm.
• When the Cytology Laboratory is closed, specimens must be delivered to Laboratory Central Processing.

Royal Oak

• Deliver specimen directly to the Cytology Laboratory (north tower, lower level, west wing) Monday – Friday, 6:30 am – 4:30 pm. 
• Specimens are also picked up from the surgical floors, Endoscopy and Clinical Pathology Monday – Friday, 8:00 am – 7:00 pm, Saturday, 7:00 am – 11:00 am. NT and Endoscopy ONLY. 
• When the laboratory is closed specimens may be delivered to the Surgical Pathology Laboratory (located on the lower level near the east tower elevators), Clinical Pathology Specimen Receiving (located in the Beaumont Laboratory Research Building), or STAT lab. 

Troy

• All specimens must be hand-delivered to the Specimen Reception Department; phone number: 28-964-8615.
  

Dearborn

• Deliver the specimen to the main lab drop off window and sign in. Open 24/7.
• Deliver directly to Cytology, Monday – Friday, 7:00 am – 5:00 pm. 
• Specimens are also picked up throughout the day from the surgical area and endoscopy. Monday – Friday, 6:00 am – 4:30 pm, Saturday 8:00 am – 12:00 pm.
• When the Cytology lab is closed specimens must be delivered to the main lab window and signed in.

Taylor

• Deliver to histology 8:00 am – 2:00 pm. 
• After hours:  Deliver the specimen to the main lab. Open 24/7.

Trenton

• Specimens are picked up from Emergency Dept., Interventional Radiology, and operating rooms from 8:00 am – 2:00 pm.
• After hours deliver specimens to the main lab. Open 24/7.

Wayne

• Specimens are picked up from Emergency Dept. and Interventional Radiology from 8:00 am – 2:00 pm.
• After hours deliver specimen to the main lab. Open 24/7. 

Storage

Specimen Stability for Testing:

Specimens in ThinPrep^® PreservCyt Solution tube/Vial: 
Room Temperature (20-26°C or 68-78.8°F): 14 days
Refrigerated (2-8°C or 36-46°F): 14 days
Frozen (-20°C/-4°F or below): Unacceptable

Specimen Storage in Department Prior to Disposal:

Specimens in ThinPrep^® PreservCyt Solution tube/Vial:
Room temperature (20-26°C or 68-78.8°F): 14 days from receipt in lab, 7 days at Dearborn. 

Laboratory

Dearborn Cytology Laboratory

Taylor, Trenton and Wayne specimens are sent to Dearborn Cytology Laboratory for preparation, screening and issuing final results. 

Royal Oak Cytology Laboratory

Grosse Pointe and Farmington Hills specimens are sent to Royal Oak Cytology Laboratory for preparation and screening. Final results are issued by originating hospital.

Troy Cytology laboratory (most are prepared and screened at Royal Oak Cytology).

Performed

Monday – Friday, 6:30 am – 4:30 pm (Royal Oak).
Monday – Friday, 7:00 am – 4:00 pm (Farmington Hills).
Monday – Friday, 7:30 am – 4:00 pm (Troy).
Monday – Friday, 8:30 am – 4:30 pm (Grosse Pointe).
Monday – Friday, 7:00 am – 5:00 pm (Dearborn).
Monday – Friday, 7:00 am – 3:00 pm (Taylor).
Monday – Friday, 7:00 am – 3:00 pm (Trenton).
Monday – Friday, 7:00 am – 3:00 pm (Wayne).

Most results are available within 24-48 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 pm on Friday will be processed the following Monday and resulted on Tuesday. Specimens received after 3:00 pm the day before a holiday will be processed the next working day and resulted out the following day. 

Test Methodology

ThinPrep^® Monolayer Preparation only, routine processing.

CPT Codes

CPT: 88112 
LOINC: 33716-2 

Contacts

Last Updated

9/27/2022