BODY FLUID CYTOLOGY

Category

Anatomic pathology

SubCategory

cytopathology/ cytology

Abbreviations

N/A

Synonyms/Aliases

Pleural Fluid Cytology; Peritoneal/ Ascitic Fluid Cytology; Synovial/ Joint Fluid Cytology; Pericardial Fluid Cytology; Cerebrospinal Fluid Cytology.

Test

Individual Test

Results

results ready after 7 days

Method

Microscopy

Temp

Transported temprature be refrigerated.

Setup

All working Days

Pre-analytic Considerations

.

Component Parameters

N/A

Sample Requirements

Citrated whole blood/ plasma

Test Odering Instructions

fill out test request form fully & legibly. provide your contact information & complete history with relevant investigation details (lab, imaging). specify the exact anatomic site, laterality (where applicable e.g. left vs right) and the exact fluid type.

Patient Preparations

Booking for the procedure is required to ensure availability of a medical specialist (Pathologist or Radiologist).

Sample Types

body fluid (specific type must be specified)

Sample Volume

≥10ML

Container / Presavative

sterile, leak proof container.

Rejection Criteria

labeling issue (unlabeled/ mislabeled); missing request form; mismatch between request form & sample details; missing age/ gender; wrong sample type; insufficient sample; broken slides

Other Instructions

N/A

Reference intervals

Negative For Disease / Malignancy

Clinical utility

Diagnostic

Test Limitations /Confounders

N/A

FINE NEEDLE ASPIRATE CYTOLOGY (PROCEDURE & REPORTING)

Category

Anatomic pathology

SubCategory

cytopathology/ cytology

Abbreviations

FNA, FNAC

Synonyms/Aliases

N/A

Test

Individual Test

Results

results ready after 7 days

Method

staining & microscopy

Temp

Transported temprature be AT Room temperature

Setup

All working Days

Pre-analytic Considerations

.

Component Parameters

N/A

Sample Requirements

Citrated whole blood/ plasma

Test Odering Instructions

Fill out test request form fully & legibly. provide your contact information & complete history with relevant investigation details (lab, imaging). specify the exact sample type, anatomic site, laterality (where applicable e.g. left vs right).

Patient Preparations

Booking for the procedure is required to ensure availability of a medical specialist (Pathologist or Radiologist).

Sample Types

Variable E.g. Thyroid, Breast, Lymph Node Etc. Exact Anatomic Site Must Be Specified.

Sample Volume

N/A

Container / Presavative

Fixed smears which are labeled with patient details; glass slides should be intact (not broken). 2 slides should be air dried then methanol fixed; another 2 should be placed directly in ethanol fixative without air drying.

Rejection Criteria

labeling issue (unlabeled/ mislabeled); missing request form; mismatch between request form & sample details; missing age/ gender; wrong sample type; insufficient sample; hemolyzed samples; clotted samples; incorrect temperature handling.

Other Instructions

N/A

Reference intervals

Negative For Disease / Malignancy

Clinical utility

Diagnostic

Test Limitations /Confounders

Suspicious findings may require follow-up biopsies/ Histology

FINE NEEDLE ASPIRATE CYTOLOGY (REPORTING ONLY)

Category

Anatomic pathology

SubCategory

cytopathology/ cytology

Abbreviations

FNA, FNAC

Synonyms/Aliases

N/A

Test

Individual Test

Results

results ready after 7 days

Method

staining & microscopy

Temp

Transported temprature be AT Room temperature

Setup

All working Days

Pre-analytic Considerations

.

Component Parameters

N/A

Sample Requirements

Citrated whole blood/ plasma

Test Odering Instructions

Fill out test request form fully & legibly. provide your contact information & complete history with relevant investigation details (lab, imaging). specify the exact sample type, anatomic site, laterality (where applicable e.g. left vs right).

Patient Preparations

N/A

Sample Types

Variable e.G. Thyroid, breast, lymph node etc. Exact anatomic site must be specified.

Sample Volume

N/A

Container / Presavative

Fixed smears which are labeled with patient details; glass slides should be intact (not broken). 2 slides should be air dried then methanol fixed; another 2 should be placed directly in ethanol fixative without air drying.

Rejection Criteria

labeling issue (unlabeled/ mislabeled); missing request form; mismatch between request form & sample details; missing age/ gender; wrong sample type; insufficient sample; hemolyzed samples; clotted samples; incorrect temperature handling.

Other Instructions

N/A

Reference intervals

Negative For Disease / Malignancy

Clinical utility

Diagnostic

Test Limitations /Confounders

Suspicious findings may require follow-up biopsies/ Histology

PAP SMEAR CYTOLOGY (REPORTING ONLY)

Category

Anatomic pathology

SubCategory

cytopathology/ cytology

Abbreviations

PAP

Synonyms/Aliases

PAP TEST; PAPANICOLAOU TEST

Test

Individual Test

Results

results ready after 7 days

Method

staining & microscopy

Temp

Transported temprature be AT Room temperature (in slides holder)

Setup

All working Days

Pre-analytic Considerations

.

Component Parameters

EXCLUDES procedure

Sample Requirements

Citrated whole blood/ plasma

Test Odering Instructions

Fill out test request form fully & legibly. provide complete history including last menstrual period (lmp)/ if postmenopausal; contraceptive issue; specific indication (e.g. routine screening vs. follow up of previous abnormal results); appearance of the cervix at the time of sampling.

Patient Preparations

avoid collection during menses

Sample Types

smear of the cervix.

Sample Volume

N/A

Container / Presavative

immediately fixed smears which are labeled with patient details; glass slides should be intact (not broken). avoid air drying.

Rejection Criteria

labeling issue (unlabeled/ mislabeled); missing request form; mismatch between request form & sample details; missing age/ gender; wrong sample type; insufficient sample; hemolyzed samples; clotted samples; incorrect temperature handling.

Other Instructions

N/A

Reference intervals

negative for intraepithelial lesion or malignancy (NILM)

Clinical utility

Screening & Diagnosis Of Cancer Of The Cervix & Precursors.

Test Limitations /Confounders

False negative results may occur; positive findings may require closer follow-up or colposcopy & biopsy of the cervix.

PAP SMEAR CYTOLOGY (PROCEDURE & REPORTING)

Category

anatomic pathology

SubCategory

cytopathology/ cytology

Abbreviations

PAP

Synonyms/Aliases

PAP TEST; PAPANICOLAOU TEST

Test

Individual Test

Results

results ready after 7 days

Method

staining & microscopy

Temp

Transported temprature be AT Room temperature (in slide holder)

Setup

All working Days

Pre-analytic Considerations

.

Component Parameters

includes procedure

Sample Requirements

Citrated whole blood/ plasma

Test Odering Instructions

Fll out test request form fully & legibly. provide complete history including last menstrual period (lmp)/ if postmenopausal; contraceptive issue; specific indication (e.g. routine screening vs. follow up of previous abnormal results); appearance of the cervix at the time of sampling.

Patient Preparations

avoid collection during menses

Sample Types

smear of the cervix.

Sample Volume

N/A

Container / Presavative

immediately fixed smears which are labeled with patient details; glass slides should be intact (not broken). avoid air drying.

Rejection Criteria

labeling issue (unlabeled/ mislabeled); missing request form; mismatch between request form & sample details; missing age/ gender; wrong sample type; insufficient sample; hemolyzed samples; clotted samples; incorrect temperature handling.

Other Instructions

N/A

Reference intervals

negative for intraepithelial lesion or malignancy (NILM)

Clinical utility

Screening & Diagnosis Of Cancer Of The Cervix & Precursors.

Test Limitations /Confounders

false negative results may occur; positive findings may require closer follow-up or colposcopy & biopsy of the cervix.