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Jan 29, 2018

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100

UWHC,UWMF,

Clinical Hub,Tools & Resources,UWHC Lab Test Directory,Cytology

Cytology, Urinary Tract

Cytology, Urinary Tract (HCPATHM) Cytology Lab Test

Name: Cytology, Urinary Tract

Test Name: Cytology, Urinary Tract

Health Link Test Code: HCPATHM

LIS Test Code: PATHM

CPT Code(s): 88112

Days Performed: Mon-Fri, 0800-1700.

In-Lab Turnaround Time: 1 - 2 days.

Specimen: Urine (voided or catheterized), Urinary Tract Washings (all sites)

Collection Container: Sterile screw cap container

Also Acceptable: See collection instructions.

Collection Instructions:

Collect urine samples and urinary tract washings per standard protocols. NOTE: For Cytology specimens ONLY, add the fresh sample to a pre-filled CytoLyt Specimen Collection Cup. DO NOT pour off ANY of the CytoLyt fluid prior to adding the sample.

 

Ordering instructions for CytoLty Specimen Collection cups:
Order through Central Supply, item #4013061.

Collection Volume: 5 - 60 mL

Pediatric Collection Volume: 5 mL

Stability Ambient:

1 hour fresh; 8 days in CytoLyt

Stability Frozen:

Not acceptable

Sample Analyzed: Urine aliquot

Specimen Processing:

Within 1 hour of collection, add up to 60 mL of a well mixed specimen aliquot to a pre-filled CytoLyt Specimen Collection Cup. Tighten the lid securely. NOTE: DO NOT SEAL CONTAINER WITH PARAFILM WRAP. Call the UWHC Cytology Lab at (608) 263-3205 for further information.

Specimen Transport:

Place specimen inside a biohazard bag with the request form in the outside pocket of the bag. Transport specimen to laboratory.

Unacceptable Criteria:

12 and 24 hour urine collections are not acceptable.

Interpretation:

Report provides interpretation.  Contact the UWHC Cytology Lab at (608) 263-3205 for further information.

 

As of 5/31/16 all urinary tract specimens will be reported using the Paris system nomenclature.  The Paris system represents the first standardized classification system for the reporting of urinary tract cytology specimens.  The primary goals of the Paris system are to establish reproducible findings, improve communication between pathologists and clinicians, and enhance patient management.  The most significant change involves the diagnostic category of "Negative for Malignancy" which was revised to be "Negative for High-Grade Urothelial Carcinoma".  The change in nomenclature reflects cytology's inherently low level of sensitivity for detecting Low Grade Urothelial Carcinoma, but high sensitivity for detecting High-Grade Urothelial Carcinoma.

Reference:

Rosenthal D, Wojcik EM, Kurtycz DF. The Paris System for Reporting Urinary Cytology.  Switzerland:Springer International Publishing; 2016.

Test Limitations:

Abnormal findings must be correlated with history and other test results.

Additional Information:

Paperwork must include patient's name and medical record number, date of birth, specimen source, collection date, clinic and phone number, clinician's full name and pager number, and pertinent clinical history.