Thin Prep Pap Image Guided reflex HR HPV, reflex 16,18/45 genotyping when HPV +

For Specimen Integrity during Extreme Weather see the “Lockbox Usage in Extreme Weather” document at the top of this page.

Gynecologic cytology is a screening test which is subject to both false positive and false negative results. For that reason, the test is most reliable when a satisfactory sample is obtained on a regular repetitive basis. Hence, these results must be interpreted in the context of historic and current clinical information.

Pap results requiring physician interpretation will be performed at an additional charge (CPT code(s): 88141). For Interpretations of Atypical Squamous Cells (ASC), a test for HPVHRR will be performed at an additional charge (CPT code(s): 87624).

P75283

20 mL Thin-Prep® Vial

Gynecologic cytology is a screening test which is subject to both false positive and false negative results. For that reason, the test is most reliable when a satisfactory sample is obtained on a regular repetitive basis. Hence, these results must be interpreted in the context of historic and current clinical information.
INSTRUCTIONS: Endocervical Brush/Spatula Protocol:
1. Obtain an adequate sampling from the ectocervix using a plastic spatula.
2. Rinse the spatula as quickly as possible into the PreservCyt Solution vial by swirling the spatula vigorously 10 times. Discard spatula.
3. Obtain an adequate sample from the endocervix using the brush device. Insert the brush into the cervix until only the bottom-most fibers are exposed. Slowly rotate 1/4 to 1/2 turn in one direction. DO NOT OVER-ROTATE.
4. Rinse the brush in the same vial as quickly as possible by rotating the device 10 times while pressing the brush against the sides of the vial. Swirl the brush vigorously to further release material.

Broom-Like Device Protocol.
1.Obtain an adequate sampling from the cervix using a broom- like device. Insert the central bristles of the broom into the endocervical canal deep enough to allow the shorter bristles to fully contact the ectocervix. Push gently and rotate the broom in a clockwise direction five times. 2. Rinse the broom as quickly as possible into the PreservCyt Solution vial by pushing the broom into the bottom of the vial 10 times, forcing the bristles apart, as a final step, swirl the broom vigorously to further release material.
Discard the collection device.
After Collection: Tighten the cap so that the torque line on the cap passes the torque line on the vial.
Record the patient's name and ID number on the vial. Record the patient name and medical history on the pathology requisition, including source of specimen, LMP, hysterectomy status, previous malignancy, radiation therapy, drug therapy, use of exogenous hormones, abnormal vaginal bleeding, abnormal Pap results, IUD, and all other pertinent clinical information.

Thin-Prep® Vial

Room Temperature

Room Temperature = 30 days
Refrigerated = 30 days
Frozen = not acceptable

Improperly labeled vial; specimen more than 30 days old (from collection date) in liquid-based preservative; specimen submitted in vial that expired according to manufacturer's label.

Monday - Friday

5 days

The pap test is a screening test subject to both false positive and false negative interpretations. Failure to obtain adequate ectocervical, endocervical or vaginal cell population is suboptimal for evaluation. Excessive use of lubricating jelly on the vaginal speculum will interfere with cytologic examination and may lead to unsatisfactory Pap results. Patient should avoid use of douches and personal lubricants 48 to 72 hours prior to examination. Specimen should not be collected during or shortly after menstrual period.

The pap smear is a screening test used to diagnose premalignant and malignant changes in the uterine cervix and vagina and to diagnose genital infections such as herpesvirus, Candida, Trichomonas vaginalis, etc.
Screening pap test - intended for routine pap screening.
Diagnostic pap test - intended for follow up pap after a previous abnormal result.