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Pap Test - Gynecologic Cytology
MessagePerformed in the Cytology Laboratory x5839
Must submit with Cytology paper requisition #151594 available from Taylor Communications.
Test Code
PAP
Alias/See Also
Thinprep
CPT Codes
88175/88141
Includes
Includes Pap Test only. Ancillary testing from the ThinPrep Vial include HPV and Chlamydia/Gonorrhea testing.
High Risk HPV (14 genotype test) is ordered from the PAP vial via two methods:
1. ASC-US Reflex: HPV testing is only performed if the cells on the pap test are interpreted as "Atypical Squamous Cells of Undetermined Significance (ASC-US).
2. Screening HPV: Clinicians may order HPV testing as a screening test for patients >30 years or if there is any other clinical reason to do so. The test will be performed regardless of PAP interpretation.
NOTE: Further HPV testing specific to genotypes 16, 18/45 can be ordered and performed if initial HPV test is positive.
High Risk HPV (14 genotype test) is ordered from the PAP vial via two methods:
1. ASC-US Reflex: HPV testing is only performed if the cells on the pap test are interpreted as "Atypical Squamous Cells of Undetermined Significance (ASC-US).
2. Screening HPV: Clinicians may order HPV testing as a screening test for patients >30 years or if there is any other clinical reason to do so. The test will be performed regardless of PAP interpretation.
NOTE: Further HPV testing specific to genotypes 16, 18/45 can be ordered and performed if initial HPV test is positive.
Preferred Specimen
Ectocervical, endocervical or vaginal specimens.
Patient Preparation
If lubricant is needed, use a dime sized amount of "SURGILUBE" brand lubricant. Other lubricants can affect the specimen and cause unsatisfactory results.
Avoid collection during heavy menstruation. Clear as much blood/mucous from the cervix as possible prior to collection.
Instructions
See link below for instruction.
The Cytology Lab can coordinate vendor supplied training for clinicians wishing to improve colletion technique. Contact Cytology Laboratory at 617-636-5839.
Transport Container
ThinPrep GYN specimen collection vial provided by Cytology Laboratory. Collection devices (broom or brush/spatula) also provided.
Transport Temperature
Room temperature
Specimen Stability
Stable for pap and ancillary testing for 30 days from collection.
Methodology
Hologic ThinPrep Pap Test with Imaging
FDA Status
Approved
Setup Schedule
Daily, Monday through Friday (except hospital observed holidays).
Report Available
3-5 working days for "Negative" paps
5-7 working days for "Abnormal" paps
5-7 working days for "Abnormal" paps
Reference Range
Submitting clinician will be contacted by email for the following "critical results"
- High Grade Squamous Intraepitheliai Lesion in a patient without previous abnormal results
- Atypical Glandular Cells (AGC), favor neoplastic or AIS
- Positive for Malignancy
- Herpes or Trichomonas in pap smear of pregnant patients
Additional Information
ThinPrep Collection Instructions
