Body Fluid Effusion – Pericardial, Peritoneal, Pleural

  • Tech Only CPT
  • Tech Pro CPT 88108, 88112
  • PowerPath Code NGBF
  • Schedule Monday - Friday
  • Turn Around Time 2 Days
  • Disease State Benign Conditions, Malignant Conditions, Mesothelioma, Metastatic Cancers
  • Methodology Cytology

Specimen Requirements

Small Volumes (50mL or less)1. Label specimen container with the patient’s full first and last name, date of birth and source/site.2. Immediately fix the entire specimen with at least an equal volume of 50% ethanol or CytoLyt®3. Tighten the cap and mix the contents thoroughly.4. Indicate the type of preservative added on the requisition.Large Volumes (greater than 50 mL)1. Submit a minimum of 200 ml; however, 500 ml to 1000 ml is preferred.2. Label specimen container with the patient’s full first and last name, date of birth and source/site.

Diagnostic Utility

Cellular morphology of cytologic specimens is interpreted to diagnose inflammatory, neoplastic and non-neoplastic conditions. In addition, cytologic diagnoses is used to monitor recurrent and metastatic malignant conditions.

Clinical Signifigance

Cellular morphology of cytologic specimens is interpreted to diagnose inflammatory, neoplastic and non-neoplastic conditions. In addition, cytologic diagnoses is used to monitor recurrent and metastatic malignant conditions.

Storage and Transportation

For small specimens with preservative added, maintain the specimen at room temperature. Do not freeze the specimen. · For large specimens without preservative added, if possible, keep the specimen refrigerated until transported to the laboratory. Do not freeze the specimen.

Cause for Rejection

Frozen specimens, specimens received in improper fixative and specimen containers without two (2) patient identifiers.Upon review, the technologist/pathologist may determine the material is insufficient for proper evaluation.

Comments

Allowing unfixed fluid to stand for a prolonged period before submitting to the laboratory for processing may cause deterioration, bacterial growth and artifact. · Specimens in incorrect fixative (such as formalin) can only be processed as a cell block. · If microbiology is required, a separate sample should be submitted to the clinical laboratory.