Bronchial & Gastrointestinal Brushings

  • Tech Only CPT
  • Tech Pro CPT 88112
  • PowerPath Code NGBR
  • Schedule Monday - Friday
  • Turn Around Time 1-2 Days
  • Disease State Benign Conditions, GI Tract Cancer, Lung Cancer
  • Methodology Cytology

Specimen Requirements

1. Have ready: labeled slides, fixative bottle(s) open and close by, and applicator sticks.2. When brush is removed from the scope, a judgment must be made as to the amount and consistency of specimen.3. If specimen is adequate and mucoid, direct smears may be made byrolling the brush quickly, down the center of the slide. With the last stroke, quckly place slidedirectly into the fixative.4. The brush may be submitted in CytoLyt™. Do not put the brush in the alcohol with the slides.

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

Transport at Room Temperature

Cause for Rejection

If insufficient cellular material is present, the technologist/pathologist may decide the material is insufficient for proper evaluation.Severe air-drying artifact and/or mechanical distortion may render the smear(s) unsatisfactory for evaluation of cell morphology.Unsatisfactory smears include acellular smears, severe obscuring inflammation or blood, extensive air-drying artifact, or extensive mechanical distortion.Frozen specimens, specimens submitted in improper fixative or specimen containers without two (2) patient identifiers.

Retention

Liquid specimen: 1 weekPrepared Slides: 5 years

Comments

Specimen drying prior to fixation will render unsatisfactory results. ยท Slides broken but repairable, with less than 50% of the slide missing, will be repaired and processed as usual with an appropriate comment issued with the final report; slides with greater than 50% missing will be rejected.