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Laboratory: Cytology
Test Name:
FINE NEEDLE ASPIRATION (FNA) FOR CYTOLOGY (TUMOR CELLS)
Test Code: NCYT
Clinical Information:
Fine Needle Aspirations (FNAs) are performed on lumps and masses throughout the body.
                             
Requisition and specimen container MUST state anatomic origin of the FNA (ie. FNA Right Upper Lobe Lung Mass). 
 
Include all pertinent clinical information.
                             
Facilities WITHOUT Cytology Labs on-site collect as follows:
1.       Do Not Make slides.
2.       All lymph node aspirates and all aspirates of patients with suspected lympho-myeloproliferative disorder, collect as follows:
- Rinse all needle passes into 20mL of RPMI (if available)
- Sterile saline is an acceptable alternative.
- Must state on requisition and container that the specimen was collected in RPMI or Saline.
- Transport to Cytology Referral Lab IMMEDIATELY.
- Refrigerate specimen if there is any delay.
3.       All other FNAs, rinse the needle directly into the CytoLyt collection cup.
 
Arrange for transportation to your Cytology referral site through an established courier service.  For transportation instructions for specimens, refer to DSM Policy 170-10-08.
 
Facilities with ON-SITE Cytology Lab:
· Contact the lab in advance to arrange for a technologist to assist with collection. 
·  At this time identify if a “lympho-myeloproliferative disorder” is suspected.
Collection Devices:
Preferred Device:
1 - CytoLyt Collection Cup



CytoLyt Collection Cup
Manufacturer:

Catalogue #:
 - (Warning:  CytoLyt should never come in contact with the patient)
Alternate Device:
1 - Sterile Specimen Container (100 mL)



Sterile Specimen Container (100 mL)
Manufacturer:

Catalogue #:
 - (Use for lymph node aspirates and aspirates suspected of lympho-myeloproliferative disorder, see comments)
Specimen Required: Submit Specimen:  See instructions in Comments.
Referral:
Requisition:
Reference Values:
A descriptive report will be issued.
Availability:
Weekdays
0800 - 1630 HSC; 0800 - 1600 SBH; 0800-1615 WL
See Also:
More Information:
All specimens must be properly labeled with appropriate patient identification. All specimens must be accompanied by a fully completed Non-Gynecological Cytology requisition. Pertinent information including patient demographics, clinical history, physician’s name, and specimen type is required as per DSM Specimen Acceptance Policy 10-50-03. See also Cytology specific requirements within policy.