CSF Cytology VUMC (CYC)
Department: Cytology
Test Synonym(s): CYC, Brain Cyst Fluid, CNS Body Fluid, Cerebral Spinal Fluid
CPT Codes: 88108
Methodology: Call Lab for assistance at 615-322-2721.
Tube Type: Clean specimen container and/or the Plastic LP tube (No glass containers will be accepted). The third or fourth tube collected is preferable for cytology.
Specimen: Fresh specimen - deliver to the lab immediately
Volume: Obtain as much as clinical judgement allows.
Temperature: Refrigeration is optimal. Call lab for assistance at 615-322-2721.
Reasons for Rejection: Mislabeled specimen, specimen received in a glass container, received in syringes with needles attached, specimen leaked out in transit, insufficient fluid for processing.
Days Performed: Monday - Friday; closed major Holidays
Times Performed: 8:00 a.m. to 4:30 p.m.
TAT: 48 hours (excluding weekends and holidays) for cases without cell block or special stains; cases with cell block or special stains may required a longer turn-around time.
Significance: Need patient history of prior or suspected malignancy; i.e., carcinoma, melanoma, lymphoma, etc.
Special Instructions: The lab must be informed if patient has any clinical concern for leukemia or lymphoma as these specimens are directed to another laboratory for different tests and results (HSF, Hematology and Hemepathology). For patients clinical concern of a reactive process or malignancy other than leukemia/lymphoma should be directed to Cytopathology. 1. Place Epic order for Cytology CSF (Answering "Suspected or confirmed diagnosis of leukemia or lymphoma" determines which Cytology testing is needed.) 2. Indicate specimen source when completing the collection task in Epic. 3. Specimen vial is to be labeled with label ready labels. 4. Please send Epic requisition when there is no clinical concern of leukemia or lymphoma, along with the specimen vial(s) to the lab. Please call the lab at 615-322-2721 for assistance.
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