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24996 Cytology, Anal-Rectal Brushing

Cytology, Anal-Rectal Brushing
Test Code: ARB
Synonyms/Keywords
Anal Pap for Cytology, Anal Brush for Cytology, Anal Smear for Cytology​
Useful For
​Identification of pre-malignant cytologic changes in the epithelium of the anal canal.
Specimen Requirements
Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
Brushing​ ThinPrep​
ThinPrep
Smear​
20.0 mL​
Collection Processing Instructions
PREFERRED: Obtain an adequate sampling from the anal-rectal canal using a cytobrush or Dacron swab. Lubricants should not be used prior to obtaining cytology sample, which may interfere with the processing and interpretation of the specimen. Insert the cytobrush or moistened Dacron swab into the anal canal until resistance is not met. Rotate the cytobrush or swab 360 degrees while gentle pressure is applied to the walls of the anal canal as the brush or swab is gradually withdrawn. Immediately rinse the cytobrush or swab in the ThinPrep PreServCyt Solution by rotating the collection device in the solution 10 times while pushing against the PreServCyt vial wall. Swirl the brush vigorously to further release material. Discard brush or swab. Tighten the cap so that the torque line on the cap passes the torque line on the vial. Record the patient name and medical history number on the vial and requisition form. Include any pertinent patient history and appropriate ICD Code on the test request form or enter information when the order is placed.
 
ALTERNATE: One slide fixed immediately after collection. Using a pencil, label a one-end frosted slide with patient name and date. The PAP-PAK Cytology collection kit may also be used. Immediately fix the smears with spray fixative or fixative gel from PAP-PAK collection kit. Include any pertinent patient history and appropriate ICD Code on the test request form or enter information when the order is placed.​
Specimen Stability Information
Specimen Type Temperature Time
ThinPrep​ Room Temperature​ 4 weeks​
Smear​ Room Temperature​ ​
Interference
A sample from the peri-anal skin is not sufficient for diagnosis and will result in an unsatisfactory or limited specimen. Consult Cytopathology with questions (800-222-5835, ext. 16155).​
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield​ Monday-Friday​ 1 day​ Light Microscopy​
Test Information
Specify specimen source and include pertinent patient history, clinical information and appropriate ICD Code on request form.
 
CPT code may vary by specimen type and condition submitted upon arrival.​
Reference Range Information
Performing Location Reference Range
Marshfield​ Interpretative Report (Bethesda System)​
Outreach CPTs
CPT Modifier
(if needed)
Quantity Description Comments

88104

Cytology Smear​
Synonyms/Keywords
Anal Pap for Cytology, Anal Brush for Cytology, Anal Smear for Cytology​
Ordering Applications
Ordering Application Description
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
Brushing​ ThinPrep​
ThinPrep
Smear​
20.0 mL​
Collection Processing
PREFERRED: Obtain an adequate sampling from the anal-rectal canal using a cytobrush or Dacron swab. Lubricants should not be used prior to obtaining cytology sample, which may interfere with the processing and interpretation of the specimen. Insert the cytobrush or moistened Dacron swab into the anal canal until resistance is not met. Rotate the cytobrush or swab 360 degrees while gentle pressure is applied to the walls of the anal canal as the brush or swab is gradually withdrawn. Immediately rinse the cytobrush or swab in the ThinPrep PreServCyt Solution by rotating the collection device in the solution 10 times while pushing against the PreServCyt vial wall. Swirl the brush vigorously to further release material. Discard brush or swab. Tighten the cap so that the torque line on the cap passes the torque line on the vial. Record the patient name and medical history number on the vial and requisition form. Include any pertinent patient history and appropriate ICD Code on the test request form or enter information when the order is placed.
 
ALTERNATE: One slide fixed immediately after collection. Using a pencil, label a one-end frosted slide with patient name and date. The PAP-PAK Cytology collection kit may also be used. Immediately fix the smears with spray fixative or fixative gel from PAP-PAK collection kit. Include any pertinent patient history and appropriate ICD Code on the test request form or enter information when the order is placed.​
Specimen Stability Information
Specimen Type Temperature Time
ThinPrep​ Room Temperature​ 4 weeks​
Smear​ Room Temperature​ ​
Interference
A sample from the peri-anal skin is not sufficient for diagnosis and will result in an unsatisfactory or limited specimen. Consult Cytopathology with questions (800-222-5835, ext. 16155).​
Useful For
​Identification of pre-malignant cytologic changes in the epithelium of the anal canal.
Reference Range Information
Performing Location Reference Range
Marshfield​ Interpretative Report (Bethesda System)​
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield​ Monday-Friday​ 1 day​ Light Microscopy​
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)
Quantity Description Comments

88104

Cytology Smear​
For most current information refer to the Marshfield Laboratory online reference manual.