Inpatient and Outpatient Orderable

Cytology, Fine needle aspiration

Synonyms

  • CYTOLOGY FNA
  • CYTOPATHOLOGY
  • FNA BIOPSY
  • FNA ONSITE ASSESSMENT EVALUATION
  • LAB534

Cerner Name

Fine Needle Aspiration Request

Clinical Info

FNA kit should be used. If FNA kit is not available, submit the entire specimen in ThinPrep CytoLyt solution (Blue Cap).
For thyroids: If requesting reflex to molecular tests, refer to the manufacturer instructions to see if specific proprietary collection media or additional requisitions are needed. If applicable, the molecular request and reflex conditions must be indicated in the order, and any additional requisitions or vials should accompany the cytology specimen. Specimen vials and slides should be labeled with patient demographics. Exact specimen source, laterality, size of the nodule(s) where applicable must be specified. Complete all Ask On Order Entry questions.

Specimen Sources

Abdomen/Peritoneum Abdominal Abscess Adrenal Gland, Left Adrenal Gland, Right Adrenal, Left Adrenal, Right Axilla, Left Axilla, Right Bone Brain Breast, Left Breast, Right Chest Diaphragm Show more...

Specimen Types

Aspirate Tissue

Specimen Volume

Container

- FNA Kit including: CytoLyt Solution vial/ 10% buffered formalin, 70% alcohol vial, Empty slide holder.
- Glass slides (Patient demographics written with Xylene-resistant marker)
- If FNA Kit is not available, submit the entire specimen in Cytolyt.
- Thyroid molecular: If needed, Thyroseq and Afirma requires proprietary collection medium. This, along with the separate requisiton, should be submitted with the FNA Kit.
- RPMI: If flow cytometry analysis is needed. This should be submitted separately to flow cytometry lab.

Collection Instructions

All specimens (slides and specimen containers) must be labelled with the patient’s demographics.
  The specimen container must be labeled with the patient's last and first name, date of birth and specimen source.
  The frosted end of the glass slide also must be labeled with patient’s full last name and first name, date of birth, and specimen source.
  If the slide is received unlabeled or misidentified, case will be held and the physician will be notified.  It is the physician's responsibility to correct errors in specimen identification.
Perform aspiration.
Place bevel of needle against center of glass slide and express a few drops of aspirated material.
  Place a second slide on top of the first, allow weight of slide to spread the drop, and then quickly pull slides apart.
  Immediately fix 1 slide in 70% or 95% ethyl alcohol.
  Allow second slide to dry then place in an empty slide holder.
Rinse needle in 10% Buffered formalin or Cytolyt jar.
  Complete requisition with information listed in Further Information section
Packaging
  Tightly seal containers and place them in a plastic biohazard bag and/or FNA Kit box. The requisition is placed in the outside pocket of the bag or FNA Kit box.
  One kit is used per site and per patient.
  Send the specimen to lab.

Transport Instructions

Ambient

Specimen Stability

Methodology

Thinprep, smears, cell block, Papanicolaou and Diff-Quik staining

Days Performed

Monday through Friday
48 hours analytical time from time of receipt in the lab. Additional time may
be needed if special/immunohistochemical stains/molecular studies are needed.
Reflex thyroid molecular testing are send-out tests, requiring 2 weeks from the reflex order date. 

Performing Laboratory

Northwell Core Lab at CFAM

CPT

PDM

FNAEXAM

Only Orderable at Locations:

Orderable Everywhere

Results

Result Interpretation

Further Information:

Requisition

If an EPIC order is not used, the Cytopathology requisition form must be completed with the following information:

Name and location of the referring clinician

Source of specimen, include side and/or lobe, if applicable

Specimen collection date.

Patient demographics: name, address, gender, and date of birth

Test(s) ordered

ICD-10 code (reason for test)

Significant patient history

For thyroids- if reflex for molecular is needed, indicate test type (Thyroseq, Afirma, Quest) and reflex conditions. A separate requisition for Thyroseq and Afirma must accompany the vials.

 

Forms
LAB534 build edit