Gynecologic Pap Test (Image-guided), Liquid-based Preparation and Chlamydia/Gonococcus, NAA
Use
Diagnose primary or metastatic neoplasma; detect Chlamydia trachomatis and Neisseria gonorrhoeae
Special Instructions
It is important to include detailed patient history on the cytology request form, including date of birth, identification number, previous malignancies, therapies, menstrual history, surgical history, hormone treatments, and any other relevant clinical information. Pap tests will be referred to a pathologist if there are reactive or reparative cellular changes, atypical squamous or glandular cells, or cells in premalignant or malignant categories, with associated service charges applied.
Limitations
The Pap test may be limited by inadequate sampling of cervical cells. Failure to obtain adequate ectocervical, endocervical, or vaginal cell population may result in suboptimal evaluation. Excessive use of lubricating jelly on the vaginal speculum can interfere with cytologic examination, leading to unsatisfactory results. Testing for Chlamydia and Gonococcus requires specific procedures, and cross-contamination may occur when using molecular testing transport devices. Specimens must be processed promptly within specific timeframes to ensure accurate results.
Methodology
Other
Biomarkers
LOINC Codes
- 47527-7
- 22636-5
- 22638-1
- 22639-9
- 19767-3
- 19769-9
Result Turnaround Time
2-5 days
Related Documents
For more information, please review the documents below
Specimen
Cervical Swab
Volume
ThinPrep® vial or ThinPrep® vial with optional additional Aptima® swab collection kit (for Chlamydia/Gonococcus)
Minimum Volume
Not provided
Container
ThinPrep® vial or ThinPrep® vial and Aptima® swab collection kit (for Chlamydia/Gonococcus)
Collection Instructions
For the ThinPrep® Vial using a broom or brush/spatula technique, collect cervical samples and rinse the device in PreservCyt® solution. With the Aptima® swab collection kit, use the blue-shafted swab for Chlamydia/Gonococcus collection and place it in the transport tube immediately.
Patient Preparation
Patients should avoid douches 48 to 72 hours prior to examination and specimens should not be collected during or shortly after the menstrual period.
Storage Instructions
Maintain specimens at room temperature. Pap processing should occur within 21 days, and Chlamydia/Gonococcus testing within seven days for liquid-based specimens, or within 60 days if using the Aptima® swab transport.
Causes for Rejection
Improper collection, inadequate specimen, improper labeling, specimen leakage, insufficient quantity, name discrepancies, submission from male patients, expired collection vials, frozen specimens, or incompatible collection devices may cause rejection.