Gynecologic Pap Test (Image-guided), Liquid-based Preparation With Maturation Index
Also known as: Pap Test With Maturation Index, Image-guided
Use
The Gynecologic Pap Test (Image-guided), Liquid-based Preparation with Maturation Index is an important screening test used to detect precancerous or cancerous conditions in the cervix. It can also evaluate maturation index, which is a measure of hormonal effects on the cervical epithelium. This test helps in the early detection and management of cervical cancer, allowing for timely intervention and treatment.
Special Instructions
The test requires including detailed patient information such as date of birth, Social Security number, previous malignancy, drug therapy, radiation therapy, last menstrual period, postmenopausal status, among other clinical details on the cytology test request form. Special care should be taken to not use excessive lubricating jelly, which can interfere with the examination. Samples with suspicious cellular changes will be referred to a pathologist for review, which may incur additional charges.
Limitations
The test's accuracy can be compromised if a vaginal cell population is not obtained or if there is excessive use of lubricating jelly on the speculum, which may result in unsatisfactory Pap results. Additionally, the specimen must be collected properly and processed within 21 days to be considered valid.
Methodology
Other
Biomarkers
LOINC Codes
- 47528-5
- 19764-0
- 19773-1
- 19763-2
- 52797-8
- 22636-5
- 22638-1
- 22639-9
- 19767-3
- 19769-9
- 8251-1
- 19765-7
- 47527-7
Result Turnaround Time
2-5 days
Related Documents
For more information, please review the documents below
Specimen
Other
Volume
Entire vial
Minimum Volume
1 mL
Container
ThinPrep® vial or SurePath™ vial
Collection Instructions
Use the cervix brush to obtain cells from the upper third of the lateral vaginal wall. Rotate the brush in the PreservCyt® solution 10 times while pushing against the wall of the vial. Swirl the brush vigorously to release additional material. Discard the brush. Properly seal the vial and record patient details.
Patient Preparation
Patient should avoid douches 48 to 72 hours prior to examination. Specimen should not be collected during or shortly after menstrual period.
Storage Instructions
Maintain specimen at room temperature. Specimens must be processed for testing within 21 days of collection.
Causes for Rejection
Improperly labeled vial; specimen more than 21 days old; specimen in expired vial; frozen specimen.