Human Papillomavirus (HPV) High Risk Screen by Transcription-Mediated Amplification (TMA), with Reflex to Genotypes 16 and 18/45, ThinPrep
Also known as: HPV REFLEX
Use
This test is FDA-approved for routine cervical cancer screening in combination with cervical cytology (pap smear) in individuals 30 years or older with a cervix. It serves as a follow-up test for abnormal cytology results in individuals 21 years or older with a cervix. The genotyping assesses the presence or absence of high-risk HPV genotypes 16, 18, and/or 45, but only as a follow-up to an Aptima HPV assay positive result. The test detects E6/E7 viral messenger RNA of 14 high-risk HPV types associated with cervical cancer and its precursor lesions. It should not be used for screening or management of atypical squamous cells of undetermined significance (ASCUS) in women under age 21.
Special Instructions
Not provided.
Limitations
This test does not discriminate between the 14 high-risk HPV types. Sensitivity may be affected by specimen collection methods, stage of infection, and the presence of interfering substances. A negative high-risk HPV result does not exclude the presence of other high-risk HPV types. This test should not be used as a stand-alone for screening or management of ASCUS in women under age 21.
Methodology
PCR-based (NAA)
Biomarkers
High-Risk HPV Types
Microorganism
LOINC Codes
- 31208-2
- 49896-4
Result Turnaround Time
1-5 days
Related Documents
For more information, please review the documents below
Specimen
Cervical Swab
Volume
Not provided
Minimum Volume
Not provided
Container
ThinPrep kit; PreservCyt Media
Collection Instructions
Collect cervical, anal, or vaginal specimen with brush or spatula from ThinPrep kit.
Patient Preparation
Patients should avoid high concentrations of antifungal cream or contraceptive jelly, and should not douche prior to collection.
Storage Instructions
Refrigerated; Ambient stability 1 month, refrigerated stability 105 days, frozen unacceptable.
Causes for Rejection
Bloody or dark brown specimens. Specimens in any media other than indicated above.
Stability Requirements
| Temperature | Period |
|---|---|
| Room Temperature | 1 month |
| Refrigerated | 105 days |
| Frozen | Unacceptable |
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