Cytology | Cytology, Urinary Tract

UWHC Lab Test Details
Test NameCytology, Urinary Tract
Test Code(s)HCPATHM
CPT Code(s)88112
Days PerformedMon-Fri, 0800-1700.
In-Lab Turnaround Time1 - 2 days.
Collection Requirements
SpecimenUrine (voided or catheterized), Urinary Tract Washings (all sites)
Collection Container
Collection ContainerSee collection instructions.
Collection Instructions

Collect voided urine samples and urinary tract washings per standard protocols.

NOTE: For Cytology specimens ONLY, add the fresh sample to a prefilled CytoLyt collection cup. DO NOT pour off ANY of the CytoLyt fluid prior to adding the sample.

Prefilled Cytolyt collection containers are available through your local supply room (Central Supply #401306).

Collection Volume5 - 60 mL
Pediatric Collection Volume5 mL
Specimen Processing Requirements
Sample AnalyzedUrine aliquot
Specimen Processing

Within 1 hour of collection, add up to 60 mL of a well mixed specimen aliquot to a pre-filled CytoLyt Specimen Collection Cup. Tighten the lid securely. NOTE: DO NOT SEAL CONTAINER WITH PARAFILM WRAP. Call the UWHC Cytology Lab at (608) 263-3205 for further information.

Specimen Transport

Place specimen inside a biohazard bag with the request form in the outside pocket of the bag. Transport specimen to laboratory.

Unacceptable Criteria

12 and 24 hour urine collections are not acceptable.

Interpretation

Report provides interpretation.  Contact the UWHC Cytology Lab at (608) 263-3205 for further information.

 

All urinary tract specimens are reported using the Paris system nomenclature.  The Paris system is a standardized classification system for the reporting of urinary tract cytology specimens.  The Paris system is intended to establish reproducible findings, improve communication between pathologists and clinicians, and enhance patient management.  It is of note that under the Paris system urinary tract specimens that are "Negative for Malignancy" are reported as "Negative for High-Grade Urothelial Carcinoma".  The nomenclature reflects cytology's inherently low level of sensitivity for detecting Low Grade Urothelial Carcinoma, but high sensitivity for detecting High-Grade Urothelial Carcinoma.

Reference:

Rosenthal D, Wojcik EM, Kurtycz DF. The Paris System for Reporting Urinary Cytology.  Switzerland:Springer International Publishing; 2016.

Test Limitations

Abnormal findings must be correlated with history and other test results.

Additional Information

Paperwork must include patient's name and medical record number, date of birth, specimen source, collection date, clinic and phone number, clinician's full name and pager number, and pertinent clinical history.