Alberta Precision Laboratories

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Organization:

Alberta Precision Laboratories

Message Alert:

PLEASE NOTE: This Test Directory is in an interim state and due to changes pertaining to the DynaLIFE transition, performing site for routing has not been updated. Please refer to Laboratory Information System for appropriate routing.

Test Name/Synonym:

Non-Gynecological Cytology; (Synonyms: Urine (Malignant Cells) Cytology, Non-Gyne Cytology, Non-Gynecological, Cytology)

Pathogen:

Malignancy

Clinical Indications:

This test is performed to diagnose malignancy in urine

LABID (Connect Care):

LAB13

Test Code:

CALGARY ZONE	NOT SPECIFIED
CENTRAL, EDMONTON, AND NORTH ZONES	NGY
SOUTH ZONE	CYU

Specimen Type:

Fresh Urine

Specimen Source:

Midstream urine, catheter urine, cystoscopy urine, bladder tap, ileoconduit

Primary Container:

Sterile container
Central Zone: Refer to DynaLIFE. Red Deer Regional Hospital – sterile container
North Zone: Refer to DynaLIFE
South Zone: Urine Cytology Collection Kit or 30 mL container containing 7.5 mL CytoLyt^®

Minimum Collection Volume:

Edmonton Zone: 10 mL fresh urine (no fixative)

Specimen Collection Requirements:

Calgary and Edmonton Zones:
Submit fresh urine. The patient should drink 3 eight ounce glasses of water approximately 1 hour prior to collection to obtain a well hydrated specimen.

Central Zone:
Red Deer Regional Hospital:

Submit a maximum of 40 mL of urine. Add an equal amount of Cytology (Cyto Rich Red) fixative.

South Zone: 30 mL fresh urine in CytoLyt^®

Containers must be securely tightened to avoid leakage.
Place collected specimen in a sealed biohazard bag.
Place requisition in outside pouch.

For sites referring specimens to DynaLIFE, see Urine cytology-voided or catherized/barbotage in the DynaLIFE Medical Labs Test Directory or contact DynaLIFE Specimen Control at 1-800-661-9876.

Test Resources:

Calgary Non-Gynecological Cytopathology Requisition

Urine for Cytopathology Patient Instructions

Central Non-Gynecological Cytology Requisition

Edmonton Nongynecologic Cytopathology Requisition

South Non-Gynecological Cytology Request

Stability and Storage:

Room temperature up to 1 hour
Refrigerate after 1 hour

Transportation:

Calgary Zone: If tests other than Cytopathology are required on the specimen as well, a requisition for each department must be completed and accompany the specimen.

If Microbiology testing is required, the specimen must be sent there first.

Edmonton Zone: Deliver to the Anatomical Pathology Laboratory (Specimen Receiving) Walter Mackenzie Centre 5B4.29 immediately.

South Zone: Have patient deliver specimen to laboratory same day of collection.

Method:

Liquid Based Cytology (LBC)

Routine Turn Around Time:

Within 3 working days

Testing Schedule:

Monday to Friday

Testing Area:

Cytopathology

Performing Site:

Calgary Zone	Diagnostic and Scientific Centre
Central Zone	Red Deer Regional Hospital DynaLIFE Medical Labs
Edmonton Zone	University of Alberta Hospital DynaLIFE Medical Labs
North Zone	DynaLIFE Medical Labs
South Zone	Chinook Regional Hospital

Additional Test Information:

Early morning voided specimens are not suitable for Cytology because the cells in these specimens are usually too degenerate for cytologic examination.

Catheterized bladder urine is not recommended for Cytology. Catheters (and instruments) irritate and denude epithelial cells complicating cytologic interpretation. Please indicate whether the specimen was obtained through catheterization or following instrumentation, or if the patient has an in dwelling catheter.

A waiting period of 1-2 weeks following the removal of a catheter is recommended before collecting a voided specimen. Indicate on the requisition the date of removal of the catheter.

Urine that has been sitting in the drainage bag for a long period of time is unsuitable for cytologic examination.

The chances of finding diagnostic cells increases with the volume of the submitted specimen.

Central Zone: Red Deer Regional Hospital - Cytology (Cyto Rich Red) fixative may be obtained by calling the Lab Storeroom at 1-403-343-4924.

South Zone: Urine Cytology Collection Kit contains 90 mL plastic container, premoistened towelette, 30 mL container with 7.5 mL CytoLyt^® and a patient instruction sheet.

Last Updated On:

Monday, September 11, 2023

Registered Trademark Comments:

CytoLyt^® is a registered trademark of Hologic