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: Bronchoalveolar Lavage , BAL, Bronchial Washing (Malignant Cells) Cytology, Bronchial Alveolar Lavage)

Pathogen:

Malignancy

Clinical Indications:

This test is performed to diagnose malignancy, infections, cell differential counts, other non-malignant pulmonary conditions such as pulmonary alveolar proteinosis in bronchoalveolar lavage and bronchial washings.

LABID (Connect Care):

LAB13

Test Code:

CALGARY ZONE	NOT SPECIFIED
CENTRAL, EDMONTON, AND NORTH ZONES	NGY (BALAV)
SOUTH ZONE	CYW, CYBL

Specimen Type:

Lavage or Washing

Specimen Source:

Bronchial, Bronchus

Primary Container:

Calgary Zone	Sterile container
Central Zone	Refer to DynaLIFE Red Deer Regional Hospital - Sterile container
Edmonton Zone	Sterile container
North Zone	Refer to DynaLIFE
South Zone	Sterile container

Specimen Collection Requirements:

Calgary Zone and South Zone:
Fresh lavage or washing (no fixative)

Central Zone:
Red Deer Regional Hospital - Submit 10-30 mL fresh washing.
No fixative

Edmonton Zone:
Submit 10-15 mL fresh lavage or washing (no fixative)

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 Bronchial wash or Bronchoalveolar lavage cytology in the DynaLIFE Medical Labs Test Directory or contact DynaLIFE Specimen Control at 1-800-661-9876.

Test Resources:

Calgary Non-Gynecological Cytopathology Requisition

Calgary Bronchoalveolar Lavage/ Bronchial Wash Requisition

Central Non-Gynecological Cytology Requisition

Edmonton Nongynecologic Cytopathology Requisition

South Non-Gynecological Cytology Request

Stability and Storage:

If a delay is anticipated, the specimen should be refrigerated

Transportation:

Calgary Zone: Immediately transport all BALs (with all other simultaneously collected respiratory specimens for Cytopathology) to DSC Microbiology regardless of testing ordered. If Microbiology testing is not requested, CytoLyt^® may be added to specimens obtained outside regular operation hours (Monday to Friday 0700 to 1700 hours). If Microbiology testing is also required, do not add CytoLyt^®.
The specimen must be sent to Microbiology first with a completed Microbiology Requisition.

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

Method:

Liquid Based Cytology (LBC), Cytospin, Cell block

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:

Washings for cytologic examination may be obtained at the time of bronchoscopy.
A post-bronchoscopy sputum series is recommended following any bronchoscopy where a brushing or washing was collected for cytologic examination.
Washings collected during bronchoscopies can be examined for Pneumocystis jiroveci (previously classified as carinii). Indicate on the test request form or history screen whether this test is required.

Last Updated On:

Friday, December 23, 2022

Registered Trademark Comments:

CytoLyt^® is a registered trademark of Hologic