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Test ID AHPV Anal Pap Human Papillomavirus (HPV) with Genotyping, High-Risk Types, PCR, Varies


Necessary Information


Specimen source collection date, and patient identifiers are required.



Specimen Required


Submit one of the following specimens:

 

Preferred

Specimen Type: Anus or rectum

Supplies: ThinPrep Media with Spatula and Brush Kit (T434)

Collection Container/Tube: Brush

Submission Container/Tube: ThinPrep

Specimen Volume: A minimum of 20 mL or entire collection

Collection Instructions:

1. Visualize the anal opening by retracting the buttocks.

2. Insert brush past internal anal sphincter until it abuts the distal rectal wall (4-5cm).

3. Rotate the brush 360 degrees and maintain lateral pressure on brush against the walls of the anus. The brush should bow slightly due to the pressure.

4. While rotating, slowly withdraw the brush.

5. Rotate at least 10 times while withdrawing the brush. This should take 20 to 30 seconds.

6. Immediately place brush in the ThinPrep solution and swish at least 20 to 30 seconds.

7. Dispose of the brush.

8. Tighten the cap so that the torque line on the cap passes the torque line on the vial.

9. Bag ThinPrep specimens individually as they tend to leak during transport.

10. Place labels on the vial and on the biohazard bag.

 

Acceptable

Specimen Type: Anus or rectum

Supplies: PreservCyt Vial (T536)

Collection Container/Tube: Dacron/polyester swab

Submission Container/Tube: PreservCyt solution vial

Specimen Volume: A minimum of 20 mL or entire collection

Collection Instructions:

1. Visualize the anal opening by retracting the buttocks.

2. Insert Dacron or polyester swab past internal anal sphincter until it abuts the distal rectal wall (4-5cm).

3. Rotate the swab 360 degrees and maintain lateral pressure on swab against the walls of the anus. The swab should bow slightly due to the pressure.

4. While rotating, slowly withdraw the swab.

5. Rotate at least 10 times while withdrawing the swab. This should take 20 to 30 seconds.

6. Immediately place swab in the ThinPrep solution. Swish at least 20 to 30 seconds in the ThinPrep solution.

7. Dispose of the swab.

8. Tighten the cap so that the torque line on the cap passes the torque line on the vial.

9. Bag ThinPrep specimens individually as they tend to leak during transport.

10. Place labels on the vial and on the biohazard bag.


Secondary ID

607829

Useful For

Detection of high-risk (HR) genotypes associated with the development of anal cancer

 

Individual genotyping of human papillomavirus (HPV)-16 and HPV-18 if present

 

May aid in triaging men and women with positive HR HPV but negative anal Papanicolaou (Pap) smear test results

 

This test is not intended for use in medical-legal applications.

Specimen Type

Varies

Specimen Stability Information

Specimen Type Temperature Time
Varies Ambient 21 days

Reject Due To

Specimen containing CytoRich Red preservative fluid Reject
Perirectal or perianal Reject

Reference Values

Negative for human papillomavirus (HPV) genotypes 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68

Day(s) Performed

Monday through Saturday

Report Available

3 to 6 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

87626