Cytology, ThinPrep Pap Test with Reflex to Human Papillomavirus (HPV), High Risk, E6/E7 mRNA by Transcription-Mediated Amplification (TMA)
2000138
Ordering Recommendation
A "preferred" routine cervical cancer screening test for women 21-29 years. An "acceptable" test for women 30-65 years for 3-year screening intervals. For 5-year screening intervals, cotest (cytology and HPV) is preferred [eg, Cytology Thin Prep and HPV High Risk (2000136)].
Submit With Order
Mnemonic
TR REQUEST
Methodology
Microscopy/Qualitative Transcription-mediated Amplification
Performed
Mon-Fri
Reported
1-14 days
New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
1. For premenopausal patients, obtain specimens during the second half of the menstrual period to avoid contamination by obscuring blood.
2. Instruct the patient not to douche or engage in sexual intercourse within 24 hours of the procedure.  
Collect
1. Label the vial(s) with the patient's first and last name, date of birth, and specimen source before beginning the procedure.
2. Obtain all specimens prior to bimanual examination.
3. Place the patient in the lithotomy position. Using an unlubricated vaginal speculum (saline may be used as a lubricant) visualize the cervix as fully as possible.
4. Follow the instructions for the specific collection kit and device used.

Supplies:
This test requires a ThinPrep Pap Test collection kit, which may be ordered separately through ARUP Client Services (800) 522-2787 or (801) 583-2787. Also required: ARUP Cytology test request form with the patient's information, medical history and a permanent marker.

Collection Procedure:
After visualization of the cervix is accomplished, collect the sample. Obtain an adequate sampling from the cervix using a broom-type (e.g., Wallach) collection device or endocervical brush/plastic spatula combination.

BROOM (Kit #12587):
Insert the central bristles of the broom into the endocervical canal deep enough to allow the shorter bristles to fully contact the ectocervix. Push gently, and rotate the broom in a clockwise direction five times. Rinse the broom-type collection device as quickly as possible into the PreservCyt Solution vial by pushing the broom into the bottom of the vial 10 times, forcing the bristles apart. As a final step, swirl the collection device vigorously to further release material. Discard the collection device.

BRUSH/SPATULA (Kit #40624):
Obtain an adequate sampling from the ectocervix using a plastic spatula. Rinse the spatula as quickly as possible into the PreservCyt Solution vial by swirling the spatula vigorously in the vial 10 times. Discard the spatula. Insert the brush into the cervix until only the bottom most fibers are exposed. Slowly rotate or turn one-half turn in one direction. DO NOT OVER-ROTATE. Rinse the brush as quickly as possible in the PreservCyt Solution by rotating the device in the solution while pushing against the vial wall. Swirl the brush vigorously to further release material. Discard the brush.

For all kits, tighten the cap so the torque line on the cap passes the torque line on the vial. Place the vial and test request form in a specimen bag for transport to the laboratory.  
Specimen Preparation
 
Storage/Transport Temperature
Room temperature.  
Unacceptable Conditions
Specimens not collected in a ThinPrep Pap Test collection kit or specimens submitted in an expired collection kit.  
Remarks
 
Stability
Ambient: 3 weeks; Refrigerated; 3 weeks; Frozen; Unacceptable  
Reference Interval
Interpretive Data
Note
If the ThinPrep Pap Test is interpreted as atypical squamous cells of undetermined significance (ASC-US), then Human Papillomavirus (HPV), High Risk, E6/E7 mRNA by Transcription-Mediated Amplification (TMA) will be added. Additional charges apply.

The ThinPrep 2000 System is for use in screening for the presence of atypical cells, cervical cancer, or precursor lesions (LSIL, HSIL) as well as other cytologic categories as defined by the Bethesda System for Reporting Cervical Cytology, and is intended as a replacement for the conventional method of Pap smears.

Store PreservCyt Solution without cytologic samples at 15°C to 30°C in the vials provided. Do not use solution beyond expiration date marked on the vial.
CPT Code(s)
88142 or 88143; if reviewed by pathologist add 88141. If reflexed add 87621.
Components
Component Test Code*Component Chart Name
2000554ThinPrep Pap Specimen Source
2000555Clinical History
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Cross References
  • Pap Test
  • Thin Prep Pap with reflex to HPV HR E6/E7
  • ThinPrep Reflex to HPV