Collection Manual: Breat Cyst Evacuation


Description: Breast cyst aspirates (evacuations) are submitted for the evaluation of cellular pathology. If a solid lesions remains after cyst evacuation it should be sampled per procedures described in Fine Needle Aspiration Collection,
section 2.11.

MATERIALS
Cytolyt™ Solution (120 ml pre-filled cup. CAUTION: POISON, FLAMMABLE). Requisition form, biohazard transport bag.

PROCEDURE
1. Complete a requisition form.
White copy to the lab. Lack of data may result in delay or specimen rejection.
Include:
• Clinician name, location and date of service.
• Patient demographics: Name, address, phone number, date of birth and social security number.
• Insurance information: copy of insurance card(s) or face sheet.
• Specimen description, including:
  a) Position: laterality, upper, outer, 6 o’clock, subareolar, deep, superficial, etc.
  b) Amount of aspirate (ml), duration and growth.
• Patient history: previous breast pathology, family history, mammography results and suspected diagnosis.
• Related treatments: including radiation, chemotherapy and surgery.

2. Label the jar with the patient’s first and last name.

3. Collect the entire cyst contents.
• Evacuate the entire cyst contents into the syringe.
• Express the entire sample into the CytoLyt jar.

4. Cap the sample jar, verifying that the lid is properly seated and tight.

5. Record the sample amount, color and consistency on the requisition form.

6. Aspirate any remaining solid mass when present.
• See Collection procedures section 2.11, FINE NEEDLE ASPIRATION COLLECTION.

7. Submit in a biohazard transport bag.
• Seal the jar in the zip-loc portion of the transport bag and put the requisition form in the outer sleeve.

8. Refrigeration is not required.
Specimens for microbiology or culture should be collected separately of cytology specimens and should NOT be submitted in cytology fixative. Refer to your clinical laboratory for collection procedures.