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Cytology

What is the location of the laboratory?

The Cytology department is located on the 5th Floor of the Royal Derby Hospital. Please report to pathology reception when visiting the department.

 

What services are offered by the laboratory?

Cervical Cytology

The cytology department carries out cervical Liquid Based Cytology (LBC) screening for all of Derbyshire; Nottinghamshire; East and Southern Staffordshire regions. The laboratory has a computerised fail-safe mechanism to ensure follow-up of women with abnormal smears and facilitate 3 and 5 year recall. A direct referral scheme operates with the Colposcopy departments at the Hospitals within these areas for patients requiring investigation. MDT provision is provided by the lead cytologists.

Open Exeter: If access to the Open Exeter system is unavailable, please download and use this manual request form.

Cervical Cytology Request Form

Non-Gynae Cytology

This includes CSF specimens, a wide range of fine needle aspirations (FNA), endoscopic brushings and other exfoliative cytology specimens received from clinical directorates and General Practitioners.

 

What are the opening times of the laboratory?

The cytology laboratory is open Monday to Friday 8am to 5pm (except Bank Holidays).

 

What are the Turnaround Times (TAT) for Cytology?

 

Sample Type

Typical Sample Procedure to Result Distribution TAT

Cervical Cytology

98% within 14 days

Non-gynae Cytology

Usually within 10 working days       

 

CSF Cytology

Usually within 5 working days

 

What is the availability of clinical advice and interpretation and how do I obtain it?

All enquiries should be made on 01332 788233. This is an automated enquiry system and will direct you to the relevant individuals who can assist with clinical advice.

 

How do I correctly complete request forms/label samples and what information do I need to include?

What I need to include

What happens if I don’t?

A minimum of 4 patient identifiers

Rejected sample

 

You will need to attend the lab to identify samples

Sample will be returned to you

Clinician and location for report

Report Not Available

Without the correct originating source we cant allocate a destination for the report

Complete forms fully and accurately

Rejected Sample Or Compromised Diagnosis

Include as much patient information as possible
Failure to provide information may lead to unhelpful or inaccurate diagnosis

Complete forms legibly

Sample Incorrectly Registered

Illegible handwriting will not be interpreted
May result in errors or delays to results

Indicate the appropriate tests if applicable
Use the correct carriers or sample bags

Samples May Not Receive Correct Examination

Sample may not reach the correct destination
May result in errors or delays to results

 

Cervical Cytology

Please use either the national cytology form HMR 101, ICE request forms or printed HMR 101 form from the Open Exeter system. It is the responsibility of the sender to complete all sections of the form accurately and clearly.

Link to NHSCSP- website

Non-Gynae Cytology

Please use electronic requesting where possible or use Histology (white) request form. Each specimen sent to the laboratory must be accompanied by the relevant request form. It is vital that the form is completed legibly and as accurately and fully as possible. Failure to do so may lead to specimens being inappropriately dealt with or not being processed at all. Request forms and samples from patients that present a risk of infection from blood borne viruses should be clearly labelled with yellow ‘Risk of Infection’ stickers.

What are the sample requirements for cytology samples?

For sample requirements please refer to the Pathology test database link at the bottom of this document

 

Is there an out of hours service or shift system?

The laboratory does not offer any out of hour’s service.

 

Instructions for transportation of samples, including any special handling needs:

Cervical Cytology

Transportation is via the courier van system. Any internally generated samples should be taken to Pathology main reception on level 5.

Non-Gynae Cytology

All specimens must be sent to the laboratory immediately. If there is any delay e.g. at weekends, store the specimen in a fridge until it can be sent to the laboratory. Haematological CSF samples must be received in the cytology department prior to 4pm.

 

Information on those key factors which are known to affect the performance of the test or the interpretation of the results:

Cervical Cytology

Sample that are outside of the screening program i.e. under 25 year olds; early attendees will be rejected. The interpretation of result may be effected by the following, No brush; incorrect sampling device; insufficient fluid in sample container, leaking or damaged sample pots on receipt in the laboratory.

Non-Gynae Cytology

If samples over 48 hours old have not been refrigerated, this may affect the interpretation of results.

 

What are the time limits for requesting additional examinations?

Cervical Cytology

Colposcopic requests for HPV analysis should be made at the time of the smear.

Non-Gynae Cytology

Specimens are kept for two weeks post receipt after which they are disposed of.

 

Referral of Specimens to Other Laboratories

Occasionally non-gynae samples require tests not available within the Pathology department and will need to be sent to other specialist centres.

Sample/Test

Referral Centre

Frequency of referral

EGFR testing

Histopathology Dept

 Nottingham University Hospitals

City Campus

Hucknall Road

Nottingham

NG5 1PB

Always

Pancreatobiliary cytology samples

Histopathology Dept

Nottingham University Hospitals

City Campus

Hucknall Road

Nottingham

NG5 1PB

When Consultant availability at Derby is limited

 

 

Further Information

Link to test database

Link to NHSCSP- website

Important: If you choose to print this document, the copy is only valid on the day it is printed as the original may be updated as required to reflect changes in service provision

Last modified: 21/03/2016