CYTOGENETICS
LABORATORY
SPECIFIC SAMPLE TYPE REQUIREMENTS
Peripheral Blood
For routine chromosome
analysis, rapid chromosome analysis, fluorescence in-situ hybridization
for
microdeletion syndromes and telomere studies, submit 5cc for adults or
children, submit
2-3cc for infants in a sterile
sodium heparin Vacutainer (72 U.S.P. for 5cc
tube).
Lithium heparin is
contraindicated.
RAPID CHROMOSOME ANALYSIS
This test is offered
as an adjunct to routine peripheral blood analysis and is set up from the same
specimen. Additional
charges apply and the test is not performed unless indicated on the
requisition.
MICRODELETION AND TELOMERE ANALYSIS
It is required that
routine chromosome analysis be performed in conjunction with fluorescence
studies unless routine studies
have already been analyzed. Submission of one blood specimen is
sufficient to run both routine
and FISH studies.
Bone Marrow
Submit 1-3cc bone marrow
aspirate in a sterile tube containing UAMS Cytogenetics Transport Media.
A sterile sodium heparin tube may
also be used. Lithium heparin is
contraindicated.
LEUKEMIC BLOOD
For
neoplastic studies submit 10cc of whole blood into a sodium heparin
Vacutainer
(143 U sodium heparin).
Leukemic blood must contain a minimum of 4% blast
cells to grow in an
unstimulated culture.
Lithium
heparin is contraindicated.
FINE NEEDLE
ASPIRATE
Fine needle aspirate samples
should be collected under sterile conditions and placed in UAMS
Cytogenetic Transport
Media.
PLEURAL EFFUSION
AND ASCITES FLUID
An optimum pleural effusion
specimen is 50-75cc; a minimum specimen of 20cc is acceptable.
The specimen should be delivered
in a sterile container to the Cytogenetics Laboratory within
one hour after the
thoracentesis. Next day delivery is
acceptable but less desirable.
CEREBROSPINAL
FLUID
This is not a routine
cytogenetics test; however, it may be done on
special request.
Submit a minimum of 10cc of
sterile CSF in a tube of UAMS Cytogenetics Transport Media and
transport immediately to the
Cytogenetics Laboratory.
SOLID TISSUES
Samples should be collected
under sterile conditions and individual samples should each be placed
in a sterile container of
transport medium. Each sample should be labeled as to tissue type.
Solid tissue specimens collected
after hours should be taken to the Clinical Laboratory at UAMS
and refrigerated until
delivery to Cytogenetics. Do not put on ice.
From products of conception,
fetuses, stillborns, or autopsy cases, to maximize the chances of
successful growth in tissue
culture, submit two or three of the following specimens: skin,
cartilage,
amnion,
chorion, peritoneum.
To collect a skin specimen:
clean area with alcohol or betadine. Using
sterile tools, obtain a piece
of skin at least 2 mm by 2 mm and
deep enough to assure getting dividing cells.
Place immediately in sterile
transport medium.
SOLID TUMORS
Samples should be collected
under sterile conditions; individual samples should each be placed into
UAMS
Cytogenetic Transport Media or in a sterile container with saline.
If multiple samples are
submitted each sample should be
labeled as to tissue type or location.
LYMPH NODES
Lymph nodes or soft tissue
(tumors of lymphatic origin) should be collected under sterile conditions
and placed into UAMS
Cytogenetic Transport Media.