Specimen Requirements

Specimen Type: Nipple discharge

Container/Tube: Clean, glass slides in slide holder

Specimen Volume: Slides

Collection Instructions:

1. With a lead pencil, label frosted end of clean, glass slide with patient’s name (first, last, and middle initial) and source of specimen.
2. Smear collected nipple discharge across slides using another slide.
3. Flood slides immediately with Cytospray fixative.
4. Place slides in slide holder.
Additional Information:

1. Label slide holder with patient’s name (first, last, and middle initial), date of birth, date and time of collection, and source of specimen.

2. The following specimens will be returned to submitting physician:
A. Broken slides
B. No request form
C. Name on request form does not match name on specimen

Forms: Non-GYN Cytology Request Form including patient’s name (first, last, and middle initial), medical record number (if appropriate), date of birth and/or Social Security number, date and time of collection, medical history, source of specimen, and initials of person collecting specimen