Sezary Syndrome
| Order Form: | Flow Cytometry Requisition |
Specimen:
Various
Collection Medium:
 |
| Yellow top tube (ACD solution A) |
Alternate
Collection Media:
Green top tube 4 mL (Na Heparin), Lavender top tube 3 mL (EDTA)
Minimum:
Peripheral Blood: 10 mL
Bone Marrow: 2-4 mL yellow top tube (ACD solution A)
Fluids and Tissue: Dispense sample into vial of RPMI-1640 tissue
culture media.
Testing
Schedule:
0800-1630 Monday through Friday.
Turn Around
Time:
2 days
Reference Range:
Antibodies routinely included are: CD2, CD3, CD4, CD5, CD7, CD8,
CD19, CD25, and CD45.
The pathologist will provide an interpretative report.
Comments:
Please state the clinical question to be answered on the requisition.
Maintain the specimen at room temperature; do not refrigerate or
incubate.
Please print, complete and submit the Advance Beneficiary
Notice (ABN) along with the Flow Cytometry Requisition before
shipping the specimen.
Methodology:
Flow Cytometry-Whole Blood Lysis
Sample
Processing:
Relevant clinical information must be submitted with specimen in order to provide correct interpretation of test results.
Specimen should be collected and packaged as close to shipping time as possible.
Specimen should be collected and packaged as close to shipping time as possible.
Sample
Storage:
Ambient or Room Temperature.
Transport
Instructions:
Place specimen into zip-lock type bag, seal bag.
Place requisition into outside pocket of bag.
Ship at ambient temperature.
Recommend express mail or equivalent if not on courier service.
Place requisition into outside pocket of bag.
Ship at ambient temperature.
Recommend express mail or equivalent if not on courier service.
See Additional Information:
Flow Cytometry Consultation Overview
Flow Cytometry Consultation Overview