The University of Iowa (UIHC)
Department of Pathology
LABORATORY SERVICES HANDBOOK


Chronic Lymphocytic, Prolymphocytic, or Hairy Cell Leukemia

Order Form: A-1a Immunopathology or IPR Req
  Immunopathology
5238 RCP
356-2688
Specimen
Various
Collection Medium:
Yellow top tube (ACD solution A)
Alternate
Collection Media:
Green top tube (Na Heparin), Lavender top tube (EDTA)
Minimum:
Adult
Peripheral Blood: 10 ml; Bone Marrow:  2-4 mL yellow top tube (ACD 
solution A)

Pediatric
Peripheral Blood:  2-5 mL; Bone Marrow:  2-5 mL lavender top tube 
(EDTA) or green top tube (Na Heparin).

Fluids and Tissue: Dispense sample into vial of RPMI-1640 tissue 
culture media.
Delivery Instructions:
Keep at room temperature.  Do not refrigerate.
Testing Schedule:
0800-1630 Monday through Friday.  For additional services, 
contact Clinical Pathology Resident on-call at pager #3404.
Analytic Time:
2 days
Reference Range:
Antibodies routinely included are: CD2, CD3, CD5, CD10, CD11c, CD14, 
CD19, CD20, CD22, CD23, CD25, CD38, CD45, CD103, CD138, FMC7, Heavy 
chains, Kappa and Lambda. Antibodies will also identify cases of 
Prolymphocytic and Hairy Cell Leukemia.

If clinical or morphologic features suggest a "T" or "NK" lymphocyte 
disorder, then the following additional antibody combinations are 
performed: CD3/CD4/CD8, CD7/CD5/HLA-DR, CD14/CD45, CD25/CD2/CD3, 
CD16/CD56/CD19, CD57/CD8/CD3, TCR alpha-beta/delta-gamma/CD3.

The pathologist will provide an interpretative report.
Comments:
Please state the clinical question to be answered on the requisition. 
Specimens accepted from Monday 0800 until Friday 1630.  Clinical 
Pathology resident should be contacted if studies are needed emergently 
at other times.
Methodology:
Flow Cytometry-Whole Blood Lysis
CPT Code:
88184, 88185(x20) technical; 88189 professional; T cell or NK cell 
disorder: 88184, 88185(x15) technical; 88188 professional
 
See Additional Information:
Specimens Requiring Immediate Delivery

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Updated: 04/10/2008

Note: The information contained in this handbook is for use by personnel of University of Iowa Health Care. No other use is implied or intended.