Throat anatomy
Throat anatomy
Buccal  smear
Buccal smear

Buccal smear

Definition:
A test where cells are taken from the tongue and evaluated for the presence of Barr bodies (a mass seen in a normal female sex chromosome).

Alternative Names:
Sex chromatin test

How the test is performed:
Cells are collected by scraping the tongue with a spatula. The cells are then placed on a slide and the sample is taken to the laboratory for evaluation.
How to prepare for the test:
No preparation is necessary for this test.
How the test will feel:
You will feel a scraping sensation as cells are removed from the tongue.
Why the test is performed:
In the past, this test was used to indicate:
  • abnormal sexual development
  • ambiguous genitalia
  • amenorrhea
  • suspected chromosomal abnormalities
Today, a health care provider who suspects any of these abnormalities is most likely to perform a full chromosome analysis (called karyotyping).

The buccal smear is primarily used in the Olympics or other sporting event if the authorities believe a man is trying to compete as a woman.
Normal Values:
The normal value depends on the reason for the screen. If a male if suspected of imitating a woman, then a normal result would indicate the presence of Barr bodies, or that the person really is a female.
What abnormal results mean:
If no Barr bodies appear the test subject is a male.
What the risks are:
There are no risks associated with the buccal smear.

Review Date: 5/30/2001
Reviewed By: David G. Brooks, M.D., Ph.D., Division of Medical Genetics, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
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