RE: Sentinel Lymph Nodes
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From: | "Tom T. McNemar" <TMcNemar@lmhealth.org> |
To: | RSRICHMOND@aol.com, histonet@pathology.swmed.edu |
Reply-To: | |
Content-Type: | text/plain |
"The Guidelines" that I speak of were given to me by our Nuclear Med people.
They apparently are not unique to our facility since I have received
responses from other institutions that quote the same precautions. As far
as the reasoning for sentinel node and mastectomy, I really can't say.....
only that we have done two node biopsies and have received one mastectomy
specimen.
Tom Mc Nemar
Pathology Supervisor
Licking Memorial Hospital
Newark, Ohio
> -----Original Message-----
> From: RSRICHMOND@aol.com [SMTP:RSRICHMOND@aol.com]
> Sent: Friday, April 14, 2000 4:28 AM
> To: histonet@pathology.swmed.edu
> Subject: Sentinel Lymph Nodes
>
> Tom Mc Nemar at Licking Memorial Hospital in Newark, Ohio asks:
>
> << I'm not so much concerned about the nodes themselves as I am about the
> larger mastectomy specimens. The guidelines I have say that they should be
>
> tested for radiation prior to handling or placed behind a lead shield for
> 2.5
> days before handling. If this is true, what about handling in surgery or
> during transportation to the lab? Does anyone take any further precautions
>
> with the larger specimens? >>
>
> Pray tell, what are "the guidelines"? Is this some scripture I'm not aware
>
> of?
>
> And why do a sentinel node biopsy if you're going to do a mastectomy?
>
> I'm distressed by several comments that people didn't know that they were
> handling radioactive material. I've encountered this situation in my
> travels
> also. Although the amount of radioactive material involved may be
> negigible,
> I think it's perhaps "good management" but certainly unethical not to
> inform
> people that they're handling radioactive material. Could your pathologists
>
> possibly be that ignorant?
>
> Bob Richmond
> Samurai Pathologist, not glowing in the dark yet
> Knoxville TN
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