We treat "hot" sentinal nodes in the same fashion that Carla mentioned.  We
have a detecter which allows us to check the level of activity before the
pathologist or PA do the gross.
Dionne Roberge
UCONN Health Center 
Farmington, CT 
-----Original Message-----
From: Carla Shoffeitt [mailto:histo92@hotmail.com]
Sent: Friday, August 04, 2000 10:45 AM
To: AGDT@GERGA.SUN.AC.ZA; HistoNet@Pathology.swmed.edu
Subject: Re: "Radioactive" lymphnodes


We do not do frozen sections on these types of lymph nodes (usually, these 
are sentinel nodes which contain radioactive material) primarily due to 
exposure concerns, but also because our pathologists don't feel comfortable 
determining the CA status of a sentinel node on frozen.  Our protocol is to 
quaranteen these nodes for at least 24 hours before processing.

Carla Shoffeitt
Columbus Regional Medical Center
Columbus, GA.


>From: A G DU TOIT <AGDT@GERGA.SUN.AC.ZA>
>To: HistoNet Server <HistoNet@Pathology.swmed.edu>
>Subject: "Radioactive" lymphnodes
>Date: Fri, 04 Aug 2000 12:11:28 +0200
>
>Dear Histonetters,
>
>Lately we received more and more lymphnodes for frozen sections
>from patients who had radiotherapy.  What I would like to know is if
>there is a special protocol for handling these nodes.  We don't
>seem to have anything "special" on that.
>
>Any help would be appreciated.
>
>Regards.
>
>Andre du Toit.
>Dept of Anatomical Pathology
>Tygerberg Hospital
>Cape Town
>South Africa.
>

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