RE: Loss of small biopsies ...

From:"Nocito, Joseph" <joseph_nocito@srhc.iwhs.org>

Dale,
we've been using the mesh cassettes for years with good results. We used to
use tea bags and wraps, but like you, we were loosing specimens.  As far as
the processing of the tissue, it is fine.  We receive specimens like G.I
biopsies, endocervical, cervical, heart, lung.  All these process well and
we have decreased our lost specimen incidents.  The only problem ( and it's
a small one) is sometimes the paraffin doesn't drain out completely and when
filling the cassette, you can get bubbles under the cassette.

Joe Nocito, B.S., HT(ASCP)QIHC
Histology Supervisor
Christus Santa Rosa Hospitals
San Antonio, Texas 
 

> -----Original Message-----
> From:	Dale Denise Hardy [SMTP:DHardy@health-first.org]
> Sent:	Thursday, December 21, 2000 3:06 PM
> To:	histonet@pathology.swmed.edu
> Subject:	Loss of small biopsies ...
> 
> We have recently experienced a dramatic increase (3 within 6 weeks) in the
> loss of small biopsy specimens and are using biopsy sponges exclusively.
> In previous institutions it seems we would have 1-2 occurrences per year
> at most, however lens paper, biopsy bags, and sponges were all used to
> secure specimens based on size and type.  I have decided to switch
> exclusively to nylon biopsy bags until I can evaluate other alternatives.
> Folding lens paper (Biowraps, Histowraps, etc.) might not work well in our
> grossing environment and "tea bags" are a little more difficult to open
> compared to their nylon counterpart, although more expensive.  I would be
> interested in any feedback in regard to this issue as well as comments on
> using the "mesh" cassettes.  I understand that the "mesh" cassettes are
> more expensive - I'm wondering about reagent flow and carry over in regard
> to processing; also the plastic smaller-holed biopsy cassettes as well.
> 
> 



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