RE: [Histonet] Needle biopsies

From:"Weems, Joyce"

Perhaps you can cut a specified amount such as 50 microns between levels and then xray the block if you do not find the calcifications in the first cut sections. Then you can be sure there are some before you cut through the block. Maybe your pathologists would be agreeable to that? Good luck!Joyce-----Original Message-----From:[]On Behalf OfGUTIERREZ, JUANSent: Thursday, December 30, 2004 6:22 AMTo: Jim Ball; histonet@lists.utsouthwestern.eduSubject: RE: [Histonet] Needle biopsiesMy personal opinion is: It is always easier to go back and get deeper levels on the block later, than to lose an irreplaceable biopsy by trimming too much into it.  Let the pathologists bitch all they want.Juan C. Gutierrez, HT(ASCP)Histology Laboratory Supervisor(210)704-2533My opinions are my own and do not reflect those of my employer.  Long live free speech!-----Original Message-----From: [] On Behalf Of Jim BallSent: Wednesday, December 29, 2004 3:56 PMTo: histonet@lists.utsouthwestern.eduSubject: [Histonet] Needle biopsiesI am a tech with 25+ years of experience and have been bitten by about every snake in the garden of eden (Histology), and I guess that is one of the main reasons I will error on the side of caution at every turn. I really try to be as conservative as possible with tissue when trimming into a needle biopsy, as soon as I have a full face on properly enbedded needles(usually not more than 20 microns or less I start taking slides). The sections are 3microns and may produce as many as 5 to 10 sections suitable for mounting. This acounts for max 30 more micrones into the block.  It is at this point I would like to preserve the remainder of the tissue until it is reviewed by a pathologist. I refer to my madness as scouting (a procedure if used by General Custer would have saved alot of lives), but as we all know  there are some patologist that will declare we did not trim enough if what they are looking for is 100 micrones into the block.   While I have been reseaching a procedure that will keep everyone happy I ran across an article that state there was a study done to determine if histologists were trimming away microcalcifications in needle biopsies, and according to the high lights of the article (one they wanted me to purchase to add insult to injury) it was determined that after x-raying the histology shavings from trimmed breast biopsies the culprit once again was the histologist.  Go figure.  At the present time I am on a public computer and some one needs to use it, but before I leave please foward any ideas you may have on this subject via this server or directly to my e-mail address listed with this posting_______________________________________________Histonet mailing listHistonet@lists.utsouthwestern.edu mailing listHistonet@lists.utsouthwestern.edu Notice ** The information contained in this message may be privileged and is confidential information intended for the use of the addressee listed above. If you are neither the intended recipient nor the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer.Thank you. Saint Josephs Health System, Inc.

<< Previous Message | Next Message >>