AW: [Histonet] What are peoples feelings on pre labling slides?

From:"Gudrun Lang"

 In our lab we do prelabbeling for the next 10 blocks to cut. We have them
in a box and take one after the other. Labelling after cutting is the wrong
direction in my feeling/opinion. Handling a slide with the unprotected
section on it had to be very carefully.
Prelabelling is faster and doesn't cause more mistakes than
"after-labelling". The slide is dry and easier to label. With the
label-systems (barcodes) for eg. Immunhisto it is laborious to do a
The point is the resposibility an accuracy of the tech before or/and after

Gudrun Lang

-----Ursprüngliche Nachricht-----
[] Im Auftrag von Stephen
Peters M.D.
Gesendet: Freitag, 03. Februar 2006 14:02
Betreff: [Histonet] What are peoples feelings on pre labling slides?

I am curious to see if it is considered acceptable practice to pre-label
  slides before cutting the blocks and picking the tissues up on these
  slides. We came close to a dangerous misdiagnosis because a tech picked up
   a malignant section from a " part 2 breast biopsy" on a prelabled part 1
slide. Luckily it made no sense that only one of many slides contained tumor
  looked like it was coming from an advanced tumor. After playing match the
   it was obvious that the malignant part one slide matched a part 2 block.
It seems
  to me that this is a potentially dangerous habit despite the convenience
  assembly line labeling. Early in my career I stopped labeling my frozen
section slides
  up front and wait until after I pick up the section. When I am cutting
frozens I  make
   variable #s of slides depending on the situation. Working quickly under
   pressure of multiple cases it is not hard to pick up the wrong slide and
   this mistake. I am curious to hear peoples thoughts.

Stephen Peters M.D. 
Vice Chairman of Pathology
Hackensack University Medical Center
201 996 4836
Pathology Innovations, LLC
410 Old Mill Lane,
Wyckoff, NJ 07481
201 847 7600 

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