RE: Sentinel Nodes and Radiotracers

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From:"Johnson, Mickey" <>
To:"'Tom T. McNemar'" <>, "Janssen,Mark X" <>,
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Hi Tom,
I would be interested in knowing what 'large' means in this context.  


-----Original Message-----
From: Tom T. McNemar []
Sent: Monday, May 22, 2000 11:38 AM
To: Janssen,Mark X;
Subject: RE: Sentinel Nodes and Radiotracers

I guess I started that whole conversation.  Here's what I found out.....

The general consensus from the Histonet was that most people take no special
precautions although some left the large specimens set for 36-48 hours
before handling.

It is true that the Sentinel nodes are so low that they are of no real
concern, the larger specimens are a different matter.  I spoke with the
physician overseeing this whole process who said that we should definitely
be using lead shielding for these specimens.  For transporting as well as
storage.  the large specimens should be held 36 - 48 hours before handling.
It doesn't take much, he recommended at least 1/16 lead.  I tried to get our
Maintenance people to build a container but lacking guidelines, they really
did not want to.  I ended up buying a lead lined trash can to use for
transport and storage.

Tom Mc Nemar
Pathology Supervisor
Licking Memorial Hospital
Newark, Ohio

> -----Original Message-----
> From:	Janssen,Mark X []
> Sent:	Friday, May 19, 2000 4:25 PM
> To:
> Subject:	Sentinel Nodes and Radiotracers
> I wasn't paying atention earlier, when the histonet had a series of
> exchanges on how to handle raidoactive sentinel nodes and how  to deal
> with
> the resected injected resected primary lesions, breast and melanoma.  Our
> surgeons wern't using isotopes then, but they have begun (without telling
> us).
> What should I know.  Thanks.
> Mark Janssen, MD
> By the way, thanks to everyone who helped with my "Histology for Dummies"
> question three weeks ago.   We gave her the ASCP documents on tech
> certification bound with a faux "Histology for Dummies"  cover, bejeweled
> yellow cassette earings with gilded brass hangers, and a used US Surgical
> Aanastamosis Anvil pendant (cleaned and bejeweled) on a silver (colored)
> cord.  Also, a box of band aids and a 2 x 3.5 inch refrigerator magnet
> with
> images of friends and colleagues.  (And a bird bath from K-mart, for her
> home garden.)

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