RE: Sentinel Nodes and Radiotracers

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From:"Tom T. McNemar" <TMcNemar@lmhealth.org>
To:"Johnson, Mickey" <JohnsoM@shmc.org>, "Tom T. McNemar" <TMcNemar@lmhealth.org>, "Janssen,Mark X" <Mark.X.Janssen@kp.org>, HistoNet@pathology.swmed.edu
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Large refers to mastectomy and/or an axillary dissection specimens.

Tom Mc Nemar
Pathology Supervisor
Licking Memorial Hospital
Newark, Ohio

> -----Original Message-----
> From:	Johnson, Mickey [SMTP:JohnsoM@shmc.org]
> Sent:	Thursday, May 25, 2000 12:48 PM
> To:	'Tom T. McNemar'; Janssen,Mark X; HistoNet@pathology.swmed.edu
> Subject:	RE: Sentinel Nodes and Radiotracers
> 
> Hi Tom,
> I would be interested in knowing what 'large' means in this context.  
> Thanks,
> 
> Mickie
> 
> -----Original Message-----
> From: Tom T. McNemar [mailto:TMcNemar@lmhealth.org]
> Sent: Monday, May 22, 2000 11:38 AM
> To: Janssen,Mark X; HistoNet@pathology.swmed.edu
> 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 [SMTP:Mark.X.Janssen@kp.org]
> > Sent:	Friday, May 19, 2000 4:25 PM
> > To:	HistoNet@pathology.swmed.edu
> > 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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