Re: Breast Tissue X-Ray
Frank Tringale, Supervisor of Histology Services, Stanford University Medical
Center
writes:
>>In our lab we XRay all breast bx and mastectomy specimens received in the
gross room. The procedure that we have used for several years is to ink the
specimen when it is received and let it sit overnight in formalin. The Path
Assistant will slice the breast, the next day, after it is oriented, in thin
slices and place on x ray film. After the breast has been x ray'd the long
pieces of tissue are layed flat on a tray covered in formal alcohol until
the resident looks at the film and identifies calcifications. The resident
then cuts the sections from the strips of tissue and blocks it for
processing that night. I would like to know what others are doing for their
breast protocols.<<
Seems like a procedure designed to diffuse responsibility and assure
autolysis - I'm glad to see that a new generation of pathologists is being
taught the management skills we old timers lack. Why aren't the residents
properly preparing the tissue the first day, so that it fixes overnight after
dissection? This procedure contravenes the FDA requirements for HER2/neu that
we've been talking about on this list. Specimen radiography shouldn't be
routine, but should be reserved for cases where there is doubt about where
the calcifications are.
Bob Richmond
Samurai Pathologist
Knoxville TN
<< Previous Message | Next Message >>