RE: [Histonet] Number of Blocks Submitted by PA

From:"Joe Nocito"

as a PA trainee, on a uterine case with tubes, ovaries and fibroids, I was
taught that it depended on the number of fibroids and how large. I have
submitted up to 24 blocks on a case because I was taught that some of these
fibroids might turn out to be leiomyosarcomas.
	As for any "rules", it's just what your pathologists want to see. Each case
is different and each pathologist is different. Trust me, I have 13
pathologists and each have their own way of doing things.

Joe Nocito, BS, HT(ASCP) QIHC
Histology Manager
Pathology Reference Lab
San Antonio, TX

-----Original Message-----
[]On Behalf Of Smith
Sent: Tuesday, May 24, 2005 7:56 AM
Subject: [Histonet] Number of Blocks Submitted by PA

Good Morning Histonetters,
I have a question for you this morning...Are there written standards or
"Rules of Thumb" regarding number of blocks that should be submitted on
certain tissues?  The reason I ask is, "it seems to me"  that sometimes the
PA submits an extreme number of blocks on some specimens that could be
accomplished with less.  I'm not advocating cutting corners or not
performing good medical practice, I just need to know.  An example would be
a uterus w/ fibroids, tubes and ovaries which we have gotten up to 24 blocks
on.  I'm not a PA, but it's interesting to me that when the Pathologist cut,
we get alot less blocks.
Please advise.

> Wanda G. Smith,  HTL/HT(ASCP)
> Pathology Supervisor
> Trident Medical Center Laboratory Services
> *9330 Medical Plaza Drive, Charleston, SC 29406
> *843-797-4586 *fax 843-797-4296
> *
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