Great reply, thanks B-5 substitutes
|From:||Gayle Callis <firstname.lastname@example.org>|
Thanks, I appreciated this reply.
>Date: Fri, 29 Sep 2000 19:56:54 -0400 (EDT)
>Subject: Re: Entering the mercury disposal fray and what you may encounter
>Gayle Callis notes:
><< True, B5 is excellent, but pathologists CAN learn to read tissues fixed
>with a mercury fixative substitute, since some complain about cells not
>looking good. >>
>It's not the pathologist that loses, it's the patient. If the tissue is
>inadequately prepared, then the diagnosis of lymphoma is compromised, and
>patient has to undergo another biopsy.
>Actually, the B-5 "substitute" we need is overnight fixation. The major
>reason we use B-5 is that it's fast, and permits same-day processing of
>tissue for lymphoma diagnosis. Fix overnight, and neutral buffered formalin
>usually does the job quite adequately. Since the full diagnosis of a
>takes several days and treatment is rarely urgent, I don't think that this
>one day delay compromises either patient care or Managed Care.
>About thioacetamide: it's now considered to be a bad enough carcinogen
>don't think we're allowed to use it as a mercury precipitant any longer.
>someone respond to my previous comment about sodium sulfide?
Veterinary Molecular Biology
Montana State University
Bozeman MT 59717-3610
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