RE: [Histonet] sentinel biopsies

From:"Barnhart, Tammy"

It was a team effort.  The CAP guidelines require the Radiation Safety
Officer to sign off on your policy.

-----Original Message-----
From: Horn, Hazel V []
Sent: Thursday, September 01, 2005 2:36 PM
To: Stephen Peters M.D.;
Subject: RE: [Histonet] sentinel biopsies

In getting ready for my CAP inspection, CAP states there must be a
policy for these types of specimens.   My question to all of you is, who
wrote your policy?   Did you write it or did your Radiation Safety
Officer write it? 

Hazel Horn, HT/HTL (ASCP)
Histology Supervisor
Arkansas Children's Hospital
800 Marshall      Mail Slot 820
Little Rock, AR   72202
phone- 501.364.4240
fax- 501.364.3912
visit us on the web at:

-----Original Message-----
[] On Behalf Of Stephen
Peters M.D.
Sent: Thursday, September 01, 2005 1:46 PM
Subject: [Histonet] sentinel biopsies

This is a difficult question. Our advisors in radiation here assure us
the dose is quite minimal and does not require precautions. They say the
exposure is similar to walking down the street ( I am guessing the
street is next to a nuclear facility).
We handle these as routine specimens,  cut  frozens and take no special
percautions. Below is a consensus article from the Association of
Directors of Anatomic and Surgical Pathology that covers this topic. 
This article recommends a variety of precautionary steps.  
Fitzgibbons, P, et al. Recommendations for Handling Radioactive
Specimens Obtained 

by Sentinal Node Biopsy
The American Journal of Surgical Pathology 24(11):1549 -155, 2000. 
I do not have a good answer to this question. I would hate to see people
taking a lot of  unnecessary precautions, on the other hand, I hope my
other hand doesn't fall off!

Stephen Peters M.D. 
Vice Chairman of Pathology
Hackensack University Medical Center
201 996 4836
Pathology Innovations, LLC
410 Old Mill Lane,
Wyckoff, NJ 07481
201 847 7600 

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