RE: Sentinel node

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From:"Kopczynski, Charlotte" <charlotte.kopczynski@baycare.org>
To:"'Bill Sinai (Anatomical Pathology)'" <Bills@icpmr.wsahs.nsw.gov.au>, Histonet@pathology.swmed.edu
Reply-To:
Date:Thu, 23 Sep 1999 12:31:23 -0400
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When we first started doing the sentinel node cases, the procedure was
monitored in surgery for radiation levels.  the specimens were taken to our
nuclear medicine dept. and stored for 60 hours before being sent to
histology.  everything was monitored for over a year and then our Senior
Physicist decided that the levels were minimal and the specimens come
directly to histology.  we do not have to take any other precautions.

> -----Original Message-----
> From:	Bill Sinai (Anatomical Pathology)
> [SMTP:Bills@icpmr.wsahs.nsw.gov.au]
> Sent:	Thursday, September 23, 1999 9:10 AM
> To:	Histonet@pathology.swmed.edu
> Subject:	Sentinel node
> 
> Breast and sentinel nodes received for Histopathology still contain 
> an amount of Technetium when received in  the laboratory.  What 
> precautions (if any) do laboratories have in place to protect staff 
> from exposure to this risk. 
> 
> It has been suggested from several sources that the radiation 
> levels are minimal, however, there seems to be some dispute among 
> pathologists as to how the specimen should be:
> 
> 1.  Handled and stored prior to dissection.
> 2.  Handled at dissection.
> 3.  Any protection or warning that should be offered to staff.
> 4.  Stored after dissection.
> 
> Any information would be appreciated.
> Many thanks.
> 
> Bill Sinai
> Department Manager
> Tissue Pathology
> ICPMR Westmead Hospital 
> WESTMEAD NSW AUSTRALIA
> Phone 61+2+9845 7774  Fax 61+2+9687 2330



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