[Histonet] number of slides

[Tom McNemar]

We do 2 levels on all GIs, 3 on all needle bx, 3 on cervical, and 2 on bone marrows.  We also do special stains up front on the bone marrows, H Pyloris, prostates, etc.

We tend to cut a ton of extra slides that we just throw away.  I don't like it but I don't think there's any way around it.  Probably like most places, we get more and more smaller and smaller biopsies so it's better to keep a few extras than to try to go back later.



Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcnemar <@t> lmhealth.org
www.LMHealth.org

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Sue
Sent: Tuesday, March 23, 2010 6:08 PM
To: anita dudley
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: Re: [Histonet] number of slides

We do three levels on all diagnostic biopsies. Liver and Kidney also get upfront special stains, as do gastric biopsies (h pylori)
We did cut down on extra unstained slides since we were discarding most of them. As far as stopping levels, my pathologist thinks it goes against standard
of care. As for prostate biopsies, they are so small any more, that we are thinking o cutting 4 slides staining 1and 4 for H&E and holding 2 and 3 for possible IHC. We
are finding that when we have to go back there is minimal tumor for IHC demonstration.

Susan T. Paturzo
Thomas Jefferson University Hospital


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