[Histonet] Sections

Tony Reilly Tony_Reilly <@t> health.qld.gov.au
Tue Jul 23 18:09:01 CDT 2013

Hi Martin
You should cut as your pathologist requests as it is their name on the final report.  However if I were you I would keep a record of how many cases in the future you need to go back to cut extra levels.  If you are going back to a majority of cases present the data to your pathologist as evidence that it would be more efficient to cut levels in the first instance.  If in the majority of cases you are not cutting levels then you have saved yourself a lot of work.
Having said that there are some instances in GI biopsies where the pathology can be very focal and levels are good insurance.

Tony Reilly  B.App.Sc. , M.Sc.
Chief Scientist, Anatomical Pathology
Pathology Queensland-PA Laboratory 
Health Services Support Agency | Department of Health
Level 1, Building 15,Princess Alexandra Hospital
Ipswich Road,WOOLLOONGABBA  Qld4102
Ph: 07 3176 2412
Mob: 0402 139411
Fax: 07 3176 2930
Email: tony_reilly <@t> health.qld.gov.au
Web:  www.health.qld.gov.au/qhcss/

>>> "Martin, Gary" <gmartin <@t> marshallmedical.org> 7/24/2013 4:46 am >>>
One of our pathologist has requested a change in the way we cut GI
specimens.  We presently put three levels on one slide. Exp.  we face
the block, cut a ribbon and take one section of that ribbon and catch on
the slide. We then progress into the block and repeat the process until
we have three levels on the slide.  The new suggestion is to simply face
the block, create a ribbon, and take three to four section of that
ribbon and that's it no more progression into the block.  The thinking
is that the Pathologist will see what they need to in those levels, and
if not they will call for "deepers". I have never cut like this and just
wanted to hear some thoughts on this method. 



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