[Histonet] Levels for Gastic and Esophogeal Bx's

[Morken, Timothy]

Akemi, it is really up to the pathologists to decide what they want. In some cases there is literature promoting certain standards (e.g, Hirschprung's) but in most cases it is just the comfort level of the person reviewing the case. We have a large variety of levels and unstained protocols but for standard biopsies it is two levels on one slide, no unstained. We only cut unstained if they are ordered as part of a protocol or ordered specifically. We do not cut "extra" unstained "just in case." We had tens of thousands of unstained slides sitting in files "just in case" so I convinced them to stop that practice. 

Tim Morken
Supervisor, Histology, Electron Microscopy and Neuromuscular Special Studies
UC San Francisco Medical Center
San Francisco, CA

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-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Eileen Akemi Allison
Sent: Friday, January 09, 2015 6:07 AM
To: Histonet
Subject: [Histonet] Levels for Gastic and Esophogeal Bx's

Good morning Histoland:

Happy Friday!  I believe this question was asked last year, but I would like to revisit this again. I have worked in a variety of laboratories in my career, both small and large. Most of my experience was in Oregon with large hospital laboratories and University institutions. Back then, we cut (6) levels on all our bx’s, and picked-up (2) sections on each level.  My current facility is cutting (3) levels and picking up (1) section on each level.

I would like to ask what everyone else is doing.  The reason I am asking is because our pathology director is requesting a change in our protocol to cut only (2) levels and (1) section at each level.

Sincerely,

Akemi Allison BS, HT/HTL (ASCP)

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