[Histonet] cutting protocols for gender dysphoria mastectomies
Terri Braud
tbraud at holyredeemer.com
Fri Aug 27 12:18:49 CDT 2021
We use the breast reduction mammoplasty protocol, 4 blocks each breast, single level, each block, unless the gross dissection reveals an unexpected anomaly.
Terri L. Braud, HT(ASCP)
HNL Laboratories for
Holy Redeemer Hospital
1648 Huntingdon Pike
Meadowbrook, PA 19046
Ph: 215-938-3689
Fax: 215-938-3874
Honesty
AccouNtability
AgiLity
CoLlaboration
CoMpassion
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Today's Topics:
1. Re: [EXTERNAL] Histonet Digest, Vol 213, Issue 19
(Maimone-Schoen, Michele)
2. Re: Cutting protocol for gender dysphoria (Bob Richmond)
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Message: 1
Date: Thu, 26 Aug 2021 17:04:25 +0000
From: "Maimone-Schoen, Michele" <mim9060 at nyp.org>
To: "histonet at lists.utsouthwestern.edu"
<histonet at lists.utsouthwestern.edu>
Subject: Re: [Histonet] [EXTERNAL] Histonet Digest, Vol 213, Issue 19
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Open Positions - New York Presbyterian Hospital/Weill Cornell Division Histotechnologist - Nights 12 a - 8 a Histology Supervisor - 2 p - 10 p Thanks
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Today's Topics:
1. Copy of an old EM resin paper? (Morken, Timothy)
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3. Cutting protocol for gender dysphoria (Spoon, Victoria)
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Message: 1
Date: Wed, 25 Aug 2021 17:01:00 +0000
From: "Morken, Timothy" <Timothy.Morken at ucsf.edu>
To: Histonet <histonet at lists.utsouthwestern.edu>
Subject: [Histonet] Copy of an old EM resin paper?
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Can anyone supply me a copy of this paper on epoxy resins? I can't find it anywhere on line and our library does not have that journal.
Glauert AM: Epoxy Resins: An update on their selection and use. Microscopy and Analysis 15-20 Sept 1991.
Tim Morken
Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco Medical Center
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Date: Wed, 25 Aug 2021 13:48:34 -0400
From: "Pam Barker" <relia1 at earthlink.net>
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Subject: [Histonet] Histopeeps!! RELIA Histology Careers Newsletter -
Check out the Spotlight Positions.
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Message: 3
Date: Wed, 25 Aug 2021 19:03:35 +0000
From: "Spoon, Victoria" <victoria.spoon at bassett.org>
To: "histonet at lists.utsouthwestern.edu"
<histonet at lists.utsouthwestern.edu>
Subject: [Histonet] Cutting protocol for gender dysphoria
Message-ID: <ee1111709eb14db2a3b7fed61d3aa89d at bassett.org>
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Does anyone have cutting protocols for mastectomies for gender dysphoria they would be with me?
How many blocks are submitted per breast?
How do they compare do mastectomies for tumor ?
Thanks in advance
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Message: 2
Date: Thu, 26 Aug 2021 13:44:13 -0400
From: Bob Richmond <rsrichmond at gmail.com>
To: "Histonet at lists.utsouthwestern.edu"
<histonet at lists.utsouthwestern.edu>
Subject: Re: [Histonet] Cutting protocol for gender dysphoria
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>
> Victoria Spooner at Bassett Healthcare in New York state asks:
>
> >>Does anyone have cutting protocols for mastectomies for gender
> >>dysphoria
> they would [share] with me? How many blocks are submitted per
> breast?<< How do they compare [to] mastectomies for tumor?<<
>
I don't know of any formal protocols. It would depend in part on the patient's age. I'd think a rather small number would suffice, perhaps four per breast. Cancer risk in such a patient should be low, because of hormonal suppression.
About fifty years ago, when I was a resident at a large university hospital, I received bilateral simple mastectomy specimens from an older individual. On dissection the rather small amount of rather fibrous breast tissue was filled with numerous 5 to 10 mm cysts, all about the same size.
(I've never seen anything like it, before or since.) I took some sections at random, having no idea what was going on, and the slides were quite unremarkable. I took the case to the senior pathologist, who was considered a major authority on breast pathology, to sign out.
He swore me to lifelong secrecy (which I'll have to honor, since I've forgotten the patient's name). The patient was a recently retired, quite prominent local businessman, whose transgender status was a deeply guarded secret. He'd been taking androgenic hormones for many years. After his retirement, he had the long-put-off mastectomies performed.
Yes, such things went on fifty years ago.
Bob Richmond
Samurai Pathologist
Maryville TN
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