PRE-ANALYTICAL FACTORS AND GROSS DESCRIPTION Flashcards
3-5mm thick tissue is fixed for how long
6-48 hrs
tissues are sectioned prior to fixation (size)
5mm thick TSE and large TSE
1st and most important step in histopath outside the tissue processing procedures
Specimen accessioning
Indicating cofes
Surgical
autopsy
Cytology
Format of Accession Number
Code-year-ID- id num of specimen
Specimens only requiring transfer from container to tissue cassette
Endometrium
Breast core biopsies
Colonic series
Specimens requiring transfer but with standard sampling, counting, weighing or slicing
Small lipoma
Small skin biopsy
Cervical LLETZ
Simple dissection required with sampling needing a low level of diagnostic assessment and/or preparation
Prepuce
Gall bladder
Hemorrhoids
Appendix
Dissection and sampling required needing a moderate level of assessment
(PigLaSS)
Pigmented skin lesions
Large intestine
Skin w markers
Salivary gland tumour
Specimens requiring complex dissection and sampling methods
Thyroid
Breast cancer
Testis
Uterus
Excess finger/toe will be removed and will be submitted to the histopath lab for description only
Accessory digits
Bony bump that forms at the joints of the base of the big toe
Bunions (hallux valgus) & hammer toes
Medical devices that are excluded from mandatory submission
Catheters
Gastrostomy tubes
Stents
Sutures
do not meet with the criteria of the hospital or laboratory for examination
Placentas
there is an alternative policy for documentation for these types of samples during surgical removal
Orthopedic hardware and other radiopaque medical devices
removed only for purposes of gaining surgical access but is not suggestive of any form of malignancy
Rib segments or other tissues
harvested from a coronary artery bypass
Saphenous vein
used to identify and orient the specimen’s components, distinguish samples, for embedding instructions
Inks
Indicates laterality
Nicks
Represented by LL long lateral or SS short superior
Sutures