| Surgical Pathology Specimens |
PROCEDURE:
1.
Specimen containers must be properly and adequately labeled with
the patient’s full name. The patient’s full name should be legibly printed
on the side of the specimen container, not the lid.
2.
A requisition slip must accompany the specimen and have the patients
full name, date of birth, date of collection, source of specimen,
diagnosis, pertinent clinical information and submitting physicians
name and complete address.
3.
If a frozen section is to be performed, the operating room number
should be on the requisition. This step will expedite communication
from the pathologist to the surgeon.
4.
Specimens are picked up at client offices routinely, Monday through
Friday and delivered to CAP-LAB. CAP-LAB only accepts specimens
from licensed medical offices, surgery centers, and hospitals.
Specimens are collected by or under the direction of a licensed
physician and are fixed in 10% neutral buffered formalin. These
specimens should be completely covered in formalin. Tissues submitted
in formalin have no special time requirement for the laboratory.
5.
The following is a list of tissues that are to be sent fresh to CAP-LAB.
Fresh specimens must be forwarded to the laboratory immediately.
The submitting physician will determine the amount of tissue to be
excised depending on the working clinical diagnosis. Please call CAP-
Lab for a courier immediately. 517-372-5520.
a.
All tissues requiring both cultures and pathology. (This allows the
pathologist to select the tissue to be sent to Microbiology.)
b.
All lymph node cases where Hodgkin’s or Non-Hodgkin’s
Lymphoma is in the differential diagnosis.
c.
Tissues for frozen Sections.
d.
Tissues requiring cytogenetic (chromosome) studies
e.
Muscle biopsy Specimens.
f.
Kidney biopsy specimens.
g.
Skin biopsy specimens requiring immunofluorescence studies. Call
Pathology for special fixative.
6.
The following tissues are to be submitted in FORMALIN. There are no
time limitations/restrictions for specimens fixed in formalin. They may
be submitted to the laboratory with routine work. The submitting
physician will determine the amount of tissue to be excised depending
on the working clinical diagnosis. The specimen should be completely
covered with formalin.
a.
Routine surgical pathology specimens not requiring special studies.
b.
Breast biopsies including those requiring tumor markers.
c.
Staging lymph nodes from patients with breast carcinoma,
gynecological malignancies, prostate, lung carcinomas, etc.
d.
Temporal artery biopsies.
e.
Skin biopsies NOT requiring immunofluorescence studies.
f.
Intraoperative bone biopsies performed for metastatic carcinomas.
7.
If a clinic or physicians office is requiring tissues to be sent
fresh or for frozen sections, the laboratory must be notified in
advance to ensure specimen integrity.
8.
If there are any questions or concerns in collection of pathology
specimens, the physicians office should contact the laboratory directly
@ 517-372-5520. If after hours, please contact the pathologist on call.
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