INSTRUCTIONS FOR
SUBMITTING TISSUE
TO ANATOMIC PATHOLOGY
DRAFT COPY ONLY.
(Procedure 5).
http://www.netautopsy.org/axsop/axsop005.htm


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United States Government Work, uncopyrighted, public-domain, DRAFT COPY ONLY. This document does not necessarily represent the views or policies of any United States Government agency. This document is provided "as is", without warranty of any kind, express or implied, including but not limited to the warranties of merchantability, fitness for a particular purpose and non-infringement. In no event shall the authors be liable for any claim, damages or other liability, whether in an action of contract, tort or otherwise, arising from, out of, or in connection with the document or the use or other dealings made with the document.

See also: Main objectives: 1.
Receipt of Specimens: 2, 3.
Specimen Accessioning. 4, 6.
VistA® Computer: 1, 7.
Frozen section policies: 25, 26, 27, 41, 86.



PRINCIPLE OF THE TEST.

The Histology Laboratory is responsible for processing all tissues obtained at surgery, outpatient clinics, and postmortems in this hospital. Instructions for proper handling of specimens must be available at these locations.



SPECIMEN REQUIRED.

All human tissue excised at surgery, outpatient clinics, fresh or in fixative, along with a filled-out Tissue Examination Form (U. S. Standard Form 515, USSF515).



REAGENTS, INSTRUMENTATION.

      Plastic containers. Tissue Tek VIP®5 Vacuum Infiltration Processor. Neutral 10% buffered formalin. 70% Flex Solution. 80% Flex Solution. 95% Flex Solution. 100% Flex Solution. Clearing Solution. Paraffin. Decalcifying solution (RDO), Hematoxylin and eosin stain. Microtome. Water bath. Alcoholic iodine solution. 5% sodium thiosulfate. 13% Thioacetamide. Fluted filter paper.



STEP-BY-STEP DESCRIPTION.


1. Requisitions are prepared and specimens labeled in the Operating Room or other location where the biopsy or surgical procedure was performed. Requisitions must include specific patient identification, source of organ/tissue, name of submitting physician(s), pertinent clinical information, pre- and/or postoperative diagnosis, and date specimen obtained. These are data entry fields that are present on the Tissue Examination Form (U. S. Standard Form 515, USSF515).

2. An instruction manual for histology and cytology is distributed to the Operating Room Suite and to the clinical wards. This manual is available on the VA Intranet. See CYTOLOGY AND HISTOLOGY PROCUREMENT MANUAL FOR WARDS, CLINICS, AND TREATMENT ROOMS.

3. All tissues and all objects removed from inside the bodies of patients (e.g., foreign bodies, gallstones) should be submitted to the histology laboratory for accessioning and examination. The histology laboratory is located in room 4D-124. Its hours of operation are 8:00 to 4:30, Monday through Friday. Arrangements should be made for tissues procured after-hours as described in the following section.

4. Specimens are normally submitted in plastic cups (small specimens can be submitted in plastic sputum cups) in 10% buffered formalin, and labeled with the name of the fixative. Cardboard cups (such as those used for stool collection) are not water-tight and should not be used to deliver tissue. Formalin can be picked up from the histology laboratory. Services that require large volumes of formalin are advised to purchase their own supply. The required minimum ratio of formalin-to-tissue that permits adequate fixation is 10:1 (i.e., 10 times more formalin than tissue). This means that specimens must be submitted in containers at least ten times the volume of the specimen to accompany a sufficient amount of formalin. In addition, formalin cannot penetrate through very thick , dense tissue regardless of the amount of formalin present, and large tissues whose delivery to the histology section may be delayed should be refrigerated and/or cut to allow sufficient penetration of formalin to tissue surfaces.

5. Specimen containers must have a patient label attached. Specimen containers are always submitted with a completed United States Standard Form 515 (Tissue Examination Form, USSF515). A physician's signature and a short history is required. A description of the lesion is useful, especially when only a small portion of the lesion is biopsied. Duration of the lesion, age of the patient and clinical differential for the lesion are always appreciated and many times necessary. Specimens arriving with incomplete forms are not accessioned (and not processed) until the forms are completed. The department makes reasonable attempts to contact the responsible physician. We appreciate prompt compliance when we request additional information.

6. The above instructions are applicable to most submissions to our department. The exceptions are as follows:
6.1. Bone marrow submissions. Arrangements for bone marrow submissions are made through the hematology section and the pathologist in charge of hematology (Dr. James M. Sorace, beeper 410-447-4453). Bone marrow cores should only be submitted during the normal hours of operation of the laboratory, as they require the immediate attention of technicians in hematology as well as histology.

6.2. Specimens needing procedures not offered in our department. Occasionally, physicians will prefer that a specialized outside laboratory perform a specialized diagnostic test on tissues from VA patients. Before making such arrangements, the clinician must notify the Chief, Anatomic Pathology (Dr. Lee, ext. 5314) of their intention. The Chief, Anatomic Pathology will determine whether the clinician can waive the usual hospital requirement that all tissues be received and diagnosed by VA Pathology. In general, permission for bypassing pathology will only be given for tests not performed at the VA pathology laboratory, and in a laboratory known to be a good laboratory. In all such cases, the clinician is responsible for supplying a copy of the report produced by the outside laboratory to the pathology department. The department making these arrangements must pay for the special services, and no bill should be sent to pathology.

6.3. Occasionally, the pathologist who receives a specimen may determine that special studies need to be performed at an outside laboratory, in which case the pathologist will make arrangements with the outside laboratory to perform the studies, and will make prior arrangements for pathology funding of the tests (if costs are incurred) with the Chief, Pathology & Laboratory Medicine Service (113). No costs to Pathology should be arranged by a pathologist without first arranging funding through the Chief, Pathology & Laboratory Medicine Service.

6.4. Frozen Sections: See PROCEDURE 25: FROZEN SECTION PROCEDURES (INTRAOPERATIVE CONSULTATIONS).

6.5. Aspirations. Aspirations are always considered cytology specimens, and should only be submitted to the cytology laboratory.

6.6. Large Specimens. Large specimens (such as amputation stumps) are submitted refrigerated, rather than formalin-fixed. When submitted to histology, the USSF515 form should be left on the accession desk. The actual specimen (wrapped and clearly labeled) should be placed in the morgue cold room, Room 4D-125.

6.7. All specimens are submitted for microscopic examination, except for amputations due to peripheral vascular disease; degenerative joint disease; bunions; and hernia sacs; and metal or plastic prosthetic devices.




REFERENCES.


1. Berte LM, Charlton BJ, Kirkley B, Schiffgens J, Wilson JI, Woodcock SM.
Clinical Laboratory Technical Procedure Manuals; Approved Guideline -- Fourth Edition.
NCCLS Document GP2-A4. 2002;2(5):.
ISBN 1-56238-458-9, 64 pages.
National Committee for Clinical Laboratory Standards (NCCLS). 940 West Valley Road, Suite 1400. Wayne, PA 19087-1898.
... presents the important components of writing and managing procedures for the clinical laboratory.

2. Hoeltge GA, Dynek DA, Delahunty DC, McClatchey KD, Rabinovitch A, Robinowitz M, Travers EM.
National Committee for Clinical Laboratory Standards (NCCLS). Clinical Laboratory Technical Procedure Manuals. Third Edition.
Approved Guideline GP2-A3. 1996;16(15):.

3. Rosai J.
Rosai and Ackerman's Surgical Pathology. Ninth Edition.
St Louis: C.V. Mosby. 2004;:.
ISBN: 0323013422, 3080 pages.

4. Mills SE, Carter D, Greenson JK, Oberman HA, Reuter VE, Stoler MH, eds.
Sternberg's Diagnostic Surgical Pathology. Fourth Edition.
New York: Lippincott Williams & Wilkins. 2004;:.
ISBN: 0781740517, 3089 pages.