I have heard of and performed both methods. The variables seem to be with a ribbon, that if some fold, wrinkle, or fall off, you basically have more sections of the same depth on one slide. That being said, if that level is bad or superficial, you will get recuts/deepers. If they are only needing one depth into the tissue for initial diagnosis or are worried about conserving tissue, then a ribbon might work. If they want progression, then you need more levels, one slide or many. Without going full rotations there wouldn't be much progression in depth in a single ribbon, especially at the thickness one would normally cut biopsy sections. Personally I like levels, one somewhat superficial section that is still a complete outline, one slightly deeper and one fully into the specimen without cutting anything away. Personally levels not only save recuts to me, but provide only one slide for labeling ( less labeling error opportunities), higher staining throughput/TAT/cases, less storage, less slides...you get the idea. of course ultimately it is up to the Pathologist and sometimes others, but was there some reason given for the change in preference?
Joelle Weaver MAOM, HTL (ASCP) QIHC > From: [email protected] > To: [email protected]; [email protected]; > [email protected] > Date: Tue, 23 Jul 2013 19:46:52 +0000 > CC: > Subject: [Histonet] RE: Sections > > I have heard of both methods, currently we put double ribbons on one slide. > The only time we have repeats is if the initial cut is superficial. > > -----Original Message----- > From: [email protected] > [mailto:[email protected]] On Behalf Of Weems, Joyce > K. > Sent: Tuesday, July 23, 2013 2:22 PM > To: 'Martin, Gary'; [email protected] > Subject: [Histonet] RE: Sections > > If placing more than 1 section of the same level on a slide, I've always cut > three slides. I've never had a pathologist who only wanted to see one level. > > Joyce Weems > Pathology Manager > 678-843-7376 Phone > 678-843-7831 Fax > [email protected] > > > > www.saintjosephsatlanta.org > 5665 Peachtree Dunwoody Road > Atlanta, GA 30342 > > This e-mail, including any attachments is the property of Saint Joseph's > Hospital and is intended for the sole use of the intended recipient(s). It > may contain information that is privileged and confidential. Any > unauthorized review, use, disclosure, or distribution is prohibited. If you > are not the intended recipient, please delete this message, and reply to the > sender regarding the error in a separate email. > > -----Original Message----- > From: [email protected] > [mailto:[email protected]] On Behalf Of Martin, Gary > Sent: Tuesday, July 23, 2013 2:47 PM > To: [email protected] > Subject: [Histonet] Sections > > One of our pathologist has requested a change in the way we cut GI specimens. > We presently put three levels on one slide. Exp. we face the block, cut a > ribbon and take one section of that ribbon and catch on the slide. We then > progress into the block and repeat the process until we have three levels on > the slide. The new suggestion is to simply face the block, create a ribbon, > and take three to four section of that ribbon and that's it no more > progression into the block. The thinking is that the Pathologist will see > what they need to in those levels, and if not they will call for "deepers". I > have never cut like this and just wanted to hear some thoughts on this method. > > Thanks > > Gary > > _______________________________________________ > Histonet mailing list > [email protected] > http://lists.utsouthwestern.edu/mailman/listinfo/histonet > > ________________________________ > > This e-mail message (including any attachments) is for the sole use of the > intended recipient(s) and may contain confidential and privileged > information. If the reader of this message is not the intended recipient, you > are hereby notified that any dissemination, distribution or copying of this > message (including any attachments) is strictly prohibited. > > If you have received this message in error, please contact the sender by > reply e-mail message and destroy all copies of the original message > (including attachments). > > _______________________________________________ > Histonet mailing list > [email protected] > http://lists.utsouthwestern.edu/mailman/listinfo/histonet > > ______________________________________________________________________ > CONFIDENTIALITY NOTICE: > The information in this e-mail may be confidential and/or > privileged. If you are not the intended recipient or an > authorized representative of the intended recipient, you > are hereby notified that any review, dissemination, or > copying of this e-mail and its attachments, if any, or > the information contained herein is prohibited. If you > have received this e-mail in error, please immediately > notify the sender by return e-mail and delete this e-mail > from your computer system. Thank you. > ______________________________________________________________________ > > _______________________________________________ > Histonet mailing list > [email protected] > http://lists.utsouthwestern.edu/mailman/listinfo/histonet _______________________________________________ Histonet mailing list [email protected] http://lists.utsouthwestern.edu/mailman/listinfo/histonet
