I hope this helps.  We had problems here before implementing this.  Here is 
what we have listed for breast cores in our microtomy procedure:


Breast Core Biopsy

Breast core biopsy containing calcium is designated as CA ++ on the side of the 
block.  This is normally the "A" block of a multiple block breast core case.  
The following protocol should be followed when cutting breast core CA ++ block.

Trim the block sparingly

RIBBON #1 - Take three superficial sections; one from the beginning, one from 
the middle, and one from the end of the ribbon. Label slides S1, S2, S3.  These 
will be stained H&E.

Cut three levels and three spare slides as follows:

RIBBON #2 - One Spare Slide

RIBBON #3 - LEVEL 1

RIBBON #4 - One Spare Slide

RIBBON #5 - LEVEL 2

RIBBON #6 - One Spare Slide

RIBBON #7 - LEVEL 3

Label spare slides 1, 2, 3

Save spare slides for further testing.  All other slides should be stained for 
Hematoxylin & Eosin.


Beth A. Fye, CT (ASCP)
Pathology Technical Manager
HCA Richmond Hospital Laboratories
office:  (804) 228-6564
fax:  (877)699-3895
<mailto:beth....@hcahealthcare.com>

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