Hello there!

We are having some issues with our liver biopsies and can't seem to find any 
solutions.  The biopsies are sent to us from IR already in formalin, we bake 
them in a 65* C oven for 30 minutes (to ensure fixation) and then we microwave 
process them.  The microwave process is reagent alcohol, 5 mins, isopropanol, 5 
mins, and finally paraffin, 2 min at 65* C and 5 min at 70* C.  Worth noting: 
this is our procedure for all our biopsies - liver, heart, kidney, GI - and 
liver is the only one we are having problems with.  The livers section well and 
don't appear to be over processed; however, without exception, they have a 
drying artifact on the outer edges.  I have spoken to IR and they confirmed 
that they do not leave the biopsies out to dry for any amount of time.  If they 
can't put them directly into formalin, the liver cores are held on saline 
soaked pads for no longer than a minute.  I have seen suggestions about local 
anesthesia causing problems, but as we have no control over that and it's a 
necessary evil, I'd like to see if anyone has a suggestion to help minimize the 
artifact.

Thanks!

Merry Amber Lewis, HTL
Children's Medical Center


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This e-mail, facsimile, or letter and any files or attachments transmitted with 
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information that is confidential and privileged. This information is intended 
only for the use of the
individual(s) and entity(ies) to whom it is addressed. If you are the intended 
recipient, further
disclosures are prohibited without proper authorization. If you are not the 
intended recipient, any
disclosure, copying, printing, or use of this information is strictly 
prohibited and possibly a
violation of federal or state law and regulations. If you have received this 
information in error,
please notify Children's Medical Center Dallas immediately at 214-456-4444 or 
via e-mail at
priv...@childrens.com. Children's Medical Center Dallas and its affiliates 
hereby claim all
applicable privileges related to this information.

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