This seems like a classic case of drying of biopsies prior to fixation. This 
can occur if biopsies are placed on absorbent paper (or on disinfecting alcohol 
swabs, heaven forbid).
________________________________________
From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of Sue 
[suetp...@comcast.net]
Sent: Friday, 24 April 2015 10:51 AM
To: Lisa Roy
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Nuclear "Artifact"

Hi All

So I have been seeing the same issue as I stated in past e-mails. I did one 
test and fixed a colon biopsy in formaldehyde and left it in overnight and 
processed next day. I was hoping that I could reproduce the artifact. The 
tissue was beautiful. At my pathologists requests we changed the paraffin 
temperature tonight is the first night. I do not think this i the issue. We are 
going to transfer our biopsies to another tissue processor just for test. I 
brought up in the past that i think the issue starts prior to the histo lab, my 
pathologist tended to disagree, but I think he is chaining his mind since my 
one common detonator is a PA. I do not think that she wets her blue wrap paper 
enough and the tissue sits on the paper dry she also fold the paper so tight 
that it is possible for the small biopsies to get stuck in a fold. My 
pathologists actually came in and said he thought I may be right. Wow. That is 
my next test. We are requiring our staff to do so much work that they tend to 
rush and as I have stated in the past grossing sets the tone for every step the 
nistotech is responsible for and if it is not prepared correctly in the gross 
lab the histologist cannot fix it. An old adage we are not magicians.

Sue Paturzo
TJUH
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