Re: [Histonet] Grossing large ellipse melanomas

2019-01-10 Thread Kusters, Ronald via Histonet
Look here as well:
https://system.na3.netsuite.com/core/media/media.nl?id=2286981=3378782=aa4430177bb0a084b28e&_xt=.pdf&_ga=2.246879180.97703180.1547110574-143004537.1535466547
 

Ronald

-Original Message-
From: Bob Richmond [mailto:rsrichm...@gmail.com] 
Sent: 08 January 2019 21:04
To: Histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Grossing large ellipse melanomas

Anne Murvosh HT at Advanced Dermatology & Skin Surgery in Washington state
asks:

>>We are starting to keep our melanomas in-house now that we have a 
>>better
processor, however I could use some tips or tricks on cutting large fatty skin 
ellipse specimens. My problem I think, is too small a knife, the specimens are 
not cutting even and the fat is getting in the way. So any suggestions or links 
to grossing techniques would be appreciated. Also, any ideas on better cutting 
utensils for these?<<

First of all, you need to work closely with your dermatopathologist on this
- you shouldn't be expected to get it right all by yourself.

You need to be able to photograph these gross specimens, and insert the 
photograph in the report.

Gross the specimen as soon as you can, and then fix the slices overnight for 
processing.

Cut on a good cutting surface in good light with a steady hand.

They make disposable long scalpel blades. These are expensive and a little hard 
to find, and I've only ever seen them on two pathology services. Here are two 
resources:

Cellpath - which I've used - excellent knives
https://www.fishersci.com/shop/products/macro-knife-8inch-10-pk/2042

Sakura - haven't tried these
https://www.sakuraus.com/Products/Grossing-Trimming/Accu-Edge-Blade-System/Trimming-Knife-Series.html

Bob Richmond
Samurai Pathologist
Maryville TN

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Re: [Histonet] Grossing large ellipse melanomas

2019-01-08 Thread Bob Richmond via Histonet
Anne Murvosh HT at Advanced Dermatology & Skin Surgery in Washington state
asks:

>>We are starting to keep our melanomas in-house now that we have a better
processor, however I could use some tips or tricks on cutting large fatty
skin ellipse specimens. My problem I think, is too small a knife, the
specimens are not cutting even and the fat is getting in the way. So any
suggestions or links to grossing techniques would be appreciated. Also, any
ideas on better cutting utensils for these?<<

First of all, you need to work closely with your dermatopathologist on this
- you shouldn't be expected to get it right all by yourself.

You need to be able to photograph these gross specimens, and insert the
photograph in the report.

Gross the specimen as soon as you can, and then fix the slices overnight
for processing.

Cut on a good cutting surface in good light with a steady hand.

They make disposable long scalpel blades. These are expensive and a little
hard to find, and I've only ever seen them on two pathology services. Here
are two resources:

Cellpath - which I've used - excellent knives
https://www.fishersci.com/shop/products/macro-knife-8inch-10-pk/2042

Sakura - haven't tried these
https://www.sakuraus.com/Products/Grossing-Trimming/Accu-Edge-Blade-System/Trimming-Knife-Series.html

Bob Richmond
Samurai Pathologist
Maryville TN
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[Histonet] Grossing large ellipse melanomas

2019-01-08 Thread Anne Murvosh via Histonet
We are starting to keep our melanomas in-house now that we have a better 
processor, however I could use some tips or tricks on cutting large fatty skin 
ellipse specimens. My problem I think, is too small a knife, the specimens are 
not cutting even and the fat is getting in the way. So any suggestions or links 
to grossing techniques would be appreciated. Also, any ideas on better cutting 
utensils for these. Thanks Anne Murvosh HT
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