Hi Histonetters,

Would anyone be willing to share how they process a Fat Pad aspirate for 
Amyloidosis?  Our method does not provide a very good result and we're looking 
to improve on how we do this.

We collect direct aspirates using an 18 gauge needle and make air dried smears 
and stain with Congo Red.  We also get additional passes and place directly in 
10% NBF and will try to make a cell block using histogel out of them.  Problem 
is fat floats and it is difficult to get a good cell block made.

I would think spinning the 10%NBF and filtering out the fat and placing 
directly into a biopsy bag or wrapping in paper would be the way to go.  After 
you process the block, I'm guessing all the lipid will process out and there 
would only be cell membranes from the fibroadipose tissue left over.  Wouldn't 
you need a significant amount of fat to process to have anything to embed?  
I've seen suggestions on other websites suggesting 35-50 mg of fat.  Maybe we 
need to go to a larger needle, maybe 16 gauge?

Any ideas would be greatly appreciated!

Scott



Scott A. Lindrud, MLS(ASCP) CM CT CM
Histopathology Technical Specialist/Cytotechnologist
CarrisHealth Rice Memorial Hospital
301 Becker Ave SW | Willmar | MN | 56201
scott.lind...@carrishealth.com
320-231-4406/4520
320-231-4503 (fax)

Carris Health is a new entity created to deliver health care to West Central 
and Southwest Minnesota. Carris Health is a partnership between CentraCare 
Health, Rice Memorial Hospital and ACMC Health. 
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