[Histonet] Nitroblue Tetrazolium Chloride (NBTC)

2010-10-13 Thread Cheryl Crowder
Laurie - Tru Sigma/Aldrich.  I used to get mine from them.
Cheryl
 
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[Histonet] Type II-A Alpha amylase derived from Bacillis species

2010-10-13 Thread JanKeeping
I was wondering if anyone is using this enzyme. If so, where do you buy it?  
Is it extremely expensive? Could you share your procedure for preparation?

Janet
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[Histonet] Alpha amylase

2010-10-13 Thread JanKeeping

Sorry, I was referring to glycogen digestion and PAS staining.
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[Histonet] Amputation transport

2010-10-13 Thread Fleming, Jackie M
Does anyone have a transport/ carrier for transporting amputations.? We
have specimens funneled into one site for grossing, and need to
transport amputations AK and BK. Thanks for any help!


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[Histonet] Position opening up in Pensacola

2010-10-13 Thread Kim . Donadio
Hi Histonetters! 

We have someone retiring soon and will have a position for a histotech 
coming up. 

We do about 12,000 cases a year( 50,000 or so blocks). We have a Benchmark 
XT IHC, Dako special stainer and we are in the middle of getting a Vantage 
tracking system. We are like family here, close and care about each other. 
We work to tend to our patients and we also laugh together ( usually at 
me, but that's ok, I can hold my own  :-) 

If any of you are interested reply, call or send me a resume. 


Thanks.


Have a great week! 





Kim Donadio 
Pathology Supervisor
Baptist Hospital
1000 W Moreno St.
Pensacola FL 32501
Phone (850) 469-7718
Fax (850) 434-4996

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RE: [Histonet] Amputation transport

2010-10-13 Thread Liz Chlipala
Try mopec

 

-Original Message-
From: Fleming, Jackie M jackie.flem...@allina.com
Sent: Wednesday, October 13, 2010 7:59 AM
To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu
Subject: [Histonet] Amputation transport

Does anyone have a transport/ carrier for transporting amputations.? We
have specimens funneled into one site for grossing, and need to
transport amputations AK and BK. Thanks for any help!


This message contains information that is confidential and may be privileged.  
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[Histonet] RE: Amputation transport

2010-10-13 Thread Wanda.Smith
Good Morning to All,
We have an off site hospital and the courier has a large deep plastic storage 
bin, like you get at Walmart, that he brings the amputations in.  It is a blue 
bin (of course, not clear).  It works very well.
Wanda


WANDA G. SMITH, HTL(ASCP)HT
Pathology Supervisor
TRIDENT MEDICAL CENTER
9330 Medical Plaza Drive
Charleston, SC  29406
843-847-4586
843-847-4296 fax

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Fleming, Jackie 
M
Sent: Wednesday, October 13, 2010 9:54 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Amputation transport

Does anyone have a transport/ carrier for transporting amputations.? We have 
specimens funneled into one site for grossing, and need to transport 
amputations AK and BK. Thanks for any help!


This message contains information that is confidential and may be privileged.  
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Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

2010-10-13 Thread Phyllis Thaxton

 We run a weekend (Friday til Monday AM)  breast run where the tissues are in 
10% NBF for 8 hours, then in 70% alcohol for 48 hours in order to complete 
processing on Monday morning. So far no problems.
Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Kuhnla, Melissa melissa.kuh...@chsli.org
To: Mahoney,Janice A janice.maho...@alegent.org; Mike Pence 
mpe...@grhs.net; Joyce Cline joyce.cl...@wchsys.org; 
histonet@lists.utsouthwestern.edu
Sent: Tue, October 12, 2010 12:02:32 PM
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I disagree.  Prolonged formalin fixation (over 48 hrs), diminishes
signals

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 12:05 PM
To: 'Mike Pence'; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

Formalin fixation time does not impact the results of FISH as it does
IHC.
Jan M
Omaha

-Original Message-
From: Mike Pence [mailto:mpe...@grhs.net]
Sent: Tuesday, October 12, 2010 11:00 AM
To: Mahoney,Janice A; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I don't think it matters if you do Her2 by FISH or IHC the time is still
48hr. I hope I am wrong, but I don't think I am.

Mike

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 10:25 AM
To: 'Joyce Cline'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR


We have decided to reflex to FISH those breasts that do not fall within
the recommended formalin fixation time.  We do work on Saturdays so it
is only the rare 3 day weekends that this comes into play. Jan M Omaha

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joyce
Cline
Sent: Tuesday, October 12, 2010 10:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New Cap Guidelines for Her2 and ER/PR

Does anyone have any experience with storing formalin fixed breast
tissue in 70% before processing?  I am trying to comply with the new
guidelines set forth by CAP and ASCO with regard to Her2 and ER/PR and
since my lab does not operate on the weekend we have been well above the
48 hour recommended formalin fixation time.  Does 70% affect
antigenicity for either Her2 or ER/PR?  Any information or suggestions
will be greatly appreciated.  Thanks :)


Ronda Souders
Hagerstown Medical Laboratory
301-665-4980
fax 301-665-4941
ronda.soud...@wchsys.orgmailto:ronda.soud...@wchsys.org


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Re: [Histonet] Optimal processing for prostate needle biopsies

2010-10-13 Thread Phyllis Thaxton
How long are you pre-processing the prostate biopsies before processing on the 
XPress120? We use the XPress50 we fix the biopsies in Hollandes for 2 hours, 
then wash for 20 minutes, pre-processing solution for 10 minutes then process. 
We use Harris Hematoxylin in our HE and morphology is good.
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Gupta, Nilesh ngup...@hfhs.org
To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu
Sent: Tue, October 12, 2010 12:02:23 PM
Subject: [Histonet] Optimal processing for prostate needle biopsies

I have a few questions regrading processing of prostate needle biopsies.
1.  What is optimal fixation time that the needle cores should be fixed for 
before loading these on the processors.
2.  Our cores are processed on Tissue tek Xpress x120 but the morphology is not 
so good. I'd like to know if any other labs have tried this processor for 
prostate needle cores processing and would like to know their experience as far 
as morphologic quality on slides
3.  What is the best HE stain to use for prostate needle biopsies. We are 
currently using Mayer's which is giving us better staining than Harris. Any 
recommendations on which HE is best suited for prostate needle biopsies.

Thanks

N.Gupta
Henry Ford Hospital

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Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

2010-10-13 Thread Rene J Buesa
Phyllis:
The time required in NBF is not 8 hours only, that is exactly what the 
regulations are trying to avoid, i.e. incomplete fixation.
René J.

--- On Wed, 10/13/10, Phyllis Thaxton dch...@yahoo.com wrote:


From: Phyllis Thaxton dch...@yahoo.com
Subject: Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR
To: Kuhnla, Melissa melissa.kuh...@chsli.org, Mahoney,Janice A 
janice.maho...@alegent.org, Mike Pence mpe...@grhs.net, Joyce Cline 
joyce.cl...@wchsys.org, histonet@lists.utsouthwestern.edu
Date: Wednesday, October 13, 2010, 10:32 AM



 We run a weekend (Friday til Monday AM)  breast run where the tissues are in 
10% NBF for 8 hours, then in 70% alcohol for 48 hours in order to complete 
processing on Monday morning. So far no problems.
Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Kuhnla, Melissa melissa.kuh...@chsli.org
To: Mahoney,Janice A janice.maho...@alegent.org; Mike Pence 
mpe...@grhs.net; Joyce Cline joyce.cl...@wchsys.org; 
histonet@lists.utsouthwestern.edu
Sent: Tue, October 12, 2010 12:02:32 PM
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I disagree.  Prolonged formalin fixation (over 48 hrs), diminishes
signals

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 12:05 PM
To: 'Mike Pence'; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

Formalin fixation time does not impact the results of FISH as it does
IHC.
Jan M
Omaha

-Original Message-
From: Mike Pence [mailto:mpe...@grhs.net]
Sent: Tuesday, October 12, 2010 11:00 AM
To: Mahoney,Janice A; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I don't think it matters if you do Her2 by FISH or IHC the time is still
48hr. I hope I am wrong, but I don't think I am.

Mike

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 10:25 AM
To: 'Joyce Cline'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR


We have decided to reflex to FISH those breasts that do not fall within
the recommended formalin fixation time.  We do work on Saturdays so it
is only the rare 3 day weekends that this comes into play. Jan M Omaha

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joyce
Cline
Sent: Tuesday, October 12, 2010 10:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New Cap Guidelines for Her2 and ER/PR

Does anyone have any experience with storing formalin fixed breast
tissue in 70% before processing?  I am trying to comply with the new
guidelines set forth by CAP and ASCO with regard to Her2 and ER/PR and
since my lab does not operate on the weekend we have been well above the
48 hour recommended formalin fixation time.  Does 70% affect
antigenicity for either Her2 or ER/PR?  Any information or suggestions
will be greatly appreciated.  Thanks :)


Ronda Souders
Hagerstown Medical Laboratory
301-665-4980
fax 301-665-4941
ronda.soud...@wchsys.orgmailto:ronda.soud...@wchsys.org


* CONFIDENTIALITY NOTICE * This message contains confidential
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care for the body, mind and spirit of every person.

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[Histonet] FW: Joint Commission seeks NSH Member Response

2010-10-13 Thread Feher, Stephen
Hey Histonetters.  How about all of us getting involved in providing
some input to the Joint Commission on their accreditation standards with
regard to Histopathology.  Apparently, there has not been a great
response from the histology community to this request.  This is our
opportunity to impact the way we are looked at by this accreditation
agency.
 
Thanks,
 
Steve
 



From: Carrie Diamond [mailto:car...@nsh.org] 
Sent: Tuesday, October 12, 2010 9:28 PM
To: Feher, Stephen
Subject: Joint Commission seeks NSH Member Response



Dear Stephen:

The Joint Commission is requesting your response to the new standards'
revisions, especially in the area of histopathology. 


The Joint Commission Laboratory Accreditation Program recently revised
the existing laboratory accreditation standards and developed new
standards in several specialty areas.  These changes were made in
response to feedback from customer surveys conducted in the fall of
2009, as well as an expert panel review in collaboration with the ASCP.
More information on these revisions and the field review response
process, please visit:
http://www.jointcommission.org/Standards/FieldReviews/
http://www.jointcommission.org/Standards/FieldReviews/ 

 

The changes in these standards will directly impact the day to day
activities for Joint Commission accredited laboratories.  Participation
in this survey gives you the opportunity to have an influence on your
accreditation standards and elements of performance.  

 

The survey was opened on Sept. 8, 2010 and will be available until
October 20, 2010.  At this time, the Joint Commission has received very
few responses for the histopathology section, so we are asking for your
help to spread the word and to gather responses for the survey.

 

Thank you,

 

Carrie Diamond, Executive Director

On behalf of the Board of Directors

 

 

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RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

2010-10-13 Thread Tench, Bill
 Have you validated this processing?  Leaving the tissue in 70% alcohol for 48 
hours is not standard, and thus requires all of the hassles associated with 
validation.


Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
bill.te...@pph.org
Voice: 760- 739-3037
Fax: 760-739-2604

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Phyllis Thaxton
Sent: Wednesday, October 13, 2010 7:32 AM
To: Kuhnla, Melissa; Mahoney,Janice A; Mike Pence; Joyce Cline; 
histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR


 We run a weekend (Friday til Monday AM)  breast run where the tissues are in 
10% NBF for 8 hours, then in 70% alcohol for 48 hours in order to complete 
processing on Monday morning. So far no problems.
Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Kuhnla, Melissa melissa.kuh...@chsli.org
To: Mahoney,Janice A janice.maho...@alegent.org; Mike Pence 
mpe...@grhs.net; Joyce Cline joyce.cl...@wchsys.org; 
histonet@lists.utsouthwestern.edu
Sent: Tue, October 12, 2010 12:02:32 PM
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I disagree.  Prolonged formalin fixation (over 48 hrs), diminishes signals

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mahoney,Janice A
Sent: Tuesday, October 12, 2010 12:05 PM
To: 'Mike Pence'; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

Formalin fixation time does not impact the results of FISH as it does IHC.
Jan M
Omaha

-Original Message-
From: Mike Pence [mailto:mpe...@grhs.net]
Sent: Tuesday, October 12, 2010 11:00 AM
To: Mahoney,Janice A; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I don't think it matters if you do Her2 by FISH or IHC the time is still 48hr. 
I hope I am wrong, but I don't think I am.

Mike

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mahoney,Janice A
Sent: Tuesday, October 12, 2010 10:25 AM
To: 'Joyce Cline'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR


We have decided to reflex to FISH those breasts that do not fall within the 
recommended formalin fixation time.  We do work on Saturdays so it is only the 
rare 3 day weekends that this comes into play. Jan M Omaha

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joyce Cline
Sent: Tuesday, October 12, 2010 10:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New Cap Guidelines for Her2 and ER/PR

Does anyone have any experience with storing formalin fixed breast tissue in 
70% before processing?  I am trying to comply with the new guidelines set forth 
by CAP and ASCO with regard to Her2 and ER/PR and since my lab does not operate 
on the weekend we have been well above the
48 hour recommended formalin fixation time.  Does 70% affect antigenicity for 
either Her2 or ER/PR?  Any information or suggestions will be greatly 
appreciated.  Thanks :)


Ronda Souders
Hagerstown Medical Laboratory
301-665-4980
fax 301-665-4941
ronda.soud...@wchsys.orgmailto:ronda.soud...@wchsys.org


* CONFIDENTIALITY NOTICE * This message contains confidential 
information and is intended only for the individual named. If you are not the 
named addressee you should not disseminate, distribute or copy this e-mail. 
Please notify the sender immediately by e-mail if you have received this e-mail 
by mistake and delete this e-mail from your system.
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Sponsored by Catholic Health Initiatives and Immanuel, Alegent Health is 
faithful to the healing ministry of Jesus Christ, providing high quality care 
for the body, mind and spirit of every person.

The information contained in this communication, including attachments, is 
confidential and private and intended only for the use of the addressees.  
Unauthorized use, disclosure, distribution or copying is strictly prohibited 
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Alegent Health accepts no liability for 

RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

2010-10-13 Thread Kuhnla, Melissa
For the weekend, we have our processor set for 36 hours in formalin and
then a hold in 70%. This allows for complete fixation and cuts down on
prolonged time in 70%

 



From: Phyllis Thaxton [mailto:dch...@yahoo.com] 
Sent: Wednesday, October 13, 2010 10:32 AM
To: Kuhnla, Melissa; Mahoney,Janice A; Mike Pence; Joyce Cline;
histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

 


 We run a weekend (Friday til Monday AM)  breast run where the tissues
are in 10% NBF for 8 hours, then in 70% alcohol for 48 hours in order to
complete processing on Monday morning. So far no problems.

 

Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 

 

 



From: Kuhnla, Melissa melissa.kuh...@chsli.org
To: Mahoney,Janice A janice.maho...@alegent.org; Mike Pence
mpe...@grhs.net; Joyce Cline joyce.cl...@wchsys.org;
histonet@lists.utsouthwestern.edu
Sent: Tue, October 12, 2010 12:02:32 PM
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I disagree.  Prolonged formalin fixation (over 48 hrs), diminishes
signals

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 12:05 PM
To: 'Mike Pence'; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

Formalin fixation time does not impact the results of FISH as it does
IHC.
Jan M
Omaha

-Original Message-
From: Mike Pence [mailto:mpe...@grhs.net]
Sent: Tuesday, October 12, 2010 11:00 AM
To: Mahoney,Janice A; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I don't think it matters if you do Her2 by FISH or IHC the time is still
48hr. I hope I am wrong, but I don't think I am.

Mike

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 10:25 AM
To: 'Joyce Cline'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR


We have decided to reflex to FISH those breasts that do not fall within
the recommended formalin fixation time.  We do work on Saturdays so it
is only the rare 3 day weekends that this comes into play. Jan M Omaha

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joyce
Cline
Sent: Tuesday, October 12, 2010 10:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New Cap Guidelines for Her2 and ER/PR

Does anyone have any experience with storing formalin fixed breast
tissue in 70% before processing?  I am trying to comply with the new
guidelines set forth by CAP and ASCO with regard to Her2 and ER/PR and
since my lab does not operate on the weekend we have been well above the
48 hour recommended formalin fixation time.  Does 70% affect
antigenicity for either Her2 or ER/PR?  Any information or suggestions
will be greatly appreciated.  Thanks :)


Ronda Souders
Hagerstown Medical Laboratory
301-665-4980
fax 301-665-4941
ronda.soud...@wchsys.orgmailto:ronda.soud...@wchsys.org


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care for the body, mind and spirit of every person.

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[Histonet] Formalin Fixation - HER2 testing

2010-10-13 Thread Richard Cartun
Hopefully, ASCO and CAP will relax their fixation guidelines for HER2 testing 
in the near future to reflect that prolonged fixation in formalin has little, 
if any, affect on HER2 protein overexpression (my personal experience).  
Another article (see below) just appeared in the October issue of the American 
Journal of Clinical Pathology that supports this observation.  Please keep in 
mind that making sure that the tissue doesn't dry out, minimizing the cold 
ischemic time to under 1 hour, and submitting thin (2-3 mm) sections for 
histological processing are probably more important than time in formalin.

Ibarra JA and Rogers LW:  Fixation time does not affect expression of HER2/neu. 
 Am J Clin Pathol 2010;134:594-596.

Richard

Richard W. Cartun, MS, PhD
Director, Histology  Immunopathology
Director, Biospecimen Collection Programs
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596 Office
(860) 545-2204 Fax



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[Histonet] RE: Nitroblue Tetrazolium Chloride (NBTC)

2010-10-13 Thread Monson, Frederick
Just Google:  nitroblue tetraqzonium chloride.  Lots of sources.

Cheers,

Fred Monson

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Laurie Colbert
Sent: Tuesday, October 12, 2010 6:41 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Nitroblue Tetrazolium Chloride (NBTC)

Does anyone know where I can get this dye?  It is to be used by a
research doc - he plans on putting the tissue in this dye and then into
10% formalin.

 

Laurie Colbert

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RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

2010-10-13 Thread Mike Pence
How much time is the tissue in formalin prior to going in the processor?
Your total time in formalin can not exceed 48 hr. And you will still
need to validate your process if you hold your tissue longer than
normal processing time in 70% (ie. more than 1 hr).

-Original Message-
From: Kuhnla, Melissa [mailto:melissa.kuh...@chsli.org] 
Sent: Wednesday, October 13, 2010 9:45 AM
To: Phyllis Thaxton; Mahoney,Janice A; Mike Pence; Joyce Cline;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR



For the weekend, we have our processor set for 36 hours in
formalin and then a hold in 70%. This allows for complete fixation and
cuts down on prolonged time in 70%

 





From: Phyllis Thaxton [mailto:dch...@yahoo.com] 
Sent: Wednesday, October 13, 2010 10:32 AM
To: Kuhnla, Melissa; Mahoney,Janice A; Mike Pence; Joyce Cline;
histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR

 


 We run a weekend (Friday til Monday AM)  breast run where the
tissues are in 10% NBF for 8 hours, then in 70% alcohol for 48 hours in
order to complete processing on Monday morning. So far no problems.

 

Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 

 

 





From: Kuhnla, Melissa melissa.kuh...@chsli.org
To: Mahoney,Janice A janice.maho...@alegent.org; Mike Pence
mpe...@grhs.net; Joyce Cline joyce.cl...@wchsys.org;
histonet@lists.utsouthwestern.edu
Sent: Tue, October 12, 2010 12:02:32 PM
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR

I disagree.  Prolonged formalin fixation (over 48 hrs),
diminishes
signals

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 12:05 PM
To: 'Mike Pence'; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR

Formalin fixation time does not impact the results of FISH as it
does
IHC.
Jan M
Omaha

-Original Message-
From: Mike Pence [mailto:mpe...@grhs.net]
Sent: Tuesday, October 12, 2010 11:00 AM
To: Mahoney,Janice A; Joyce Cline;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR

I don't think it matters if you do Her2 by FISH or IHC the time
is still
48hr. I hope I am wrong, but I don't think I am.

Mike

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 10:25 AM
To: 'Joyce Cline'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR


We have decided to reflex to FISH those breasts that do not fall
within
the recommended formalin fixation time.  We do work on Saturdays
so it
is only the rare 3 day weekends that this comes into play. Jan M
Omaha

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Joyce
Cline
Sent: Tuesday, October 12, 2010 10:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New Cap Guidelines for Her2 and ER/PR

Does anyone have any experience with storing formalin fixed
breast
tissue in 70% before processing?  I am trying to comply with the
new
guidelines set forth by CAP and ASCO with regard to Her2 and
ER/PR and
since my lab does not operate on the weekend we have been well
above the
48 hour recommended formalin fixation time.  Does 70% affect
antigenicity for either Her2 or ER/PR?  Any information or
suggestions
will be greatly appreciated.  Thanks :)


Ronda Souders
Hagerstown Medical Laboratory
301-665-4980
fax 301-665-4941
ronda.soud...@wchsys.orgmailto:ronda.soud...@wchsys.org


* CONFIDENTIALITY NOTICE * This message contains
confidential
information and is intended only for the individual named. If
you are
not the named addressee you should not disseminate, distribute
or copy
this e-mail. Please notify the sender immediately by e-mail if

RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

2010-10-13 Thread Jesus Ellin
OK I usually do not like to chime in on this, but here I go.  How can a
true validation of a specific target be obtained if the wiggle room is 6
to 48 hr, or 8 to 72 hr.  Where is the precision and accuracy on the
results for this testing if you are going to be varying process for the
weekend vs weekday?  This is the flaw in the guidelines in my
perspective, when this much time is allowed it is like anything else.
We are going to go the path of least resistance to change, instead of
what is right.  I know that as techs we always want the best, but are
pushed to produce next day.  Techs for years have been saying more
fixation is needed on tissue.  Well enough of that.

What we do is we hold at 12 hours of fixation for all specimens no
matter what?  We document ischemic cold time through our LIS, to include
time placed in formalin, and time of first cut.  We feel that all
specimens need the same fixation times.  This is imperative to
standardize the process, but once again we also have our processors set
up in such a way that they come off at different times and our
production of H an E is in sync with this.  It might sound like a lot,
but we get most of our work done around 96 to 97 % of cases within 24
hours or less using conventional processing techniques.  

With the future relying more and more on, patient centered care, through
personalized medicine, we need to really look on how we can do the
optimal requirements, not do the minimal requirements to reach our
goals.


Jesus Ellin  

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kuhnla,
Melissa
Sent: Wednesday, October 13, 2010 7:45 AM
To: Phyllis Thaxton; Mahoney,Janice A; Mike Pence; Joyce Cline;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

For the weekend, we have our processor set for 36 hours in formalin and
then a hold in 70%. This allows for complete fixation and cuts down on
prolonged time in 70%

 



From: Phyllis Thaxton [mailto:dch...@yahoo.com] 
Sent: Wednesday, October 13, 2010 10:32 AM
To: Kuhnla, Melissa; Mahoney,Janice A; Mike Pence; Joyce Cline;
histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

 


 We run a weekend (Friday til Monday AM)  breast run where the tissues
are in 10% NBF for 8 hours, then in 70% alcohol for 48 hours in order to
complete processing on Monday morning. So far no problems.

 

Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 

 

 



From: Kuhnla, Melissa melissa.kuh...@chsli.org
To: Mahoney,Janice A janice.maho...@alegent.org; Mike Pence
mpe...@grhs.net; Joyce Cline joyce.cl...@wchsys.org;
histonet@lists.utsouthwestern.edu
Sent: Tue, October 12, 2010 12:02:32 PM
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I disagree.  Prolonged formalin fixation (over 48 hrs), diminishes
signals

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 12:05 PM
To: 'Mike Pence'; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

Formalin fixation time does not impact the results of FISH as it does
IHC.
Jan M
Omaha

-Original Message-
From: Mike Pence [mailto:mpe...@grhs.net]
Sent: Tuesday, October 12, 2010 11:00 AM
To: Mahoney,Janice A; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I don't think it matters if you do Her2 by FISH or IHC the time is still
48hr. I hope I am wrong, but I don't think I am.

Mike

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 10:25 AM
To: 'Joyce Cline'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR


We have decided to reflex to FISH those breasts that do not fall within
the recommended formalin fixation time.  We do work on Saturdays so it
is only the rare 3 day weekends that this comes into play. Jan M Omaha

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joyce
Cline
Sent: Tuesday, October 12, 2010 10:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New Cap Guidelines for Her2 and ER/PR

Does anyone have any experience with storing formalin fixed breast
tissue in 70% before processing?  I am trying to comply with the new
guidelines set forth by CAP and ASCO with regard to Her2 and ER/PR and
since my lab does not operate on the weekend we have been well above the
48 hour recommended formalin fixation time.  Does 70% affect

[Histonet] relaxation of her2 standards

2010-10-13 Thread Tench, Bill
Don't hold your breath.  I have had multiple conversations with at least
one of the primary individuals who set the standards and i have not
detected ANY willingness to modify the standards and that includes a
hard and fast insistence on good validation for ANYTHING that differs
from standard processing.  If you are not in compliance you are asking
for a world of hurt (which may extend to the patient).  Of course, your
other comments about the tissue management are right on.
 
Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
bill.te...@pph.org
Voice: 760- 739-3037
Fax: 760-739-2604
 

[None] made the following annotations
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RE: [Histonet] Type II-A Alpha amylase derived from Bacillis species

2010-10-13 Thread Weems, Joyce
Sigma-Aldrich has it.j  

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
jankeep...@gmail.com
Sent: Wednesday, October 13, 2010 09:35
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Type II-A Alpha amylase derived from Bacillis species

I was wondering if anyone is using this enzyme. If so, where do you buy it?  
Is it extremely expensive? Could you share your procedure for preparation?
Janet
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[Histonet] Bladder Diverticuli

2010-10-13 Thread Weems, Joyce
If TUR is 88307 and resection is 88309, what CPT code do you use for bladder 
diverticuli?

Thanks, j


Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax


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not the intended recipient, please delete this message, and 
reply to the sender regarding the error in a separate email. 
 
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Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

2010-10-13 Thread Phyllis Thaxton
Rene,
 8 hours is what is on the processor. We keep a log book on all breast tissue. 
The OR nurse documents on the label;  the time of excision (placed in 10% 
NBF) . 
The gross assistant documents the time of dissection, Then the time the tissues 
are placed on the processor. Our fixation times for breast average about 12 to 
14 hours. Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Rene J Buesa rjbu...@yahoo.com
To: MelissaKuhnla melissa.kuh...@chsli.org; Janice AMahoney 
janice.maho...@alegent.org; Mike Pence mpe...@grhs.net; Joyce Cline 
joyce.cl...@wchsys.org; histonet@lists.utsouthwestern.edu; Phyllis Thaxton 
dch...@yahoo.com
Sent: Wed, October 13, 2010 9:39:21 AM
Subject: Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR


Phyllis:
The time required in NBF is not 8 hours only, that is exactly what the 
regulations are trying to avoid, i.e. incomplete fixation.
René J.

--- On Wed, 10/13/10, Phyllis Thaxton dch...@yahoo.com wrote:


From: Phyllis Thaxton dch...@yahoo.com
Subject: Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR
To: Kuhnla, Melissa melissa.kuh...@chsli.org, Mahoney,Janice A 
janice.maho...@alegent.org, Mike Pence mpe...@grhs.net, Joyce Cline 
joyce.cl...@wchsys.org, histonet@lists.utsouthwestern.edu
Date: Wednesday, October 13, 2010, 10:32 AM



 We run a weekend (Friday til Monday AM)  breast run where the tissues are in 
10% NBF for 8 hours, then in 70% alcohol for 48 hours in order to complete 
processing on Monday morning. So far no problems.
Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Kuhnla, Melissa melissa.kuh...@chsli.org
To: Mahoney,Janice A janice.maho...@alegent.org; Mike Pence 
mpe...@grhs.net; Joyce Cline joyce.cl...@wchsys.org; 
histonet@lists.utsouthwestern.edu
Sent: Tue, October 12, 2010 12:02:32 PM
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I disagree.  Prolonged formalin fixation (over 48 hrs), diminishes
signals

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 12:05 PM
To: 'Mike Pence'; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

Formalin fixation time does not impact the results of FISH as it does
IHC.
Jan M
Omaha

-Original Message-
From: Mike Pence [mailto:mpe...@grhs.net]
Sent: Tuesday, October 12, 2010 11:00 AM
To: Mahoney,Janice A; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I don't think it matters if you do Her2 by FISH or IHC the time is still
48hr. I hope I am wrong, but I don't think I am.

Mike

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 10:25 AM
To: 'Joyce Cline'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR


We have decided to reflex to FISH those breasts that do not fall within
the recommended formalin fixation time.  We do work on Saturdays so it
is only the rare 3 day weekends that this comes into play. Jan M Omaha

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joyce
Cline
Sent: Tuesday, October 12, 2010 10:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New Cap Guidelines for Her2 and ER/PR

Does anyone have any experience with storing formalin fixed breast
tissue in 70% before processing?  I am trying to comply with the new
guidelines set forth by CAP and ASCO with regard to Her2 and ER/PR and
since my lab does not operate on the weekend we have been well above the
48 hour recommended formalin fixation time.  Does 70% affect
antigenicity for either Her2 or ER/PR?  Any information or suggestions
will be greatly appreciated.  Thanks :)


Ronda Souders
Hagerstown Medical Laboratory
301-665-4980
fax 301-665-4941
ronda.soud...@wchsys.orgmailto:ronda.soud...@wchsys.org


* CONFIDENTIALITY NOTICE * This message contains confidential
information and is intended only for the individual named. If you are
not the named addressee you should not disseminate, distribute or copy
this e-mail. Please notify the sender immediately by e-mail if you have
received this e-mail by mistake and delete this e-mail from your system.
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Sponsored by Catholic Health Initiatives and Immanuel, Alegent Health is
faithful to the healing ministry of Jesus Christ, providing high quality
care for the body, mind and spirit of 

[Histonet] Hepatitis C Immuno staining in FFPE Liver

2010-10-13 Thread McMahon, Loralee A
Hi Histonet,

I have been trying to work up HCV antibody without much success.  Anyone out 
there successfully doing this that would like to share their protocol with me?  
I have many cases that have been diagnosed with HCV infection, so the control 
tissue is not an issue.
We are using the Dako Flex Detection.
Thank you in advance.


Loralee McMahon, HTL (ASCP)
Immunohistochemistry Supervisor
Strong Memorial Hospital
Department of Surgical Pathology
(585) 275-7210
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[Histonet] IHC OOps wrong secondary

2010-10-13 Thread Kimberly Tuttle
Is it possible for me to remove the coverslip, run back to water and re-use the 
slides starting with the correct secondary?

Kimberly C. Tuttle  HT (ASCP)
Pathology Biorepository and Research Core
University of Maryland 
Room NBW58, UMMC
22 S. Greene St
Baltimore, MD 21201
(410) 328-5524
(410) 328-5508 fax 
Please consider the environment before printing this e-mail.


 

This e-mail and any accompanying attachments may be privileged, confidential, 
contain protected health information about an identified patient or be 
otherwise protected from disclosure. State and federal law protect the 
confidentiality of this information. If the reader of this message is not the 
intended recipient; you are prohibited from using, disclosing, reproducing or 
distributing this information; you should immediately notify the sender by 
telephone or e-mail and delete this e-mail.


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RE: [Histonet] Amputation transport

2010-10-13 Thread Kathleen Boozer
If you go to a general store like Fred Meyers, Target...you can get the plastic 
containers that hold wrapping paper rolls that are opaque and put appropriate 
stickers on them for less than $20.00  I have been using 3 of them for years 
now.

Kathy Boozer, HT (ASCP), IHCQ
Adventist Medical Center
10123 SE Market St.
Portland, OR  97216
1-503-251-6266 ex. 10246
booze...@ah.org

 


 Liz Chlipala l...@premierlab.com 10/13/2010 7:10 AM 
Try mopec

 

-Original Message-
From: Fleming, Jackie M jackie.flem...@allina.com
Sent: Wednesday, October 13, 2010 7:59 AM
To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu
Subject: [Histonet] Amputation transport

Does anyone have a transport/ carrier for transporting amputations.? We
have specimens funneled into one site for grossing, and need to
transport amputations AK and BK. Thanks for any help!


This message contains information that is confidential and may be privileged.  
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Re: [Histonet] IHC OOps wrong secondary

2010-10-13 Thread Rene J Buesa
Yes
René J.

--- On Wed, 10/13/10, Kimberly Tuttle ktut...@umm.edu wrote:


From: Kimberly Tuttle ktut...@umm.edu
Subject: [Histonet] IHC OOps wrong secondary
To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu
Date: Wednesday, October 13, 2010, 12:07 PM


Is it possible for me to remove the coverslip, run back to water and re-use the 
slides starting with the correct secondary?

Kimberly C. Tuttle  HT (ASCP)
Pathology Biorepository and Research Core
University of Maryland 
Room NBW58, UMMC
22 S. Greene St
Baltimore, MD 21201
(410) 328-5524
(410) 328-5508 fax 
Please consider the environment before printing this e-mail.




This e-mail and any accompanying attachments may be privileged, confidential, 
contain protected health information about an identified patient or be 
otherwise protected from disclosure. State and federal law protect the 
confidentiality of this information. If the reader of this message is not the 
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distributing this information; you should immediately notify the sender by 
telephone or e-mail and delete this e-mail.


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RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

2010-10-13 Thread Bernice Frederick
All,

I've been watching this thread for a couple of days now and would like all
to know that had they attended workshop 17, provided they were in Seattle,
it would have been most insightful regarding all these guidelines. It was
titled Quality Biospecimens for Personalized Molecular Healthacare It
addressed fixation as well as cold ischemia time. Dr. Robb also commented
that as a governor for CAP,there will be CAP guidelines for tissue banking
and procurement at some point in time.
I only have the handout but James Robb, the speaker, would have is e-mail
listed in the program we received in Seattle (it's at home, not here at
work) I can look it up or if someone has it handy, please chime in for those
interested. Unofortunately, this was an underpopulated workshop, but very
informative.
Bernice

Bernice Frederick HTL (ASCP)
Northwestern University
Pathology Core Facility
ECOGPCO-RL 
710 N Fairbanks Court
Olson 8-421
Chicago,IL 60611
312-503-3723


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin
Sent: Wednesday, October 13, 2010 10:05 AM
To: Kuhnla, Melissa; Phyllis Thaxton; Mahoney,Janice A; Mike Pence; Joyce
Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

OK I usually do not like to chime in on this, but here I go.  How can a
true validation of a specific target be obtained if the wiggle room is 6
to 48 hr, or 8 to 72 hr.  Where is the precision and accuracy on the
results for this testing if you are going to be varying process for the
weekend vs weekday?  This is the flaw in the guidelines in my
perspective, when this much time is allowed it is like anything else.
We are going to go the path of least resistance to change, instead of
what is right.  I know that as techs we always want the best, but are
pushed to produce next day.  Techs for years have been saying more
fixation is needed on tissue.  Well enough of that.

What we do is we hold at 12 hours of fixation for all specimens no
matter what?  We document ischemic cold time through our LIS, to include
time placed in formalin, and time of first cut.  We feel that all
specimens need the same fixation times.  This is imperative to
standardize the process, but once again we also have our processors set
up in such a way that they come off at different times and our
production of H an E is in sync with this.  It might sound like a lot,
but we get most of our work done around 96 to 97 % of cases within 24
hours or less using conventional processing techniques.  

With the future relying more and more on, patient centered care, through
personalized medicine, we need to really look on how we can do the
optimal requirements, not do the minimal requirements to reach our
goals.


Jesus Ellin  

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kuhnla,
Melissa
Sent: Wednesday, October 13, 2010 7:45 AM
To: Phyllis Thaxton; Mahoney,Janice A; Mike Pence; Joyce Cline;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

For the weekend, we have our processor set for 36 hours in formalin and
then a hold in 70%. This allows for complete fixation and cuts down on
prolonged time in 70%

 



From: Phyllis Thaxton [mailto:dch...@yahoo.com] 
Sent: Wednesday, October 13, 2010 10:32 AM
To: Kuhnla, Melissa; Mahoney,Janice A; Mike Pence; Joyce Cline;
histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

 


 We run a weekend (Friday til Monday AM)  breast run where the tissues
are in 10% NBF for 8 hours, then in 70% alcohol for 48 hours in order to
complete processing on Monday morning. So far no problems.

 

Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 

 

 



From: Kuhnla, Melissa melissa.kuh...@chsli.org
To: Mahoney,Janice A janice.maho...@alegent.org; Mike Pence
mpe...@grhs.net; Joyce Cline joyce.cl...@wchsys.org;
histonet@lists.utsouthwestern.edu
Sent: Tue, October 12, 2010 12:02:32 PM
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I disagree.  Prolonged formalin fixation (over 48 hrs), diminishes
signals

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 12:05 PM
To: 'Mike Pence'; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

Formalin fixation time does not impact the results of FISH as it does
IHC.
Jan M
Omaha

-Original Message-
From: Mike Pence [mailto:mpe...@grhs.net]
Sent: Tuesday, October 12, 2010 11:00 AM
To: Mahoney,Janice A; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: 

[Histonet] pathology reports

2010-10-13 Thread Horn, Hazel V
When you have results from an outside lab, i.e.  flow results, bone marrows, 
ect.  How do you integrate this into your path report?
It is a verbatim copy inside the report in the same format as the outside lab?  
Or can it be a copy with the results in a different format?  A discussion 
has occurred within in or transcription department over this matter.   We do 
attach the outside report to the hard copy report in our paper file.

Hazel Horn
Hazel Horn, HT/HTL (ASCP)
Supervisor of Autopsy/Histology/Transcription
Arkansas Children's Hospital
1 Children's WaySlot 820
Little Rock, AR   72202

phone   501.364.4240
fax501.364.3155

visit us on the web at:www.archildrens.org

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[Histonet] Seeking Grossing/Histo Tech

2010-10-13 Thread Mighnon Lashus
We are seeking a qualified candidate for the position of Grossing/Lead Histo 
Tech in our Chattanooga location.  We are a state of art laboratory using the 
Ventana Vantage system to maintain specimen integrity; we also have Ventana 
special stainers and the Benchmark Ultra and XTs for our Immunohistochemistry 
stains.  We offer a friendly working environment along with an excellent 
benefit package.  You may obtain more information about this position at 
CareerBuilders.com.  We also have an opening for a cytotechnologist at our 
Pathology office on the Erlanger Health System campus in Chattanooga, TN.


Mighnon Lashus, HT (ASCP)
PathGroup Lab
4071 S. Access Road, Suite 107
Chattanooga, TN  37406
423-493-0207
423-493-0208 fax
mlas...@pathgroup.com




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[Histonet] Re: Urinary bladder diverticula

2010-10-13 Thread Robert Richmond
Joyce Weems in Atlanta asks:

If TUR is 88307 and resection is 88309, what CPT code do you use for bladder 
diverticuli?

A transurethral resection of the prostate (TURP) is coded 88305 no
matter how many blocks. A TUR of the bladder (presumably a TURBT, that
is, a TUR of a bladder tumor) is 88307. A cystectomy specimen for
cancer (resection) is 88309.

There are no specific instructions for a diverticulum of the urinary
bladder. Diverticula of the GI tract are however coded 88305, and I
would code a urinary tract diverticulum (bladder or urethra) as 88305
also.

The singular is diverticulum, the plural is diverticula. There is no
such word as *diverticuli.

If you don't have a copy of the anatomic pathology CPT codes, 2010
edition, I can send you a PDF of a scan of those pages.

Bob Richmond
Samurai Pathologist
Knoxville TN

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[Histonet] Re: Histonet Digest, Vol 83, Issue 19

2010-10-13 Thread Cathy . Crumpton

   We  are not open on weekends and worked out a deal with our core l= ab
   that  is  open 24/7.  When we have a breast on the processer we willrun  
a  Sat.  program  that ends at 21:00.  They added a task on their
   dai=  ly  checklist  to come up and take the tissues off at that time.
   They  j=  ust  sit  them on the counter and they cool - just like they
   were  being embed= ded.  When we come in on Monday we just sit them in
   the embedding cent= er for 15 minutes and they warm up enough to start
   embedding.  No harm= to tissues and no one has to come in.



   Cathy= Crumpton HT(ASCP), Histology Lead
   Tuality Community Hospital
   Hillsbo= ro, OR 97123
   (503)681-1292

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RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

2010-10-13 Thread Kuhnla, Melissa
Fixation prior to the processor will not exce4ed 12 hrs.  That is why we
program the processor for 36...not to exceed 48.

 



From: Mike Pence [mailto:mpe...@grhs.net] 
Sent: Wednesday, October 13, 2010 11:04 AM
To: Kuhnla, Melissa; Phyllis Thaxton; Mahoney,Janice A; Joyce Cline;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

 

How much time is the tissue in formalin prior to going in the processor?
Your total time in formalin can not exceed 48 hr. And you will still
need to validate your process if you hold your tissue longer than
normal processing time in 70% (ie. more than 1 hr).

-Original Message-
From: Kuhnla, Melissa [mailto:melissa.kuh...@chsli.org] 
Sent: Wednesday, October 13, 2010 9:45 AM
To: Phyllis Thaxton; Mahoney,Janice A; Mike Pence; Joyce Cline;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR

For the weekend, we have our processor set for 36 hours in
formalin and then a hold in 70%. This allows for complete fixation and
cuts down on prolonged time in 70%

 





From: Phyllis Thaxton [mailto:dch...@yahoo.com] 
Sent: Wednesday, October 13, 2010 10:32 AM
To: Kuhnla, Melissa; Mahoney,Janice A; Mike Pence; Joyce Cline;
histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR

 


 We run a weekend (Friday til Monday AM)  breast run where the
tissues are in 10% NBF for 8 hours, then in 70% alcohol for 48 hours in
order to complete processing on Monday morning. So far no problems.

 

Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 

 

 





From: Kuhnla, Melissa melissa.kuh...@chsli.org
To: Mahoney,Janice A janice.maho...@alegent.org; Mike Pence
mpe...@grhs.net; Joyce Cline joyce.cl...@wchsys.org;
histonet@lists.utsouthwestern.edu
Sent: Tue, October 12, 2010 12:02:32 PM
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR

I disagree.  Prolonged formalin fixation (over 48 hrs),
diminishes
signals

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 12:05 PM
To: 'Mike Pence'; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR

Formalin fixation time does not impact the results of FISH as it
does
IHC.
Jan M
Omaha

-Original Message-
From: Mike Pence [mailto:mpe...@grhs.net]
Sent: Tuesday, October 12, 2010 11:00 AM
To: Mahoney,Janice A; Joyce Cline;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR

I don't think it matters if you do Her2 by FISH or IHC the time
is still
48hr. I hope I am wrong, but I don't think I am.

Mike

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 10:25 AM
To: 'Joyce Cline'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR


We have decided to reflex to FISH those breasts that do not fall
within
the recommended formalin fixation time.  We do work on Saturdays
so it
is only the rare 3 day weekends that this comes into play. Jan M
Omaha

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Joyce
Cline
Sent: Tuesday, October 12, 2010 10:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New Cap Guidelines for Her2 and ER/PR

Does anyone have any experience with storing formalin fixed
breast
tissue in 70% before processing?  I am trying to comply with the
new
guidelines set forth by CAP and ASCO with regard to Her2 and
ER/PR and
since my lab does not operate on the weekend we have been well
above the
48 hour recommended formalin fixation time.  Does 70% affect
antigenicity for either Her2 or ER/PR?  Any information or
suggestions
will be greatly appreciated.  Thanks :)


Ronda Souders
Hagerstown Medical Laboratory
301-665-4980
fax 301-665-4941

RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

2010-10-13 Thread McMahon, Loralee A
If our cases are needle cores they are almost immediately put into formalin 
from the patient.  That time is recorded by the nurse or the clinician that 
took the specimen.  
The larger breast samples are received fresh from the OR and are immediately 
grossed either by a PA or resident.  Those samples are examined, sliced (to 
expose the surface area of the specimen) and placed into formalin.  That is 
when the fixation time is recorded for the larger specimens.  

Loralee McMahon, HTL (ASCP)
Immunohistochemistry Supervisor
Strong Memorial Hospital
Department of Surgical Pathology
(585) 275-7210

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bill B. 
[bill...@mindspring.com]
Sent: Wednesday, October 13, 2010 3:12 PM
To: histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

How do you define fixation time? A half pound hunk of fat with a tumor in the 
middle will remain unfixed until blocked. A small biopsy will start fixing 
almost immediately.

Bill

At 1:51 PM -0400 10/13/10, Kuhnla, Melissa wrote:
Fixation prior to the processor will not exce4ed 12 hrs.  That is why we
program the processor for 36...not to exceed 48.





From: Mike Pence [mailto:mpe...@grhs.net]
Sent: Wednesday, October 13, 2010 11:04 AM
To: Kuhnla, Melissa; Phyllis Thaxton; Mahoney,Janice A; Joyce Cline;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR



How much time is the tissue in formalin prior to going in the processor?
Your total time in formalin can not exceed 48 hr. And you will still
need to validate your process if you hold your tissue longer than
normal processing time in 70% (ie. more than 1 hr).

   -Original Message-
   From: Kuhnla, Melissa [mailto:melissa.kuh...@chsli.org]
   Sent: Wednesday, October 13, 2010 9:45 AM
   To: Phyllis Thaxton; Mahoney,Janice A; Mike Pence; Joyce Cline;
histonet@lists.utsouthwestern.edu
   Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR

   For the weekend, we have our processor set for 36 hours in
formalin and then a hold in 70%. This allows for complete fixation and
cuts down on prolonged time in 70%







   From: Phyllis Thaxton [mailto:dch...@yahoo.com]
   Sent: Wednesday, October 13, 2010 10:32 AM
   To: Kuhnla, Melissa; Mahoney,Janice A; Mike Pence; Joyce Cline;
histonet@lists.utsouthwestern.edu
   Subject: Re: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR




We run a weekend (Friday til Monday AM)  breast run where the
tissues are in 10% NBF for 8 hours, then in 70% alcohol for 48 hours in
order to complete processing on Monday morning. So far no problems.



   Phyllis Thaxton HT(ASCP)QIHC
   DCH Regional Medical Center
   Tuscaloosa, AL









   From: Kuhnla, Melissa melissa.kuh...@chsli.org
   To: Mahoney,Janice A janice.maho...@alegent.org; Mike Pence
mpe...@grhs.net; Joyce Cline joyce.cl...@wchsys.org;
histonet@lists.utsouthwestern.edu
   Sent: Tue, October 12, 2010 12:02:32 PM
   Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR

   I disagree.  Prolonged formalin fixation (over 48 hrs),
diminishes
   signals

   -Original Message-
   From: histonet-boun...@lists.utsouthwestern.edu
   [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
   Mahoney,Janice A
   Sent: Tuesday, October 12, 2010 12:05 PM
   To: 'Mike Pence'; Joyce Cline; histonet@lists.utsouthwestern.edu
   Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR

   Formalin fixation time does not impact the results of FISH as it
does
   IHC.
   Jan M
   Omaha

   -Original Message-
   From: Mike Pence [mailto:mpe...@grhs.net]
   Sent: Tuesday, October 12, 2010 11:00 AM
   To: Mahoney,Janice A; Joyce Cline;
histonet@lists.utsouthwestern.edu
   Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and
ER/PR

   I don't think it matters if you do Her2 by FISH or IHC the time
is still
   48hr. I hope I am wrong, but I don't think I am.

   Mike

   -Original Message-
   From: histonet-boun...@lists.utsouthwestern.edu
   [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
   Mahoney,Janice A
   Sent: Tuesday, October 12, 2010 10:25 AM
   To: 'Joyce Cline'; histonet@lists.utsouthwestern.edu
   Subject: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR


   We have decided to reflex to FISH those breasts that do not fall
within
   the recommended formalin fixation time.  We do work on Saturdays
so it
   is only the rare 3 day weekends that this comes into play. Jan M
Omaha

   -Original Message-
   

[Histonet] FW: How to remove Hematoxilin

2010-10-13 Thread Margaryan, Naira
Hi histoworld,

I would like to repeat my staining on the slides already coverslipped but need 
to remove hematoxilin first.
How to remove hematoxilin? Is it need to repeat Antigen retrieval?

Thanks in advance,
Naira

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[Histonet] I agree with Jose, etal.

2010-10-13 Thread Orr, Rebecca
Thanks for your response, Jose, I agree with your points.
I see these guidelines as the first attempt to standardize something that has 
numerous variables.  How can we expect to have the manufacturers of these 
markers offer (or be required by the FDA) consistent results when our end of 
this process is all over the board?
An ER, PR Her2  that we both buy from the same manufacturer should work the 
exact same way in my lab as it does in yours,  IF we both process in the exact 
same way.
I doubt very much if histology and IHC testing will ever be as exact as a 
clinical chemistry assay for example, but it's a start.
I forsee the time gap in formalin shortening as labs get used to this first 
step.
This would mean more validation, but since we should be doing validation each 
year, then this may not be  such a giant task.

Becky Orr CLA,HT(ASCP)QIHC
Technical Specialist
Anatomic Pathology
NorthShore University HealthSystem
847-570-2771


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[Histonet] Training labs in the San Francisco Bay Area?

2010-10-13 Thread Morken, Tim
To anyone in the San Francisco Bay area, generally northern half: Is anyone 
interested in training a neophyte for histotechnology?

A person in San Francisco contacted me about learning histology. He came and 
observed in our lab and is very interested but needs a lab to train in. He is 
looking at online histology programs in the meantime. He does not have a degree 
in biology/chemistry (it is in literature) but he did work summers in a lab 
during high school and college and actually did limited histology at that time.

If you can help him out contact me directly. No need to post back to Histonet.

Thanks!


Tim Morken
Supervisor, Histology, IPOX
UC San Francisco Medical Center
Box 1656
1600 Divisidero St, B217
San Francisco, CA 94115
USA

415.514.6042 (office)
415.885.7409 Fax
tim.mor...@ucsfmedctr.orgmailto:tim.mor...@ucsfmedctr.org


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Re: [Histonet] IHC OOps wrong secondary

2010-10-13 Thread Kimberly Tuttle
Thanks to everyone who responded. I removed the coverslip, and ran it back to 
water and re applied the secondary, dab and counterstain. It worked like a 
charm.


Kimberly C. Tuttle  HT (ASCP)
Pathology Biorepository and Research Core
University of Maryland 
Room NBW58, UMMC
22 S. Greene St
Baltimore, MD 21201
(410) 328-5524
(410) 328-5508 fax 
Please consider the environment before printing this e-mail.


 Kimberly Tuttle ktut...@umm.edu 10/13/2010 12:07 pm 
Is it possible for me to remove the coverslip, run back to water and re-use the 
slides starting with the correct secondary?

Kimberly C. Tuttle  HT (ASCP)
Pathology Biorepository and Research Core
University of Maryland 
Room NBW58, UMMC
22 S. Greene St
Baltimore, MD 21201
(410) 328-5524
(410) 328-5508 fax 
Please consider the environment before printing this e-mail.


 

This e-mail and any accompanying attachments may be privileged, confidential, 
contain protected health information about an identified patient or be 
otherwise protected from disclosure. State and federal law protect the 
confidentiality of this information. If the reader of this message is not the 
intended recipient; you are prohibited from using, disclosing, reproducing or 
distributing this information; you should immediately notify the sender by 
telephone or e-mail and delete this e-mail.


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[Histonet] 2010 Focus on IHC one day event comes to NJ

2010-10-13 Thread Pedro Louro
 The date is set, the topics are in place, and the money is just right, all
we needis you to attend.

When: Friday, November 5, 2010
Where: Somerset Medical Center
  110 Rehill Ave
  Somerville, NJ 08876

*2010 Focus on IHC* presented by NJSH and sponsored by BioCare Medical,
LLC

$10.00(members) $40.00 (Non-members) gets you:
- 6
CEU's
-
Breakfast, Lunch and Snacks
- Great
learning experience

Hope to see you there,

Pedro Louro
President (New Jersey Society for Histotechnology)
Co-chair Membership Committee
___


*Meeting Schedule *

7:30-8:30AM Registration and Continental Breakfast
*
8:30-12:00
*AM Session with Coffee Break
 *
Seminars
*
Mouse Models and IHC; Linda Dean
Antibodies 2010; Fatima Natar

*
OR

**
Wet Workshop
*
Multiplex Staining in the Anatomic Laboratory; Tara Kennedy
*
12:00-1:00
*Lunch (wraps, salad, soup, dessert) *
1:00-4:30
*PM Session with Coffee Break  *
Seminars
*
CAP Regulations; Terry Murphy
Validation in the IHC Laboratory; George Hoernig

*
OR

**
Wet Workshop
*  Rapid In Situ Hybridization; Will Chappell
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