I wanted to ask what is your departmental policy for
1) specimen fixation - do you deny specimens sent in small amount of formalin and small jars? Do you require breast resection specimens to be fully submerged when received? I know most of them tend to float in the jar. Do you still process them and just make a note during grossing?
2) Do you receive specimens fresh or in formalin? If in formalin, do you require them to be already sliced to 5mm slices and slices separated by gauze when transported from remote areas?
3) Do you get requests to repeat POSITIVE hormone receptor status on definite resection specimens? If so, what is your approach? Refuse because of possible problem with poor fixation and discrepant results? What do you do if repeated and POSITIVE core biopsy is followed by NEGATIVE hormone status in resection specimen (likely related to poor fixation)?
1) specimen fixation - do you deny specimens sent in small amount of formalin and small jars? Do you require breast resection specimens to be fully submerged when received? I know most of them tend to float in the jar. Do you still process them and just make a note during grossing?
2) Do you receive specimens fresh or in formalin? If in formalin, do you require them to be already sliced to 5mm slices and slices separated by gauze when transported from remote areas?
3) Do you get requests to repeat POSITIVE hormone receptor status on definite resection specimens? If so, what is your approach? Refuse because of possible problem with poor fixation and discrepant results? What do you do if repeated and POSITIVE core biopsy is followed by NEGATIVE hormone status in resection specimen (likely related to poor fixation)?