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HISTOPATHOLOGY

INTRODUCTION-

A full spectrum of surgical pathology, anatomical pathology and consultative services are available through Doctors’ Anatomic Pathology Services, P.A. All pathologists affiliated with DAPS are board certified by the American Board of Pathology and are fellows of the College of American Pathologists.

SUBMISSION REQUIREMENTS, ROUTINE-

  • A completed requisition form supplied by Doctors’ Anatomic Pathology Services, P.A. must accompany the specimen(s).  Patient name, date of birth, gender, address, chart number (if applicable), physician name, specimen identification (i.e. site of excision or organ(s) submitted), collection date and clinical diagnosis must be noted on the request form
  • Submit each specimen separately (only one specimen per container) in plastic or glass screw cap container filled with 10% neutral buffered formalin. Containers filled with 10% neutral buffered formalin are available on request from Doctors’ Anatomic Pathology Services, P.A. Histopathology Department.
  • The container must be labeled with the patient’s name and physician’s name.  For large specimens, use large containers with enough 10% neutral buffered formalin to completely cover the specimen. There will be an additional 24 hour delay in specimen processing for specimens submitted in an inadequate amount of 10% neutral buffered formalin, in order that the specimen may be allowed sufficient time to fix properly.
  • All special requests (i.e. return specimen to patient, send copy of report to another physician, special stains/examinations requested) should be stated on the request form.
  • Smaller specimen containers are to be placed in the ziploc plastic specimen transport bag provided by Doctors’ Anatomic Pathology Services, P.A. The folded requisition form is placed in the “pocket” on the back of the plastic bag, separated from the specimen container, to avoid possible contamination from unexpected leaking of the specimen container.
  • A courier will transport the specimen, together with the completed requisition form, to the DAPS Histopathology Laboratory where the specimen routinely will be processed overnight for slide preparation and diagnosis the next morning.

SUBMISSION REQUIREMENTS, NON-ROUTINE-

For procedures and requirements for handling of non-routine specimens (e.g., kidney biopsies, skin biopsies for immunofluorescence studies, muscle biopsies) contact the Histopathology Department.

HISTOPATHOLOGIC EXAMINATION-

At the time of examination, the pathologist will determine the appropriate studies.  Additional studies (e.g., additional sections, special histochemical staining techniques, immunoperoxidase studies, etc.) may be required. Therefore, the fee for service will vary based on the number of specimens submitted and additional studies deemed necessary.  We utilize the CPT Codes for surgical pathology based on the Current Procedural Terminology (CPT-4), 4th edition.  They are updated regularly to conform with the latest edition of the official CPT coding manual.

SUPPLIES-

  • B5 Fixative with Formalin (bone marrow fixative)
  • Specimen Containers, Assorted Sizes, Pre-Filled with 10% Neutral Buffered Formalin
  • Specimen Containers, Pre-Filled with Biopsy Fix (for prostate biopsies)
  • Specimen Transport Bags, ZipLoc

CRITERIA FOR REJECTION OF SPECIMENS-

  • Specimen label must include the patient’s name.
  • Improper storage until delivered to the lab.
  • Noticeable difference of specimen in 10% Neutral Buffered Formalin (tissue type) and specimen identification on the requisition form.
  • Radioactive specimens must be held at the originating clinic or hospital until radiation levels comply with the state regulations for safe handling of tissue containing radionuclides.

If a compromised specimen is accepted, a note will be made on the final report as to the nature of the problem and caution advisory on interpreting the results.  If a specimen is rejected the client/physician will be contacted to decide disposition. Rejected specimens are held in proper storage for one week.

All specimens are examined upon receipt by the laboratory to ensure suitability for analysis.

All efforts possible will be made with the physician’s office or hospital responsible to correct the problem immediately. If no solution can be reached, the physician will need to submit another specimen, if possible. Doctors’ Anatomic Pathology Services will not process any specimen in question.

The disposition of all unacceptable specimens will be documented in the patient report and a “Client Action Form” completed.

NOTE:  Specimens will be accepted for processing only from authorized sources (i.e. persons authorized by law to collect specimens and use medical information).

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