Auto text: “Insert Outreach Specimen”
- Oral biopsies received for Dr. Lingen’s outreach service are identified by the unique requisition sheet (white paper with oral anatomy diagrams).
- They are usually received in formalin.
- In addition to the standard clinical history and procedure dictation, please remember to dictate the PreOp and PostOp diagnoses into the Clinical History or the appropriate fields in CoPath.
- Rules of thumb:
- Bisect anything larger than 0.3 cm.
- For mucosal ellipses, bisect along the longitudinal axis if the narrowest mucosal dimension is > 0.3 cm.
- If received in Michele’s fixative, they should be submitted for immunofluorescence. If you encounter these specimens, please notify a gross room technician for proper specimen processing.
- Intact normal teeth do not need to be submitted. IF the clinical history is suggestive of a bony or tooth-forming lesion (odontoma, cementoma, cementoblastoma, cemento-osseous dysplasia, ossifying fibroma, other), then the tooth tissues should be submitted after decalcification.
- Bone should always be submitted.
- If the entire case requires decalcification:
- For Ameloblastoma or Malignancies (known or suspected), always use EDTA
- For benign lesions/neoplasms (odontoma, cementoma, cementoblastoma, cemento-osseous dysplasia, ossifying fibroma, other), use HCl
- If unsure, please, contact the attending or fellow to determine the extent of HCl vs EDTA
Updated 5-3/2021 NAC/SRR