Various Water/organic fluids insoluable inks and
colored powders can be used to mark critical points on the specimen.
These dyes and powders may help orient both the
gross specimen and the histologic section. For example, colored tattoo powder
sprinkled on the outer surface of a cystic mass can be used to distinguish
between the outer and inner aspects of the cavity.
Similarly, India ink can be painted on the
surgical margins so that they can be easily recognized at the time of
Indeed, many times the critical distinction of
whether a neoplasm extends to the surgical margin depends entirely on the
absence or presence of ink.
Given the important implications of an inked
surface, these inks should be carefully and judiciously applied to the gross
mind that just as the effective use of inks can facilitate the
histologic interpretation, the careless and improper use of these inks can
befuddle the microscopic findings.
The implications of sloppily applied ink that runs
across a surface where it does not belong will be disastrous.
The following guidelines outline the proper
application of inks:
If possible, apply ink before sectioning the
Do not use excessive ink.
Dry the surface of the specimen with paper
towels before applying ink.
When applied to a dry surface, ink is more
likely to stick to the desired surface and less likely to run onto other areas
of the specimen.
Allow the ink to dry before further processing
Do not cut across wet ink, as the knife is
likely to carry the ink onto the cut surface.
dimensions for a screened cassette are: 2.5 x 2.0 x 0.3cm
dimensions for a standard slotted cassette are: 3.0 x 2.5 x 0.3cm
tissue sections submitted in standard slotted cassettes should be no larger
than 2.5 x 1.5 x 0.3cm to allow for proper processing.
advantages to using screened cassettes with small tissue biopsies;
the need to wrap samples, a big time saver.
seal created when properly closed.
cross-contamination with other tissues during processing
Pieces Each Container – To the best of your ability, give an accurate count.
Check the container (to include the lid!) and req. for a reference to the
number of pieces submitted.
samples are fragmented. In this case, count the number of significant pieces,
give size(s), and add the descriptor “fragmented”. Additional Descriptors for
descriptors for number of pieces; Multiple(>10) – Give aggregate dimensions
with average size each. Do not submit more than 5 per cassette. Myriad – too many to count (fragments), give
aggregate dimensions. Filter thru screened cassette.
size(s) of the tissue(s) received: Always stated in the context of mm.’s or
cm.’s Do not use inches. If you start the case using mm.’s, then use mm.’s
throughout. If you start the case with cm.’s, then use cm.’s throughout. Ex.
0.4cm or 4mm. Whole cm.-Do not use
decimal point and zero.
Referencing the size(s) of the piece(s): If only one, self explanatory. If two
or more of the same size, then state as: __ mm. or cm. each. If two of
different sizes, then state as: __ and __ mm. or cm. each.
more with different sizes, then state as: ranging from __ mm. or cm. to __mm.
count of tissue cores. Not necessary to give the diameter of the cores in most
cases, but always give the length of each core.
formalin exposure times with cores.
Biopsies(Derms)- • Elipses(Derms)/• Shaves (Derms)
cases do not require additional cutting or inking.
>5mm should have their bases inked and be bisected.
biopsies >4mm should also be bisected.