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Beaumont Laboratory

Surgical Specimen, Routine

Routine surgical specimen, Tissue specimen, Surgical tissue, EPIC: LAB6798, SOFT: APS

Instructions

This test does not include muscle biopsies, kidney biopsies, fresh tissue specimens and anything requiring Cytogenetic testing or Flow Cytometry.

Specimen Collection Criteria

Collect: Routine Surgical Specimen (requiring no special studies, i.e. fresh lymph nodes, muscle biopsies, kidney biopsies, acetylcholinestesrase (ACE) study and Cytogenetic studies) must be placed in a collection container with 15-20 times its volume of 10% Neutral Buffered Formalin.

  • The container with solution must be identified with a 10% Neutral Buffered Formalin sticker. This is an OSHA requirement.
  • The specimen container must be labeled properly with the patient's full name (first and last), date of birth, hospital number including visit, and specimen source, including identifiers such as right, left, upper, lower, etc.
  • For Paper Requisition-Based Ordering (Non-electronic Medical Record): Fill out and submit specimens via Beaumont Surgical Pathology/Histology requisitions.
  • For Electronic Ordering with Generation of a Paper Requisition: In EPIC order entry, select test "LAB6798 SURGICAL PATHOLOGY TISSUE" and complete the required prompts.
    • There is the option for up to 12 specimen sources within a single order. Only the first specimen (A) is required (specimens B through L are optional).
    • DO NOT include Cytology/FNA requests.
    • Specify any special requests as additional studies in the "Additional Comments" section.
    • Correlate ICD-9/10 diagnosis to the specimen.
    • Generate an EMR order requisition for the Laboratory.
  • Each specimen must be accompanied by a Beaumont Laboratory Form, Progress Notes Operative Form, or Anatomic Pathology Form, including patient's full name, date of birth, patient's social security number (only last 4 of SSN), hospital number including visit number, surgeon and/or clinician name, specimen source including identifiers and pre-op diagnosis.

Physician Office/Drawsite Specimen Preparation

Maintain specimen at room temperature (20-26°C or 68-78.8°F) in a container with 10% Neutral Buffered Formalin, as described above, until transport.

Preparation for Courier Transport

Transport: Surgical specimen prepared as described above, at room temperature (20-26°C or 68-78.8°F).

Rejection Criteria

  • Any missing information will delay processing and final diagnosis.

Storage

Specimen Stability for Testing:

Fresh specimens (without fixative) must be refrigerated and delivered to Surgical Pathology immediately. Specimens are processed immediately upon receipt in the Laboratory.

Specimen Storage in Department Prior to Disposal:

All specimens should be stored in 10% Neutral Buffered Formalin.

Laboratory

Grosse Pointe Surgical Pathology/Histology Laboratory.
Royal Oak Surgical Pathology/Histology Laboratory.
Troy Surgical Pathology/Histology Laboratory.

Performed

Grosse Pointe
Monday - Friday: 8:30 a.m. - 5:00 p.m.
Saturday: 9:00 a.m. - 12:00 p.m.
Results available within 24-36 hours of receiving, unless special testing is required.

Royal Oak

Monday - Saturday: 6:00 a.m. - 3:00 p.m.
Results available within 24-36 hours unless special testing is required.
Friday specimens received before 3:00 p.m. will be available on the following Monday.

Troy
Monday - Friday: 6:00 a.m. - 4:30 p.m.
Results available within 2 business days unless special testing is required.

Test Methodology

Routine Processing: Hematoxylin and Eosin stained slides; special staining procedures as needed.

Interpretation

Diagnosis performed by pathologists board certified in anatomic pathology.

Test Codes

EPIC: LAB6798, SOFT: APS

Last Updated

12/29/2017

Microtainer® and Vacutainer® are registered trademarks of Becton, Dickinson and Company.
UroVysion® is a registered trademark of Abbott Laboratories. ThinPrep® is a registered trademark of Hologic, Incorporated.

This directory currently reflects information only for specimens collected and/or processed at the Farmington Hills, Grosse Pointe, Royal Oak, and Troy campuses.