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PATHOLOGY, INITIAL SURGICAL SPECIMEN (LYMP NODES AND SKIN)
MessageALL PATHOLOGY SPECIMENS MUST BE SUBMITTED WITH A PRINTED COPY OF THE ORDER
Test Code
SURP
CPT Codes
88307-Sentinel lymph node, lymph node, or lymph node biopsy; 88305-Skin biopsy (histopathologic), nerve biopsy; 88346-Skin biopsy (immunofluorescent)
Includes
SENTINEL LYMPH NODE Histopathologic examination of tissue sections stained with H&E special stains and additional analysis as indicated.
LYMPH NODE OR LYMPH NODE BIOPSY, SKIN BIOPSY: :Histopathological examination, touch preparation and lymphoid cell marker studies including immunocytochemical and flow cytometric studies.
SKIN BIOPSY (Immunoglobulins, Complements, or Fibrinogen) Immunofluorscent microscopic study of deposition of immunoglobulin, complements, or fibrinogen etc.. Testing performed at off-site reference laboratory.
NERVE BIOPSY: Neuropathology examination of nerve, histochemistry, immunohistochemistry, and electron microscopy as needed.
LYMPH NODE OR LYMPH NODE BIOPSY, SKIN BIOPSY: :Histopathological examination, touch preparation and lymphoid cell marker studies including immunocytochemical and flow cytometric studies.
SKIN BIOPSY (Immunoglobulins, Complements, or Fibrinogen) Immunofluorscent microscopic study of deposition of immunoglobulin, complements, or fibrinogen etc.. Testing performed at off-site reference laboratory.
NERVE BIOPSY: Neuropathology examination of nerve, histochemistry, immunohistochemistry, and electron microscopy as needed.
Preferred Specimen
SENTINEL LYMPH NODE: Collect: Tissue in leak-proof container
LYMPH NODE OR LYMPH NODE BIOPSY: Lymph node or biopsy in a sterile container with lid.
SKIN BIOPSY: (Histopathological Examination) Biopsy in a sterile container with lid or specimen container with 10% neutral buffered formalin
SKIN BIOPSY: (Immunoglobulins, Complements, or Fibrinogen) Skin biopsy in a plastic collection cup containing Michels Transport Medium or Zeuss Transport medium.
NERVE BIOPSY:Biopsy in a sterile container with lid or specimen container with 10% neutral buffered formalin
LYMPH NODE OR LYMPH NODE BIOPSY: Lymph node or biopsy in a sterile container with lid.
SKIN BIOPSY: (Histopathological Examination) Biopsy in a sterile container with lid or specimen container with 10% neutral buffered formalin
SKIN BIOPSY: (Immunoglobulins, Complements, or Fibrinogen) Skin biopsy in a plastic collection cup containing Michels Transport Medium or Zeuss Transport medium.
NERVE BIOPSY:Biopsy in a sterile container with lid or specimen container with 10% neutral buffered formalin
Minimum Volume
LYMPH NODE OR LYMPH NODE BIOPSY: Entire specimen, preferably more than 1.5 cubic centimeters
SKIN BIOPSY (Histopathological Examination): Required for Testing: More than 1 mm specimen
SKIN BIOPSY (Immunoglobulins, Complements, or Fibrinogen): More than 3-4 mm sample
NERVE BIOPSY: 1 cm inch length of biopsy
SKIN BIOPSY (Histopathological Examination): Required for Testing: More than 1 mm specimen
SKIN BIOPSY (Immunoglobulins, Complements, or Fibrinogen): More than 3-4 mm sample
NERVE BIOPSY: 1 cm inch length of biopsy
Instructions
SENTINEL LYMPH NODE: Specimen container should be marked with radioactive label. Notify laboratory at 304-598-4130 prior to sending
any specimen. This test is performed Monday through Friday on dayshift
any specimen. This test is performed Monday through Friday on dayshift
Specimen Stability
SENTINEL LYMPH NODE, LYMPH NODE OR LYMPH NODE BIOPSY, SKIN BIOPSY (Immunoglobulins, Complements, or Fibrinogen): Unstable. Deliver to Gross Room immediately
SKIN BIOPSY (Histopathological Examination): Stable when specimen is fixed in 10% neutral buffered formalin
NERVE BIOPSY: Unstable, deliver to Gross Room immediately. After hours add 10% neutral buffered formalin (obtained in Gross Room) to
specimen container.
SKIN BIOPSY (Histopathological Examination): Stable when specimen is fixed in 10% neutral buffered formalin
NERVE BIOPSY: Unstable, deliver to Gross Room immediately. After hours add 10% neutral buffered formalin (obtained in Gross Room) to
specimen container.
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Unlabeled or improperly labeled specimen
Performing Laboratory
West Virginia University Hospital, Inc.
