Surgical Pathology (Histology)

Surgical Pathology (Histology)

Requisition Form (or Electronic Order)

  • Fill out Surgical Pathology Laboratory Order Requisition Form (or Electronic Order) completely.
  • Patient name on requisition must match name on container.  Do not use different variations of the same name (e.g. Jane Doe vs Ms. John Doe or Margaret vs Peggy).
  • Provide all required information.  This information is critical for an accurate diagnosis.

 

Specimen Handling

  • Observe universal precautions with all specimens.
  • Place specimen in airtight, leakproof container, making sure lid is on tightly.
  • Label container with at least two patient identifiers (e.g. patient name, date of birth, and/or medical record number) and specimen site/source must be identical to that on Requisition Form (or Electronic Order).

 

For Additional Help

Normal business hours are 7:00 AM - 5:00 PM, Monday - Friday (excluding major holidays).

  • During normal business hours, call 715-847-2130.
  • Outside normal business hours, call Aspirus Wausau Hospital operator at 715-847-2121 and request to page the pathologist on call.

NOTE:  If you use couriers to send specimens to AIP, please keep in mind that couriers may not deliver specimens to AIP within normal business hours.

 

Guidelines for Submitting Specimens

Generally, MOST specimens received prior to 4:30 pm will be processed the same day.

Larger specimens (e.g. colon resections) requiring longer fixation received after 3:30 pm may be held until the following day.

Complex cases of special interest should be discussed with the Pathologist in order to facilitate same day processing.

NOTE:  Access to the Pathology Department (Associates in Pathology) is restricted after 5:00 PM.  Specimens obtained after 5:00 PM should be delivered to the Specimen Receiving area in the Reference Laboratory. 

 

Routine Specimen for Standard Processing

  • Submit specimen in 10% neutral-buffered formalin.
  • Container labeled with two patient identifiers (e.g. patient name, date of birth and/or medical record number) and site or source of specimen.
  • Container brought to Pathology Department (AIP) along with the completed Requisition Form.

Frozen Section or Intraoperative Consultation

  • Hand deliver fresh and NOT IN FORMALIN OR SALINE.
  • Complete requisition form including the "Special Orders" for frozen section and operating room #
  • Specify part (A, B, C...) to be examined designating it with "FS".
  • Immediate evaluation not requiring frozen section technique should be ordered as "gross (intraoperative) inspection" (e.g. tumor distance from closest margin).
  • A Pathologist must be contacted if frozen sections occur after normal business hours, during weekends, or holidays.  For contact information, click here.

Non-routine Specimens including but not limited to tissue requiring non-formalin fixation or supported in a nutrient media, tissue requiring special processing, samples sent to reference centers for specialized diagnoses:

  • FLOW CYTOMETRY (LYMPHOMA) 
    Lymph node or other tissue sent fresh or in saline in a sterile container. Requisition must include request for flow cytometry.
  • RENAL BIOPSY
    Send in saline. Requsition must include instructions for reference institution of choice (e.g. Marshfield Clinic or Mayo Medical Laboratories).
  • GOUT/TOPHUS
    Send in 100% alcohol (preferred) or fresh. Requisition Form should indicate suspicion for gout or evaluation for bi-refringent crystals.
  • MUSCLE BIOPSY 
    • Send fresh on a saline damp sponge.
    • DO NOT float in saline.  Muscle is isotonic and will absorb excess fluid resulting in a sub-optimal specimen.
    • DO NOT use muscle clamps.  Crushing injury to the muscle will result in a sub-optimal specimen.
    • DO NOT schedule procedure on a Thursday or Friday.  Prepared (flash frozen) muscle samples are received at Mayo Medical Laboratories Monday through Thursday. 
  • PRODUCTS OF CONCEPTION FOR CYTOGENETICS, CHROMOSOME, KARYOTYPE
    • Send fresh or in saline.
    • Obtain under sterile conditions, if possible.
    • Requisition must include request for cytogenetic testing, chromosome analysis, karyotype.
  • PRODUCTS OF CONCEPTION RECEIVED AFTER 5:00 PM (e.g. from Emergency Room, etc.)
    • Send fresh to the Specimen Receiving area in the Reference Laboratory who will deliver to the Pathology Department for refrigeration.
    • Requisition must also include OB/GYN, family and submitting physicians in order to contact for possible triage (for cytogenetics, chromosome, karyotype).
  • IMMUNOFLOURECENT TEST (SKIN)
    • Send in Zeus media which can be obtained by contacting the Pathology Department (AIP).  If the Zeus media cannot be obtained before the procedure, the specimen can be sent fresh (no solution) or in sterile saline and delivered immediately to the Pathology Department (AIP).  An additional specimen should be obtained for routine pathology from the same site and submitted in formalin.
  • AMPUTATIONS
    • Extremity amputations (hands, feet, legs and arms) should be sent fresh to the Pathology Department (AIP) for refrigeration.  If after 5:00 PM, the amputation should be sent fresh to the Specimen Receiving area in the Reference Laboratory who will deliver to the Pathology Department for refrigeration.
    • Digit amputations (fingers and toes) should be placed in 10% neutral-buffered formalin.

 

Supplies:  Some supplies are provided to offices utilizing Associates in Pathology's services.  To place an order, please call 715-847-2130 or click here to submit an order electronically.