Lymph Node Biopsy for Lymphoma Work-up

OR/CLINICAL DEPARTMENT PERSONNEL RESPONSIBILITY

• Submit fresh tissue specimen, no fixative,
• Wrap the tissue in saline soaked gauze and put the gauze in a container OR drop the tissue in a container filled with saline.
• Complete Epic request form, select correct Anatomic Tissue Part type and include note: "Fresh Tissue for Lymphnode Work-up".
• Label container with patient's name, MRN and specimen description. (Epic generated labels)
• Label "Fresh Tissue for Lymphoma Work-up" .
• Place the specimen container and request form in biohazard bag
• Provide pertinent clinical history, proper ICD9 code and requesting physician code

LABORATORY PERSONNEL RESPONSIBILITY

• HFH Detroit campus specimen delivery: Deliver promptly to Surgical Pathology Laboratory
• Medical Centers, West Bloomfield, Wyandotte and Clinton township hospital specimen delivery:
  • Order specimen in Sunquest as "Referred test" (RTSP) so that it can be placed on Sunquest tracking list for shipment to HFH and label biohazard bag
• Prepare Transport Batch list for specimen
• Pack specimen for transport to HFH
• Place specimen in “Rush Delivery” cooler
• Notify grossing/accessioning room on 6th floor of HFH E & R building at (313) 916-2319
• Notify transplant immunology at (313) 916-3165
• Follow established procedure to transport specimen by stat lab courier, A-1 International (248-786-2040 ext 2303) or cab to HFH Detroit campus.
• After hours delivery: If after 5:00 p.m., or on weekends notify -
1. Anatomic Pathology resident on-call at beeper (313) 598-1735.
2. If resident cannot be reached, call hematopathologist on-call. (Please check on-call schedule for contact numbers).
• Routine turnaround time is 48-72 hours.
• Immunophenotyping and molecular diagnostic assays will delay final diagnosis.
• Discussion of results and special issues, call (313) 916-PATH (7284).