Surgical Pathology Specimen Guide
Thank you for trusting Pathology Consultants for your surgical pathology services. Members of the Surgical Pathology staff are board certified in Anatomic and Clinical Pathology; they also hold subspecialty certifications in the areas of cytopathology, molecular genetics, dermatopathology, hematopathology and immunopathology.
The pathology team offers a wide variety of diagnostic testing and professional consultation (see tests available). Team members are routinely available Monday-Friday from 8 a.m. to 5 p.m.
Call Joyce Siamon, General Manager, at 541-341-8033 or 800-826-3616 ext. 8033.
A surgical pathologist is on call 24 hours a day, seven days a week. Call 541-222-3035 or the numbers above.
Pathology Consultants, P.C.
P.O. Box 72059
Springfield, OR 97475-0285
Labels & Requisitions
- To avoid delays in processing and specimen rejection, please label accurately and completely:
- Each primary specimen container must be labeled with at least two identifiers at the time of collection (e.g., the patient’s full name, DOB, SSN, requisition/order number, accession number, or unique random number) and biopsy site.
- Each specimen must be accompanied by a completed tissue request form. All of the information on the request form must be provided to correctly process the specimen and to avoid delays in reporting.
- Essential information includes patient name, date of birth, physician, biopsy site and/or type of specimen, clinical diagnosis or pertinent history. Pathology service orders must have a narrative diagnosis or valid ICD-9/10 code(s). The diagnosis code or clinical history should reflect the reason for ordering the service (e.g., the clinical diagnosis or the patient’s signs and/or symptoms that prompted the ordering of the test).
- Routine specimens received by 4 p.m. will be available for pathologist review the following day (Monday-Friday). Small biopsies received in fixative can be received by 5 p.m. and processed that same night by special request.
- To request review of special cases on Saturday morning, call 541.341.8006 or 800.826.3616, ext. 8006. The specimen, accompanied by the requested Saturday review, must be received by the Pathology Department no later than Friday at 4 p.m.
- More than 90 percent of cases are reported within two working days. Specialty examinations require additional processing and interpretation time.
- Special processing for diagnostic lymph node, renal and muscle biopsies requires a minimum of 48 hours. Submitting additional material for microscopic examination or special staining procedures require additional processing time.
- Turnaround time on breast cancer panels is two to three days.
Specimen Collection Instructions
- Bone Marrow
- Breast Cancer Panel
- Breast Biopsy, Needle Localization
- Cytology, Non-Gynecological
Diagnostic cytology permits the examination of virtually every organ system in the body through the evaluation of epithelial cells obtained from fluids, solid lesions and organ surfaces. In general, evaluative techniques that involve direct collection of specimens through scraping, brushing and aspiration of lesions will yield a higher proportion of positive diagnoses when a neoplasm is present than methods that evaluate sputum, cerebrospinal fluid or body fluid.
Types of Fixation and processing of various specimens differ and are described below. As with PAP smears, adequate sampling and specimen preparation are critical.
- Barr Body Examination for Genetic Sex Determination
- Bladder Washings
- Body Fluid (Pleural, Peritoneal, Pericardial, Cul-de-Sac, Cyst Fluid, Joint Space, Other)
- Breast Secretions
- Bronchial Secretions
- Fiberoptic Brush
- Fine Needle Aspiration (FNA)
- Herpatic Lesions from the Vulva and Penis
- Miscellaneous (Cornea, Nasopharyngeal, Wound Drainage)
- Oral Lesions
- Sputum, Pooled
- Urine Collection
- Frozen Section Diagnosis
- Lymph Node Biopsy for Possible Lymphoma
- Lymph Node, Sentinel Biopsy
- Muscle Biopsy
- Nerve Biopsy
- Renal Biopsy
- Routine Tissue Exams – Gross and Microscopic
- Skin Immunofluorescence
- Special Stains on Referred Tissue
- Surgical Tissue for Culture
- Tests Available