SD/CP2 – Tissue Selection – r2

David Muskett

Plan Understand the principles of tissue

selection. Understand the need to log sample details. Understand the need for further or

alternate fixation. Understand the need to pin out

specimens.

Competencea) Assist with consultant-led specimen

dissection appropriately. b) Take dictation at specimen dissection. c) Assist with the pinning out of specimens. d) Label cassettes accurately in order to

maintain the link between sample and request.

e) Transfer category A specimens from pot to cassette.

SP evidence required Answered questions Completed competence sheet

Types of specimen selection All entered – no slicing All entered – needs slicing Some entered

Selection criteria in line with RCPath Minimum data sets

Key concepts of specimen selection What is it? How big is it? What does the cut

surface look like?

Is there tumour? Is it benign or

malignant? Are the margins clear? Are the lymph nodes

involved? Is there distant

tumour?

Biopsies

Polyps Polypoid polyps Sessile polyps

Case study 1

Case study 2

References