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Tissue Banking Overview: Washington University Medical Center

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8/21/2012<br />

Contraindications to tissue banking<br />

‣ small tumors and other cases where most<br />

lesional tissue is needed for diagnosis<br />

‣ surgical margins of resection<br />

‣ specimens where tumor and benign areas<br />

cannot be clearly delineated grossly<br />

‣ grossly visible areas of primarily necrosis,<br />

hemorrhage, or fat<br />

‣ specimens which are known to have been<br />

delayed significantly more than 30<br />

minutes past their procurement time in the<br />

OR<br />

‣ tissue previously freeze-thawed, or frozen<br />

slowly (e.g. in the cryostat or -80 freezer)<br />

Contraindications to tissue banking<br />

‣ areas of deepest invasion, tumor/normal<br />

interface, tumor/capsule interface,<br />

extranodal extension of tumor, and<br />

other key landmarks for surgical<br />

pathology evaluation and tumor staging<br />

‣ chemotherapy- or radiation-treated<br />

tumors with no gross residual tumor<br />

mass<br />

‣ diagnostic biopsies where most or all<br />

tissue must be submitted for pathology<br />

evaluation…most lymph node, GI,<br />

bone marrow, and liver biopsies<br />

fall in this category<br />

‣ tissue clearly marked as intended<br />

for a special study such as<br />

immunofluorescence<br />

23

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