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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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8331<br />

88501<br />

Interpretation: A written report is issued upon completion of immunohistologic examination. If<br />

material is also submitted for light microscopy, the immunohistologic report will be incorporated with<br />

the light microscopic findings and a written report will be issued.<br />

Reference Values:<br />

An interpretive report will be provided.<br />

Clinical References: Velosa JA, Holley KE: Pathology and immunopathology of renal diseases. In<br />

Renal Function <strong>Test</strong>s: Clinical Laboratory Procedures and Disorders. Edited by CG Duarte. Boston,<br />

MA, Little, Brown, and Company, 1980, pp 347-385<br />

Renal Biopsy, Light Microscopy<br />

Clinical Information: Kidney biopsy has proven to be of value in the clinical evaluation and<br />

management of patients with undiagnosed kidney disease. The clinical setting may include acute renal<br />

failure, nephrotic syndrome, asymptomatic proteinuria and hematuria. Kidney diseases in the setting of<br />

a systemic disease are often diagnosed on kidney biopsy. Biopsy of the transplanted kidney is important<br />

in the determination of the presence of acute rejection, infection, or recurrent disease. Optimal<br />

interpretation of a kidney biopsy requires integration of clinical and laboratory results with light<br />

microscopic, immunofluorescent histology, and electron microscopy findings. Tissue should always be<br />

submitted for evaluation by light microscopy. In some instances, electron microscopy is required (eg,<br />

Alport's syndrome, dense deposit disease, minimal change nephropathy, thin basement membrane<br />

disease, etc.) to make an accurate diagnosis and submission of tissue for immunofluorescent histology is<br />

required to evaluate for immune complex mediated disease. We recommend that additional material be<br />

submitted for evaluation by immunohistologic method.<br />

Useful For: The evaluation of patients with undiagnosed kidney disease Following the progression of<br />

disease or response to therapy Determining the cause of dysfunction in the transplanted kidney<br />

(allograft)<br />

Interpretation: A verbal report is given by phone upon completion of the light microscopic<br />

examination. A written report is subsequently issued along with histologic slides, and will incorporate<br />

results of immunfluorescent histology and/or electron microscopy if performed.<br />

Reference Values:<br />

An interpretive report will be provided.<br />

Clinical References: 1. Tisher CC: Clinical indication for kidney biopsy. In Renal Pathology: with<br />

Clinical and Functional Correlations. Vol. II. 2nd edition. Edited by CC Tisher, BM Brenner.<br />

Philadelphia, JB Lippincott Company, 1993, pp 75-84 2. Pirani CL: Evaluation of kidney biopsy<br />

specimens. In Renal Pathology: with Clinical and Functional Correlations. Vol. II. 2nd edition. Edited<br />

by CC Tisher, BM Brenner. Philadelphia, JB Lippincott Company, 1993, pp 85-115 3. Pirani CL,<br />

Croker BP: Handling and processing of renal biopsy and nephrectomy specimens. In Renal Pathology:<br />

with Clinical and Functional Correlations. Vol. II. 2nd edition. Edited by CC Tisher, BM Brenner.<br />

Philadelphia, JB Lippincott Company, 1993, pp 1683-1694<br />

Renal Pathology Consultation<br />

Clinical Information: The <strong>Mayo</strong> Renal Pathology service is staffed by board certified pathologists<br />

who have a special interest in non-neoplastic diseases of the kidney. Kidney biopsy has proven to be of<br />

value in the clinical evaluation and management of patients with kidney disease, including acute and/or<br />

chronic renal insufficiency, nephrotic syndrome, nephritic syndrome, proteinuria and/or hematuria, and<br />

in the overall management of renal transplant recipients. Optimal interpretation of a kidney biopsy<br />

requires integration of clinical and laboratory results with light microscopic, immunofluorescent<br />

histology, and electron microscopy findings.<br />

Useful For: The evaluation and management of patients with kidney disease Following the<br />

progression of known renal disease and/or response to therapy Determining the cause of dysfunction in<br />

Current as of January 3, 2013 2:22 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong>Laboratories.com Page 1541

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