ORDERING SPECIAL STUDIES FOR GLIOMA CASES. CASE ACCESSIONED AS BBX AT TIME OF INTRAOP I. AFTER EVALUATING H&Es : 1. CIRCLE AREA OF INTEREST ON 2 SLIDES. 2. SEND 8 BLANKS TO HISTOLOGY 3. SEND 1 CIRCLED H&E AND 4 BLANKS TO FISH LAB 4. SEND 1 CIRCLED H&E AND 16 BLANKS TO MAP LAB (CAN SEND LESS IF LARGE AREA) 5.ORDER IN PROCEDURE PROCESS ENTRY “IGLIOMA2” 6. ORDER IN PROCEDURE PROCESS ENTRY “IMETHYLneuro” (ADD NOTE USE GLIOMA H&E AND BLANK CUT ORDER) 7. ORDER IN PROCEDURE PROCESS ENTRY “IDH” (ADD NOTE USE GLIOMA BLANKS/ERASE H&E AND BLANK CUT ORDER) VARIATIONS: 1. ADD ADDITIONAL IMMUNSTAIN ORDERS AND SEND MORE BLANKS TO HISTOLOGY THESE MIGHT INCLUDE: ATRX, BRAFimmuno, SYNAPTOPHYSIN, VIMENTIN, EMA. CASE NOT ACCESSIONED AS BBX II. EVALUATING H&Es : 1. CHOOSE BLOCK OF INTEREST 2. ORDER “IGLIOMA3” 3. NEXT DAY AFTER EVALUATING THE ADDITIONAL H&Es AND IMMUNOS 4. SEND 1 CIRCLED H&E AND 4 BLANKS TO FISH LAB 5. SEND 1 CIRCLED H&E AND 16 BLANKS TO MAP LAB (CAN SEND LESS IF LARGE AREA) 6.ORDER IN PROCEDURE PROCESS ENTRY “IGLIOMA2” (DELETE (CtrlD) THE IMMUNO STAINS FROM THE ORDER/YOU ALREADY HAVE THEM) 7. ORDER IN PROCEDURE PROCESS ENTRY “IMETHYLneuro” (ADD NOTE USE GLIOMA BLANKS/DELETE (CtrlD)H&E AND BLANK CUT PART OF ORDER) 8. ORDER MOLECULAR IN PROCEDURE PROCESS ENTRY “IDH” (ADD NOTE USE GLIOMA BLANKS/delete (CtrlD) H&E AND BLANK CUT PART OF ORDER) VARIATIONS: 1. ADD ADDITIONAL IMMUNSTAIN ORDERS AND SEND MORE BLANKS TO HISTOLOGY 2. IF IDH IMMUNOSTAIN DEFINTIVELY POSITIVE / IDH MOLECULAR NEEDN’T BE ORDRED.
ORDERING SPECIAL STUDIES FOR GLIOMA CASES. I. CASE ACCESSIONED AS BBX AT TIME OF INTRAOP AFTER EVALUATING H&Es : 1. CIRCLE AREA OF INTEREST ON 2 SLIDES. 2. SEND 8 BLANKS TO HISTOLOGY 3. SEND 1 CIRCLED H&E AND 4 BLANKS TO FISH LAB 4. SEND 1 CIRCLED H&E AND 16 BLANKS TO MAP LAB (CAN SEND LESS IF LARGE AREA) 5.ORDER “IGLIOMA2” IN PROCEDURE PROCESS ENTRY 6. ORDER “IMETHYLneuro” IN PROCEDURE PROCESS ENTRY (ADD NOTE USE GLIOMA H&E AND BLANK CUT ORDER) 7. ORDER “IDH” IN PROCEDURE PROCESS ENTRY (ADD NOTE USE GLIOMA BLANKS/ERASE H&E AND BLANK CUT ORDER) VARIATIONS: 1. ADD ADDITIONAL IMMUNSTAIN ORDERS AND SEND MORE BLANKS TO HISTOLOGY THESE MIGHT INCLUDE: ATRX, BRAFimmuno, SYNAPTOPHYSIN, VIMENTIN, EMA. II. CASE NOT ACCESSIONED AS BBX EVALUATING H&Es : 1. CHOOSE BLOCK OF INTEREST 2. ORDER “IGLIOMA3” 3. NEXT DAY AFTER EVALUATING THE ADDITIONAL H&Es AND IMMUNOS 4. SEND 1 CIRCLED H&E AND 4 BLANKS TO FISH LAB 5. SEND 1 CIRCLED H&E AND 16 BLANKS TO MAP LAB (CAN SEND LESS IF LARGE AREA) 6.ORDER “IGLIOMA2” IN PROCEDURE PROCESS ENTRY (DELETE (CtrlD) THE IMMUNO STAINS FROM THE ORDER/YOU ALREADY HAVE THEM) 7. ORDER “IMETHYLneuro” IN PROCEDURE PROCESS ENTRY (ADD NOTE USE GLIOMA BLANKS/DELETE (CtrlD)H&E AND BLANK CUT PART OF ORDER) 8. ORDER “IDH” MOLECULAR IN PROCEDURE PROCESS ENTRY (ADD NOTE USE GLIOMA BLANKS/delete (CtrlD) H&E AND BLANK CUT PART OF ORDER) VARIATIONS: 1. ADD ADDITIONAL IMMUNSTAIN ORDERS AND SEND MORE BLANKS TO HISTOLOGY 2. IF IDH IMMUNOSTAIN DEFINTIVELY POSITIVE / IDH MOLECULAR NEEDN’T BE ORDRED.
OrderMAPGliomas.docx