General Recommendations for Specimen Handling

Specimen Preparation

I. Three vials needed for each biopsy

  1. Light Microscopy (LM): Sorenson's fixative
  2. Electron Microscopy (EM): 1/2 strength Karnovsky's fixative
  3. Immunofluorescence (IF): Michel's Transport medium

(Discard any vials with ppt.)
Label each with name of patient and date of surgery.
Fill out Pathology Service Request Form.

II. Immediately after the biopsy is obtained:

  1. Place biopsy cores in each of the three specimen bottles.
  2. If only a single core is obtained, and if IF and/or EM will be essential for establishing the diagnosis, divide in three parts with clean, sharp blade as indicated in the diagram.
  3. If wedge biopsy, cut in 1-2 mm blocks. Handle all pieces carefully. Avoid crushing.
  4. Place pieces in containers, as indicated by diagram, as quickly as possible. Priority should be given to: a) light microscopy, b) immunofluorescence, c) electron microscopy.

Shipping

Deliver as soon as possible.
Do not freeze the specimens or ship on dry ice.



Pathology Service Request Form Required:

Process Time:

Fee:

Available upon request


CPT Codes:

Electron Microscopy Laboratory:

Location:

University of Washington Medical Center
Room NW-279

Contact for technical assistance:

Chiyen Miller
(206) 598-6411
email: chiyen@u.washington.edu

Contact for interpretation assistance:

Charles Alpers, M.D.
(206) 598-6409
e-mail: calp@u.washington.edu

Please do not ship for weekend or holiday delivery without prior notification. Instructions, vials with fixatives and solutions are available from the Renal Biopsy Laboratory, (206) 598-6061.