1. SD/CP2 – Tissue Selection – r2 David Muskett

2. 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.

3. Competence a) 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.

4. SP evidence required  Answered questions  Completed competence sheet

5. Types of specimen selection  All entered – no slicing  All entered – needs slicing  Some entered  Selection criteria in line with RCPath Minimum data sets

6. 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?

7. Biopsies

8. Polyps  Polypoid polyps  Sessile polyps

9. Case study 1

12. Case study 2

15. References