Veterinarian's Guide to Maximizing Biopsy Results / Edition 1

by F. Yvonne Schulman

Overview

Veterinarian's Guide to Maximizing Biopsy Results helps veterinary practitioners in obtaining high-quality biopsy samples, maximizing the results and minimizing the cost.

• Details the biopsy process step by step
• Includes a submission checklist to assure thoroughness
• Helps clinicians avoid errors when collecting biopsy samples
• Ensures high-quality samples for improved results and reduced costs
• Provides practical, clinically oriented information

Product Details

ISBN-13:	9781119226260
Publisher:	Wiley
Publication date:	08/29/2016
Pages:	80
Product dimensions:	6.50(w) x 9.40(h) x 0.30(d)

About the Author

F. Yvonne Schulman, DVM, DACVP, is a Diagnostic Pathologist at Marshfield Labs, Veterinary Services, in Marshfield, Wisconsin, USA.

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Table of Contents

Preface: Why maximizing your biopsy results is important vii

Acknowledgments ix

Steps of a Successful Biopsy Submission 1

1 Collection 1

i Site 1

ii Size 1

iii Number 13

iv Fixation 16

v Labeling and packaging 21

2 Submission form 23

i Signalment and clinical history 24

ii Lesion description 25

iii Differential diagnosis and specific questions 25

3 Clinicopathologic correlation 25

Organ System Specific Guidelines 27

1 Skin 27

2 Mammary 32

3 Oral 34

4 Gastrointestinal tract 35

5 Liver 38

6 Pancreas 39

7 Spleen 40

8 Lymph nodes 42

9 Bone 43

10 Digits 46

11 Eyes 47

12 Urinary 47

i Kidney 47

ii Bladder and urethra 49

13 Respiratory 51

i Nasal 51

ii Lung 52

14 Reproductive 52

i Female 52

ii Male 54

15 Endocrine 54

i Thyroid 54

ii Adrenal gland 55

iii Parathyroid gland 55

16 Central nervous system 55

17 Skeletal muscle 56

18 Miscellaneous 58

i Anal sacs 58

ii Synovium 58

Biopsy Submission Check List 59

List of Biopsy Dos and Don’ts 61

References 63

Additional Reading 65

Index 67

Editorial Reviews

Reviewer: Elizabeth A Driskell, DVM, PhD (University of Illinois College of Veterinary Medicine)
Description: Nondiagnostic and nonrepresentative biopsy samples are a ubiquitous problem for veterinary pathologists and an all too frequent frustrating result for clinicians. This book offers guidelines for sampling and submitting animal biopsies, covering most common samples of companion animal species, but focuses mainly on biopsy samples in dogs and cats. The book is brief and covers general biopsy sampling and submission guidelines as well as organ-specific guidelines. The book has a few checklists as well as a short list of additional references at the end.
Purpose: The aim is to provide guidelines prior to biopsy sampling that will lead to samples where definitive diagnosis is achieved or a specific disease or differentials are identified and nondiagnostic samples are avoided. Familiarity with the guidelines for sampling and submitting biopsy specimens is a must for all veterinarians, as well as technicians, and often instruction in this is delivered in a haphazard fashion. A single place to refer to recommendations is a worthy goal.
Audience: Although addressed to practicing veterinarians, the book would be useful for veterinary nurses, technicians, or office staff involved with submitting biopsy samples for their practice. It is full of gold standard biopsy sampling and submission advice that is often heard repeatedly from many veterinary pathologists, as it is written by a board certified veterinary pathologist with much experience in surgical pathology with a diagnostic laboratory.
Features: The first section covers general submission guidelines, including important items like artifacts generated from improper handling with an emphasis on the importance of sample size and critical pieces of information to be submitted in the clinical history. The second section covers organ-specific recommendations, using the context of most common reasons why that organ would be sampled and how to maximize the sample for those conditions. The book primarily uses short paragraphs and outlines when covering important points on a topic. The organization of the first section of the book does not lend to quick reference, but should be approached as a whole. The second section on specific organs can be used as a quick reference when an organ is being sampled. The book contains numerous diagrams and microscopic images, with a few gross images. Some of these are quite useful to help the point sink in, while others don't add much to and would require a pathologist to appreciate what is demonstrated by the microscopic image.
Assessment: Overall, this is an easily digestible reference not only for veterinarians, but also for veterinary students and other support staff. It is the first of its type, compiling gold standard, practical information for animal biopsy sampling and submission guidelines.

Doody's Review Service