Pathology Associates Of Lexington, P.A.
Pathology Associates Of Lexington, P.A.
Pathology Associates Of Lexington, P.A.
 Home | Pathology Group MembersOur Hospital  Search This Website:
        Agar For Use In Surgical Pathology Specimen Pre-Embedding
      

We (in West Columbia, S. C.) use Bacto Agar from Fisher Health Care - Brad Krapel - sale rep - 800-879-2670 ( ext. 9810); the thymol N. F. Crystal 125 gr. - Cardinal Health - Bruce Burnett - sale re - 800-825-8900 (ext. 5375)

Agar Bulk Batch Recipe:

42 grams of Bacto Agar

1400 ml of Distill Water

1/4 teaspoon Thymol

Mix together in a large surgical path plastic specimen container (DO NOT COVER) and heat in microwave for 18 minutes on HIGH. Stir to mix thoroughly with a wooden tongue blade. - "DO NOT BOIL" Sprinkle the top with Thymol. Stir lightly. Let set & solidify for 12 hours before using. Cover with lid and cut 2 - X'S in the lid to vent - this allows escape of humidity and that & the thymol will help prevent mold from growing. This represents a "bulk block". In a pathology practice of 25,000 surgicals per year, several hundred FNAs & cell blocks per year, and 130 autopsies per year, we make about  ___ bulk blocks per year.

Working portion Recipe:

You will need:

a 6-12 hole heat block at 58 degrees at each grossing station

Disposable test-tubes with tops

3.5 ml plastic disposable pipettes

1- smaller _____cc plastic surg. path. spec. container with lid

When low on working tubes of warm, liquid agar in the heat block, slice out a chunk of solid agar from the bulk block...about a cup full. Microwave until completely melted (you might try a series of 15-30 second microwave bursts). Using a soft, plastic, disposable pipette, fill enough test-tubes to accommodate a days worth of grossing at that grossing station. Do not fill tubes above the top rim of the heating block only tube-holding hole. Then place disposable/re-useable plastic tops on the filled test-tubes. Change out all left-over  agar-filled tubes daily (each morning).

When grossing specimens, orient small biopsies or tissues on edge on the metal table top...maybe up against the external sidewall of a cassette (to keep the biopsy steady while the agar is applied). Using the above type of pipette, slowly and carefully cover specimen completely with agar (making sure that there are no air bubbles beside specimen). Make sure specimen does not float up off of the table top into the agar "button"; let cool to harden (approx. 1 min.)...then cut away excess & lift up with scalpel blade & place into cassette. The agar protects the biopsies from drying out; so, one can gross a series of a dozen or so biopsies on the grossing table top prior to trimming and placing into cassettes.

(2 March 2004) (back to agar page)

 
© Copyright 1999 - 2006, all rights reserved, Pathology Associates Of Lexington, P.A.