Biopsy Specimen Handling, Processing, Quality Assurance Program
Abstract
With widespread use of prostate-specific antigen (PSA) screening, a greater number of prostate biopsies are performed. It is estimated that more than one million prostate biopsies are performed in the United States annually, with each biopsy consisting of an average of 8–10 sample cores, creating an estimated ten million tissue samples. This trend has created a challenge for effective and timely handling and processing of prostate biopsies in histology laboratories, in addition to their accurate interpretation and quality assurance by surgical pathologists. Various laboratory-controlled factors influence the prostate cancer detection rate in contemporary prostate biopsy practice. This chapter addresses ideal practices for the submission, handling, and processing of prostate biopsies, as well as commonly applied quality assurance programs known to improve overall practice.
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