Glad you got this accomplished. Under most circumstances (and for future inquiries), the Pathology Dept where the slides were originally read is the first, and hopefully last phone call. They are responsible for archiving the slides and tissue blocks, and have to keep track of where the slides are at all times. They will first want to know WHAT you want sent out. So, be as specific as possible (My prostate needle core biopsies from May 23, 2009 and the follow-up saturation biopsies from Aug 15th). Too often, someone says "all my pathology slides", forgetting that this may include a gallbladder removal or skin biopsy interpreted in the same lab 5 years ago Next, the Path Dept will want to know who they are sending the slides to (Dr. X at Cleveland Clinic), a mailing address, how soon the slides need to arrive (ie, US Mail or Fedex request). Ordinarily, glass slides alone are enough for a consultation visit. If you have some very unusual condition, the referral pathologist may also want a representative tissue block sent in order to perform additional immunohistochemical or molecular testing. If you anticipate that going into the consultation, it can save time to request that a representative tissue block be sent out with the glass slides. Under the best circumstances, this material should be sent at least 2 weeks ahead of your visit. This will allow for mail delivery, slide interpretation and reporting at the referral center. Then when you arrive for your visit, the consultant urologist already has the report from his/her Pathology Dept in hand and can discuss any discrepancies. If time does not permit, you can arrange to pickup the materials from the local Pathology Dept and take it with you. In that circumstance, you are responsible for safe transit of the glass slides and should not expect a confirmatory read until sometime after your appointment. The referral Path Dept will be responsible for returning the slides to the original lab, usually several months after the read. This delay is calculated to keep the slides in that department until afer your surgery, so that they can be compared with the final prostate excisional specimen. This is important if you decide to go to another referral center, because you will need to make sure that the slides get back home, logged back into the original lab, and then sent out again to the second referral center. In emergency circumstances, you can arrange for the first referral lab to Fedex the slides to the next, but that is frowned upon because now the origial lab has lost track of them.
I know, TMI.
PCa Dx 07/09: 3+3 in 2 cores
Age at Dx 54
daVinci RRP 09/17/09
Final path 3+3, <5%, margins neg, pT2a.