That Mohs Tech

Mohs histotechnologist sharing some slides with you

[thatmohstech]

Heart shaped first later lol

Valentine's day themed mohs surgery

[thatmohstech]

Infiltrative basal cell carcinoma in a first stage Mohs layer stained with H&E and toluidine blue at 2X

Notice the epidermal layer in the top right corner

[thatmohstech]

A section of cartilage (second stage Mohs layer) stained with both toluidine blue and hematoxylin and eosin

[thatmohstech]

Nodular basal cell carcinoma in a first stage Mohs layer

[thatmohstech]

Nodular basal cell carcinoma stained with toluidine blue

[thatmohstech]

BCC in a first stage Mohs layer

[thatmohstech]

We had a big one today!

[thatmohstech]

Showing off a nine stage Mohs case. Yes one case at one site that went on for 9 stages. Basal cell carcinoma

[thatmohstech]

Your cryostat after doing 12 Mohs in one day lol.

Just kidding, it is not normal for my cryostat to cry for help. I submitted a service ticket. Hopefully it's not serious.

[thatmohstech]

Basal cell carcinoma in a first stage Mohs layer processed whole mount. The cancer is close to the bottom, on the right side of the separation/the 'nick' in the tissue

[thatmohstech]

Slow Mohs specimen during grossing - I already split it into four pieces and inked it the way I usually ink them at this hospital.

I put red ink on the face of the margin, then tell the pathology lab to place the red ink facing down. I also do them an extra, and after the specimen gets accessioned, i draw a map of how i grossed it, and how the inks are, and tell them to put the red ink facing down during embedding, and I write the accession number on it, and leave it by the embedding centers, so that way the embedders see it right away.

[thatmohstech]

Inflammation in a first stage mohs layer whole mount with toluidine blue and H&E

2x view

[thatmohstech]

Another good shot of basal cell carcinoma with toluidine blue in a first stage Mohs layer

[thatmohstech]

Basal cell carcinoma in a first stage Mohs layer whole mount with both hematoxylin and eosin and toluidine blue

[thatmohstech]

Basal cell carcinoma in a first stage Mohs layer whole mount

[thatmohstech]

Nodular basal cell carcinoma in a first stage Mohs layer (whole mount)

[thatmohstech]

So I was cutting a really fatty but small specimen today from a very old person. I was just having so much trouble with it, which was so weird. I was spraying it and spraying it with cytocool. I even tried liquid nitrogen a couple times.

Then I tried blowing some warm air into it, really good, sprayed it one more time, and it cut beautifully.