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June 5, 1915


Author Affiliations

Buffalo Pathologist, State Institute for the Study of Malignant Disease

JAMA. 1915;LXIV(23):1909. doi:10.1001/jama.1915.25710490002013b

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From the fact that many men who have visited our institute knew nothing of this method, and that "table diagnosis" is in disrepute by many surgeons, it seemed worth while to publish this technic, which I have been using for the past three years. I was led to adopt it by finding that by the usual method of freezing the unfixed tissue, and staining by polychrome methylene blue, sections were sometimes unsatisfactory, and that a diagnosis given in one case was found to be incorrect when further sections were made on fixed tissues.

It seems to me that a great fallacy in making diagnoses at the table is the necessity of returning the report within three minutes. The surgeon expects to take his time with his operative procedure, while he expects the pathologist to be limited to a minimum time, and also to take the responsibility of the extent of

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