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  Vol. 280 No. 23, December 16, 1998 TABLE OF CONTENTS
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Temporal Artery Biopsy to Diagnose Temporal Arteritis

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor.—In their Contempo article, Drs Gordon and Levin1 published data for the target artery length for temporal artery biopsy specimens. I assume that they are recommending that a surgeon obtain a temporal artery segment that is at least 20 mm in length in situ. Smooth muscle retraction followed by formalin fixation may shorten such a surgical specimen. Do the authors have data on the degree of shrinkage in a processed temporal artery biopsy? (Most pathologists assume that formalin fixation that will cause a 10% reduction in the length of a nonbony structure, but documentation is hard to come by.) Alternatively, if a 2-cm-long portion of formalin-fixed artery is recommended, what is the recommended artery length that should be obtained? Without clarification, I fear that some surgeons will be called to task because of a lack of understanding of tissue-processing artifacts.

Alan Caroe, MD
York Hospital
York, Pa

1. Gordon LK, Levin LA. Visual loss in giant cell arteritis. JAMA. 1998;280:385-386. FREE FULL TEXT


. . . [Full Text of this Article]



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RELATED ARTICLE

Visual Loss in Giant Cell Arteritis
Lynn K. Gordon and Leonard A. Levin
JAMA. 1998;280(4):385-386.
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