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Human Tissue: Ethical and Legal Issues

Job description of MLSOs Histopathologists and cytologists as a group tend to be obsessional individuals which in our work can be a useful trait but when this is taken to extreme degrees it becomes a disease (common sense is ignored and everyday life interfered with). This neurotic state is made much more serious when it is encouraged by bodies responsible for maintaining standards, The Royal College and the CPA. When Dr Tim Ashworth wrote to the BM3 suggesting that MLSOs should do all or most trimming and even report many histological specimens he caused a furore.' When, in my view, the just as extreme idea that they should do nothing apart from reporting negative cervical smears and possibly loading endoscopic biopsy specimens into cassettes, is proposed by the College and policed by the CPA, there is silence. As a grass roots pathologist who (to comply with accreditation requirements) has just waded through a lake of negative urine cytology and sputa without a hint of a malignant cell I feel this silence should be broken. A competent MLSO should be able to