Histopathology & Cytopathology
The Histopathology and Cytopathology Laboratory is manned by a highly experienced and qualified team of Senior Consultants:
It is supported by a dedicated and sincere team of highly trained technical staff. The Laboratory is equipped with state of art equipments, which includes Shandon Automatic Tissue Processor, Medite Automatic Tissue Processor, Automated Histoembedder, Leica Rotary Microtomes, Medite Cold plate, Sakura Autostainer, Tharmac Cytocentrifuge, Leica Cryostat, high end binocular microscopes (Nikon, Olympus) with Immunofluorescence and Polarising light attachments.
The Department prides itself at the good quality H&E sections, Pap stain, Histochemistry and Pmmunohistochemistry stains. It scores high in the United Kingdom National External Quality Assurance Programme (UKNEQAS) which is the national quality assurance agency for the entire United Kingdom.
The department receives diagnostic biopsies, surgical specimens, exfoliative cytology specimens and fine needle aspiration cytology specimens from all the specialties, including Oncology, Urology, Nephrology, Gastroenterology and Hepatology, Gynecology, Respiratory Medicine, Pediatrics and Cardiothoracic surgery. It also supports highly specialized branches such as Neurosciences and Transplant (Renal, Liver and Bone Marrow) Services.
The department has a quick turn-around-time of 3 to 5 days for Histopathology specimens, and 24 hours for Cytology specimens. However, rapid, same day processing and reporting is done for urgent cases such a transplant and other life threatening situations.
All Oncology resection specimens require a proper gross examination including inking and selection of blocks for accurate and complete reporting, including important prognostic parameters, required for further management of cancer patients. This highly specialized and tedious process is performed by Senior Consultants in the department. Similarly, all Fine Needle Aspiration Cytology (FNAC) procedures are skillfully and painlessly done by Senior Consultants. The utilization of ultrasound and CT guidance for inaccessible organs, ensures that almost all body sites can be targeted, thus ensuring a reliable diagnosis on an OPD basis, which in turn equals to less expenditure and minimal discomfort to the patient.
Facility of frozen section examination is available for all specimens, including Neurosurgical cases.
The reports are conveyed to the operating surgeon within a matter of minutes.
The department provides high quality Immunohistochemistry services, with a vast panel of over 100 antibodies. This aids in accurate diagnosis of various kinds of malignancies and also provides the prognostic indicators. It also plays an important role in diagnosing certain infections, which helps in management of immunosupressed and transplant patients.
Immunofluorescence studies are available for all kidney biopsies and in certain skin conditions, where indicated.
As the Hospital is a tertiary referral center, many complex and diagnostically challenging cases are referred to the department. These are properly worked up with various special tests, including immunohistochemistry, and intra departmental consultations when required. Surgical pathology reports are mostly in consensus with those from frequent reviews in various international centers of repute world wide.
All this results in Histopathology and Cytopathology reports of the highest international standards, at a reasonably low cost. Samples from outside sources are also accepted in the department. These may consist of surgical specimens, or slides and blocks for review, or special tests such as frozen sections and immunohistochemistry.
The department is also involved in teaching:
Post graduate course in DNB Pathology (National Board of Examination).
DMLT course for Lab Technicians training in association with IGNOU.
The department is actively engaged in second opinions on samples and biopsies carried out elsewhere, including abroad. The samples are received from outside referrals also.