Pathology

Introduction

The Department of Pathology is one of the important pillars of the RGSSH, Delhi and has shown a tremendous growth since 2016. It not only plays crucial role in patient care but also assists the clinicians in early detection of cancers and making optimal decisions in the treatment management of the patients based on latest diagnostic services. We ensure that each patient receives care that is safe, effective, efficient, timely equitable and patient centered. Our aim is to produce accurate, reliable and timely analysis result to achieve and maintain an effective quality management system and ensure compliance with relevant statutory and safety requirements. The department has state of art infrastructure with installation of technically advanced equipment’s. The department also functions as a teaching department for DNB (primary and secondary), Post graduate MD Pathology student’s ad DMLT students. Our department is actively involved in various integrated teaching programmer, research, academic activities and hands on workshops.

Infrastructure and Location

The Department of pathology is situated in 4^thFloor, 7^th Block

There are separate sections each for the following factions-
- Hematology & Clinical Pathology
- Surgical Pathology & Cytology
- Immunohistochemistry, frozen section and liquid based cytology
- Sample collection Room
Slide Seminar Room – There is slide seminar room, fitted with LED TV and other audio visual aids with a seating capacity of 20 students.
Departmental Library – The departmental library has over 30 books.
D. FNAC room

SERVICES OFFERED BY THE DEPARTMENT

List of Tests done in Hematology and Clinical Pathology:

	Hematology& Clinical Pathology		Surgical Pathology and Cytology
Hematology	Coagulation Studies	Clinical Pathology	Histopathology	Cytology
HB / Hemoglobin	Partial ThromboPlastin Time (PTT)	Routine Urine and Microscopy	Biopsy Small (up to 3 cm)	Fluids (Ascitic fluid, pleural fluid, pericardial fluid, synovial fluid, peritoneal fluid and CSF)
TLC/Total Leucocyte count	Prothrombin Time (PT)	Colour	Biopsy Medium (4-10 cm)	Fluid for malignant cell
RBC/Red Blood cell count	Plasma fibrinogen	Turbidity	Biopsy Large	Fluid cytology for AFB stain
PCV/Hematocrit	Factor VIII assay	Specific gravity	Biopsy Radical	Urine for malignant cell
Platelet count	D-dimer	Urobilinogen	Biopsy for AFB Stain	Sputum for malignant cell
MCH	Protein C	Bilirubin	Frozen Section	Imprint cytology
MCHC	Antithrombin III	Ketone	IHC	Cell block
MCV	Protein S	Nitrite	Slide & Block for Review	Brochio-alveolar cytology
DLC		Protein	Special stains	Bronchial aspirate
ESR (Erythrocyte Sedimentation Rate)		Glucose		Trans bronchial Needle aspiration
Peripheral Smear for atypical cell/malaria parasite		Blood		Ultrasound guided needle cytology
Reticulocyte Count (Retic)		Leucocytes		Liquid Based Cytology
A.E.C. (Absolute Eosinophil Count)		RBC		Cytology slides for review -Special stains
Absolute Neutrophil Count		WBC
		CAST

TEACHING AND TRAINING:

The Department provides training to postgraduate senior resident in various fields of pathology. The laboratory is equipped with double and multi-head microscopes as well as digital pathology system for teaching and consultation. The department also hosts inter/intra-departmental presentations, CMEs, hands on training and workshops to help abreast with latest developments in various subspecialties. Moving forward in this direction, in the year 2022 NBEMS awarded 02 DNB candidates (01 post MBBS and 01 post diploma). The department now functions as a teaching department for both DNB students and Post graduate students. The department is also actively involved in various research and academic programmes.
The department conducts Inter and Intradepartmental seminars, Journal club, subject seminars, gross and slide seminars for the post graduates.

THE POSTGRADUATES ARE TRAINED IN THE FIELD OF:

Histopathology, Cytology and Haematology
Immunohistochemistry
Frozen section
Special stains
Fine needle aspiration cytology
Liquid based cytology
Flow cytometry
Grossing techniques and reporting

DIAGNOSTIC SERVICES:

The Department of Pathology at Rajiv Gandhi Super Specialty Hospital has been a pioneer in the field of pathology since its inception and we will always remain a leadinginnovator in research, service and education by offering state of the art patient care services in corporating advanced diagnostic methods.

The Hematology and Clinical Pathology section is the only government setup in East Delhi that is performing all tests using state of the art fully automated analysers. About 4,00,000 tests (peripheral blood) and 1,00,000 tests (urine) are processed each year. We are also equipped with flowcytometric analyser for immunophenotyping of leukaemia and lymphomas. Since 2021, this section is now NABL accredited with certificate number (MC- 4709); Issue Date (15/09/2021).

In the section of Surgical pathology and Cytology, over 1500-2000 specimens (which includes small biopsies, medium biopsies, large specimens, radical specimens as well as review slides/blocks) and 2000-2500 cytology samples (Body fluids, FNACs, cytological specimens obtained from respiratory tract, urinary tract and GI tract) are processed and reported each year. Faculty provides their expert opinions on referred cases from other hospitals. Our laboratory is also providing with all kinds of ancillary diagnostic services which includes frozen sections, Immunohistochemical analyses of various malignancies, liquid based cytology (LBC), cell block preparations and special stains which are done on a routine basis.

The department strives to excel and offer expert consultation and quality patient care in sub-specialties of histopathology, cytopathology, haematology and clinical pathology, besides providing teaching to medical students and relate its importance with clinical findings through an integrated approach.The department is also involved in various research programmes, at present involved in funded ICMR research projects in collaboration with Amity university Noida.

FUTURE PLANS:

The department is looking forward to develop a Molecular Pathology Section (FISH/PCR), whole slide imaging and storage facility, telepathology, fellowship programmes in GI Pathology and Uropathology, CAP accreditation and various student exchange programmes with reputed international and national universities.

Others

Sno.	Name of Faculty/Staff	Designation	Years of Experience
1	Dr Mona Bargotya (MBBS, MD Pathology)	Head of Department	15 years
2	Dr Payel Das (MBBS, MD Pathology)	Assistant Professor	07 years

FACULTY

A. 06 post graduate MD students (Senior Residents)
B. 02 primary DNB students
C. 01 secondary DNB student

ACHIEVEMENTS

There are about 40-45 publications in various indexed national and international journals.
Excelled with many prize winning oral and poster presentations.
Department of Pathology has successfully organized CME as well as multiple training hands on training and workshops onmany subjects.
Involved in ICMR projects