HISTOPATHOLOGY

Overview What is a pathologist? Death certification and cremation forms Types of autopsy Audit and the autopsy Forensic pathology

What is a pathologist?

Quincy

McCallum Sam Ryan Grayling Russell

Public perception Pathologist = Forensic pathologist

Public perception Pathologist  Forensic pathologist

What is pathology? Physiology Pathology

What is pathology? Physiology  Study of how the body works normally. Pathology

What is pathology? Physiology  Study of how the body works normally. Pathology (‘pathos’  suffering)

What is pathology? Physiology  Study of how the body works normally. Pathology (‘pathos’  suffering)  Study of disease.

Clinical Pathology Clinical chemistry Haematology Histopathology Microbiology Others (e.g. Molecular pathology )

Clinical Pathology Clinical chemistry - clinical chemist Haematology Histopathology Microbiology Others (e.g. Molecular pathology )

Clinical Pathology Clinical chemistry - clinical chemist Haematology - haematologist Histopathology Microbiology Others (e.g. Molecular pathology )

Clinical Pathology Clinical chemistry - clinical chemist Haematology - haematologist Histopathology - histopathologist Microbiology Others (e.g. Molecular pathology )

Clinical Pathology Clinical chemistry - clinical chemist Haematology - haematologist Histopathology - histopathologist Microbiology – microbiologist Others (e.g. Molecular pathology )

Clinical Pathology Clinical chemistry - clinical chemist Haematology - haematologist Histopathology - histopathologist - forensic pathologist Microbiology – microbiologist Others (e.g. Molecular pathology )

Consultant Pathologists Clinical chemists 226 Haematologists 743 Histopathologists Forensic pathologists 50 Microbiologists 551 Total2858 Royal College of Pathologists 2000

Consultant Pathologists Clinical chemists 226 Haematologists 743 Histopathologists Forensic pathologists 50 Microbiologists 551 Total2858 Royal College of Pathologists 2000

Consultant Pathologists Clinical chemists 226 Haematologists 743 Histopathologists Forensic pathologists 50 Microbiologists 551 Total2858 Royal College of Pathologists 2000

Who performs autopsies General histopathologists and forensic pathologists. Hospital autopsies – nearly all done by general pathologists. Coroner’s autopsies – 90%+ by general pathologists.

Histopathology with cytopathology is almost completely to do with the diagnosis and treatment of disease in the LIVING

The work of a histopathology laboratory :- 1) Reception of specimens with careful document- ation, including MACROSCOPICAL description of the specimen received 2)Preparation of sections for light microscopy for diagnosis 3)Production of written report on the histopathol -ogical findings, including diagnosis, grading and staging

The histopathologist and the clinician Need for good communication working increasingly in teams for example:- liver and renal transplantation cancer diagnosis and treatment (prostate, breast, colo-rectal, bone, etc) others involved (radiologist, oncologist, surgeon, physician, psychologist, nurse)