विभागीय विवरण
पैथोलॉजी विभाग, गवर्नमेंट मेडिकल कॉलेज, कोटा
परिचय
Department of Pathology started its functioning under the headship of Dr R.M.Vanjani in the year 1993. Following are the tenures of Professor & Head in the Department of Pathology:-
1. Dr R.M.Vanjani 24.12.1993 to 12.12.1996
2. Dr D.R.Mathur 18.12.1996 to 25.01.1999
3. Dr MCR Vyas 26.04.1999 to 31.05.2001
4. Dr Usha Sharma 16.01.2003 to 31.03.2011
5. Dr Naresh N. Rai 01.04.2011 to 03.11.2018
05.08.2019 to 17.12.2019
6. Dr Neelu Vashist 04.11.2018 to 30.07.2019
18.12.2019 to 23.03.2021
7. Dr Rajeev Saxena 31.07.2019 to 04.08.2019
24.03.2021 to present
Current Head of Department: Dr Rajeev Saxena
“Pathology” is the study of disease. It makes the path to diagnose a disease easier for doctors by various investigative tests. It also provides guidelines to treating doctors about prognosis of disease and effect of therapeutic intervention.
Department of Pathology is doing about 60 investigations of patients in various fields including Histopathology, Cytology, Haematology, Clinical Pathology and Advanced tests in the 4 premises of attached hospitals of GMC, which are:
● College
● Central lab, MBSH
● NMCH
● JK Lon Hospital
We have 55 Doctors giving their services at above places with-
● 41 fully trained experienced pathologists with Degree of MD(Pathology)
● 10 PG residents
MD Pathology began in the year 2012 under the headship of Dr Naresh N. Rai. 28 MD candidates of 7 batches have passed out till date with flying colors. Paramedical Diploma Course (DMLT) admits about 20 students each year and provides training for lab technicians.
The Department is having latest state of the art equipments for diagnostic and teaching purposes:
- Advanced Elevating Pathology Gross station
- Penta Head Microscope
- Fluorsecent Microscope with polarizing, dark ground illumination and digital Camera
- Fully automated programmable tissue processor
- Automated cover slipper
- Automated microtome
- Automated slide stainers
- 5 part Diff. Cell Counters
- 6 part Diff. Cell Counter
- Fully automated Urine Analyser
- Semi automated Coagulometers
- Automated ESR machine
- Microwave Antigen retrieval system
- Protein Electrophoresis
- HPLC
- LBC -Thin Prep
- Cryostat for Frozen section
On the academic front, Department of Pathology organized 3 National Conferences-
1) CYTOCON 2014 (IAC) from 13th to 16th November 2014
2) TRANSCON 2017 (ISBTI) from 8th to 10th December 2017
3) An Update on Breast Malignancy- 3rd National and 1st West Zonal Conference (ICH) on 11th January 2020
State level conference of IAPM was organized in 1999 and 2009.
Dr Naresh N. Rai was the National President of Indian Academy of Cytologists (IAC) for the year 2019. He gave the prestigious P.N. Wahi oration in CYTOCON 2021 on 20th November 2021.
Our teachers have participated in various National Seminars and published papers on a variety of topics in national and international journals. Dr Naresh N. Rai, Dr R.K.Singh & Dr Sudha P. Meena attended the Medical Education Seminars conducted by MCI at Ahmedabad & Karamsad. We are putting all efforts to provide the best teaching to UG/PG students as per NMC standard. Our diagnostic report is known for its authenticity. Various advanced lab tests are available in the department. Apart from UG/PG teaching we have successfully run 2 Courses provided by Govt of Rajasthan like 21 Months Skill Upgradation Course for in service MOs & DMLT 2 Years course for Science students. The department has fully trained staff to give online reports to the patients, as soon as the Govt will launch the scheme we will be ready to serve. During the COVID-19 pandemic, the department displayed its wholehearted commitment for the service of the patients.
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FACILITIES AVAILABLE
Following investigations and are available in the department at present:-
Hematology:
1. Hb - Haemoglobin
2. TLC - Total Leucocyte count
3. DLC - Differential Leucocyte count
4. Platelet count
5. TEC - Total Esonophil Count
6. ESR - Eyrthrocyte Sedimentation Rate
7. BT - Bleeding Time
8. CT - Clotting Time
9. Reticulocyte Count
10. PT - Prothrombin Time
11. APTT - Activated Partial thromboplastin time
12. D-dimer
13. FDP - Fibrin Degradation Products
14. Fibrinogen
15. MP by PBF - Malarial Parasite
16. Blood Group
17. Coomb’s test(Direct)
18. Coomb’s Test (Indirect)
19. Rh Antibody Titer
20. CBC - Complete Blood Count
21. PBF - Peripheral Blood Smear
22. G6PD
23. LE Cell
24. Osmotic fragility
25. Sickling test
26. Cytochemistry(MPO Staining)
Clinical Pathology:
1. CSF - Cerebrospinal Fluid
2. Synovial Fluid
3. Pericardial Fluid
4. Ascitic Fluid
5. Pleural Fluid
6. Other fluid
7. Urine Examination for Sugar
8. Urine Examination for Protein/albumin
9. Urine for Bence Jones Proteins
10. Urine Examination for Microalbuminuria
11. Urine Examination for Ketone Bodies
12. Urine Pregnancy Test
13. Urine Examination for Bile Pigment
14. Urine Examination for Bile Salt
15. Urine Complete
16. Urine Microscopy
17. Stool OVA/Cyst
18. Semen Analysis
Cytology:
1. Pap Smear(conventional)
2. Bone Marrow Aspiration
3. FNAC - Fine Needle Aspiration
Histopathology:
1. Histopathology reporting
2. Special stains
Advanced lab:
1. HbA1C by HPLC(Glycosylated Haemoglobin)
2. HbA2 by HPLC (Haemoglobinopathy)
3. Serum Protein Electrophoresis
4. Urine Protein Electrophoresis
5. Hemoglobin Electrophoresis
6. Frozen Histopathology
7. IHC (Immuno Histochemistry)
8. Pap Smear by LBC (Gynae) - Liquid Based Cytology
9. Non-gynae cytology by LBC
IHC
At present, we provide the following IHC panels:
Breast Panel: ER, PR, HER2/Neu, Ki-67, E-Cadherin, CKAE1/AE3
Lymphoma Panel: LCA, CD3, CD20, CYCLIN D1, Bcl-2, Ki-67, CD30
Soft tissue Panel: Vimentin, SMA, Myogenin, S100, CD99, CD34, CD-117
Neuroendocrine Panel: CK-AE1/AE3, Synaptophysin,Chromogranin, NSE
Epithelial tumour Panel: CK-AE1/AE3, EMA, HMB-45
Panel for Melanoma: Melan-A, HMB-45, S100
Teaching facilities are available as per guidelines of MCI for UG/PG students. Well experienced faculty with modern equipments & audio visual aids, E-class, demonstration rooms, museum are available in the department.
-1 E-Lecture theatre 1, 3 Demonstration Rooms and 1 Practical Class are available in the
department for UG teaching.
-The Museum has 804 assorted specimens of various pathological conditions.
-The Departmental Library has 326 books pertaining to Pathology and related subjects.
List of equipments in Pathology department:-
S. no. |
Equipment |
Number |
1 |
Advanced Elevating Pathology Gross station |
1 |
2 |
Penta Head Microscope |
1 |
3 |
Fluorsecent Microscope with polarizing, dark ground illumination and digital Camera |
1 |
4 |
Digital microscope system with imaging software |
1 |
5 |
Binocular Microscope |
54 |
6 |
Monocular Microscope |
172 |
7 |
Fully automatic programmable tissue processor |
1 |
8 |
Automated microtome |
3 |
9 |
Automated slide stainers |
2 |
10 |
Automated HP slide cover slipper |
1 |
11 |
Bone decalcifier |
1 |
12 |
HP tissue embedding station |
1 |
13 |
Incubator |
3 |
14 |
Centrifuge |
2 |
15 |
3 part Differential Cell Counter |
3 |
16 |
5 part Differential Cell Counter |
3 |
17 |
6 part Differential Cell Counter |
1 |
18 |
Fully automated Urine Analyser |
1 |
19 |
Semi automated Coagulometers |
3 |
20 |
Automated ESR machine |
4 |
21 |
Microwave retriever system for IHC |
1 |
22 |
Protein Electrophoresis |
1 |
23 |
HPLC |
1 |
24 |
LBC -Thin Prep |
1 |
25 |
Cryostat (Frozen section) |
1 |
Investigations done in the year 2020 :-
No. of tests done in NMCH, Kota in year 2020
Outdoor 145183
Indoor 490793
Total 286529
No. of tests done in Central Laboratory, MBS HOSPITAL, Kota in 2020
Outdoor 321668
Indoor 564203
Total 885871
Total no. of Histopathology Slides Received and Autopsy done in College:-
Year |
MBSH |
NMCH |
Total |
Autopsy |
2015 |
5145 |
2573 |
7718 |
175 |
2016 |
4632 |
2826 |
7458 |
219 |
2017 |
4896 |
2699 |
7595 |
176 |
2018 |
4751 |
2688 |
7439 |
248 |
2019 |
5406 |
3118 |
8524 |
327 |
2020 |
3465 |
816 |
4281 |
274 |
Latest Data from Pathology Labs: (from January 2020 to December 2020)
Name of Investigation |
NMCH |
MBS |
Total |
HB |
33261 |
100143 |
133404 |
TLC |
33261 |
97124 |
130385 |
DLC |
33261 |
97124 |
130385 |
CBC |
33261 |
97124 |
130385 |
ESR |
5173 |
23939 |
29112 |
MP |
2927 |
65361 |
68288 |
BT |
4382 |
2112 |
6494 |
CT |
4382 |
2202 |
6584 |
PBF |
2830 |
57886 |
60716 |
BG |
8126 |
2222 |
10348 |
TEC |
549 |
413 |
962 |
PT |
1847 |
13142 |
14989 |
Pl. fluid |
131 |
53 |
184 |
Asc. fluid |
62 |
424 |
486 |
Urine comp. |
11011 |
36350 |
47361 |
Urine m/s |
11011 |
36350 |
47361 |
UPT |
978 |
189 |
1167 |
Stool |
26 |
341 |
367 |
TRBC |
33261 |
97124 |
130385 |
Plt count |
33261 |
97124 |
130385 |
PCV |
33261 |
97124 |
130385 |
Body fluids |
60 |
366 |
426 |
Coomb’s -Direct |
0 |
320 |
320 |
Coomb's -Indirect |
0 |
299 |
299 |
Semen analysis |
16 |
173 |
189 |
Bone Marrow |
72 |
102 |
174 |
FNAC |
766 |
2308 |
3074 |
HBA1C/A2 |
- |
704 |
704
|