Government Medical College, Kota

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  Professors & 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-

·         41fully 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. 32 MD candidates of 8 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 IAPMwas organized in 1999 and 2009.

Dr Naresh N. Rai was the National President of Indian Academy of Cytologists (IAC) for the year 2019. He has wide experience of academy and research. He presented various lectures and papers in CMEs organized at State/National level and was awarded the prestigious Earnst Fernandes Award by IAC in Cytocon 2015 held in Dehradun.

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 MCI 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’stest (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:

27.  CSF - Cerebrospinal Fluid

28.  Synovial Fluid

29.  Pericardial Fluid

30.  Ascitic Fluid

31.  Pleural Fluid

32.  Other fluid

33.  Urine Examination for Sugar

34.  Urine Examination for Protein/albumin

35.  Urine for Bence Jones Proteins

36.  Urine Examination for Microalbuminuria

37.  Urine Examination for Ketone Bodies

38.  Urine Pregnancy Test

39.  Urine Examination for Bile Pigment

40.  Urine Examination for Bile Salt

41.  Urine Complete

42.  Urine Microscopy

43.  Stool OVA/Cyst

44.  Semen Analysis

Cytology:

45.  Pap Smear(conventional)

46.  Bone Marrow Aspiration

47.  FNAC - Fine Needle Aspiration

Histopathology:

48.  Histopathology reporting

49.  Special stains

Advanced lab:

50.  HbA1C by HPLC (Glycosylated Haemoglobin)

51.  HbA2 by HPLC (Haemoglobinopathy)

52.  Serum Protein Electrophoresis

53.  Urine Protein Electrophoresis

54.  Hemoglobin Electrophoresis

55.  Frozen Histopathology

56.  IHC (Immuno Histochemistry)

57.  Pap Smear by LBC (Gynae) - Liquid Based Cytology

58.  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

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, 3 Demonstration Rooms and 1 Practical Lab 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:-

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:-