WORKING AREAS :
Our clinic is working in the fields of Histopathology and cytopathology. In addition, Immunhistochemical staining and histochemical staining can be done. Insituhybridization will be started soon. Muscle pathology currently can not be done.
STATISTICAL ANALYSIS REPORT OF THE CLINIC
Annual material number: 30,000
Annual biopsy-operations: 38,400
Annual cytology count: 10,000
Histochemical examinations: 30,000
Number of immunohistochemical examinations: 10,000
Number of immunofluorescence investigation services: 30.000
CLINICAL WORK FLOW PROCESS
1. The materials brought to the clinic are accepted by the registration and acceptance secretary and recorded in the pathology protocol book.
2. The secretary shall provide the person who brought the material with the pathology protocol number, the patient's name, the date when the material was accepted to the clinic, the date of the report, the initials of the assistant doctor to be interested, and the pathology record card that writes the initials of the name of the secretary accepting the material.
3. Meanwhile, he gives verbal information that biopsy materials will be reported five days later, and cytology materials will be reported three days later. However, in special cases (in some cases, additional staining, repainting may be required, and bone tissues can be examined after special procedures - decalcification), so there may be a delay.
4. Fine Needle Aspiration (FNA) biopsy performed at the pathology clinic; The patient who is to be performed FNA biopsy is examined by the relevant assistant doctor and specialist doctor and evaluated together with the results of the radiological examination. After the patient is informed about the procedure, the “FNA approval form” is filled in. The form; Signed by the patient / relatives and the related doctors. The FNA procedure is performed and cellularity is evaluated by rapid staining. If the cellularity is not enough, the process is repeated. Slides and aspirats are delivered to the cytology technician in the laboratory. The preprats made in other clinics and sent in slides are delivered to the cytology technician in the laboratory by the registration and admissions secretary with the “Intra-Clinical Material Tracking Form” after registration.
5. The tissues sent for frozen study are transferred to the macroscopy room by the assistant responsible for the frozen as soon as they are registered. With the relevant specialist doctor, the specimen is examined macroscopically, samples from the appropriate area are placed in the frozen machine, after the section and rapid staining process is completed by the assistant doctor, the microscopic evaluation is performed by the specialist and the assistant doctor. The result is reported to the surgical team by phone, at the same time, the frozen form is filled and sent to the operating room. The assistant doctor will take the frozen section of the tissue under normal follow-up, if any, put the remaining tissue into the fixation process.
6. Biopsy materials are transported to the macroscopy room at regular intervals after the registration process and delivered to the related assistant with the “In-Clinical Material Tracking Form”. Under the supervision of the assistant doctor routine specialist, it makes the macroscopic evaluation and definition of the material and sampling with the specialist when necessary. At the end of the day, it puts all tissues into tissue tracking. It records the number of sampling with the protocol numbers on the "Macroscopy Tracking Form" and gives it to the laboratory technicians.
7. The cytology technician performs the processes of preparing the cell block preparation by dyeing the air-dried or flicked alcohol in the air by classifying the preparations it receives, by passing the exfoliative cytology materials through centrifuge, cytocentrifuge.
8. Routine laboratory technicians take the tissues that were taken for tissue follow-up the day before (tissue follow-up is approximately 13 hours) and perform the blocking process. For each case, they compare the number of blocks and tissues they prepare with the “Macroscopy Tracking Form”, and if there are missing or excessive tissues or cassettes, they inform the relevant assistant and check together. When the process of blocking is finished, they take the sections from the blocks with microtome, deparaffinization, paint, close the slides, place the slides in the mapper according to the list and deliver them to the routine assistant. Laboratory technicians also perform new sections, histochemistry, immunohistochemistry, and immunofluorescent staining procedures, if required by their routine doctors, and deliver them to their routine assistant. The assistant doctor checks and examines the preparations he receives, and evaluates the cases himself before evaluating with the specialist doctor.
9. Then the routine specialist and his assistant evaluate the cases together under a microscope. Meanwhile, assistant training is given at the beginning of microscopy, cases are discussed and discussed. If additional processing is required (new section, special paint), the requests are reported to the laboratory. These requests are recorded in the books in the laboratory and allocated for each process. If necessary, internal and external consultation is taken. The case is reported. The reports are given to the report secretaries together with the “In-Clinical Material Tracking Form”.
10. Reports are written in two copies on the computer by the report secretaries. Filling in the relevant column of the in-clinic material follow-up form, the reports are delivered to the assistant doctor. The assistant doctor reads the reports, if necessary, makes the corrections again to the secretary, after the last check, he gives it to his routine specialist. The routine specialist will read the reports again, if necessary, make the corrections to the secretary, sign the report in its final form, and give it to the secretaries of writing and giving reports. The secretaries of report writing / giving results send files of copies to the patients / relatives / clinics of the reports and to the clinical archive of each copy.