Histopathology / Cytology

Turnaround Times – when should I expect a report to be issued?
The laboratory adheres to the National Quality Improvement Programme turnaround time guidelines (working days after receipt of specimen in laboratory);
Small Biopsy -              80% reported by day 5
Endoscopic Biopsy -      80% reported by day 10
Cancer Resection -        80% reported by day 7
Non Cancer Resection - 80% reported by day 7
Cytology FNA -             80% reported by day 5
Cytology Exfoliative -    80% reported by day 5

All turnaround times were met satisfactorily throughout 2017.

PLEASE NOTE THAT REPORTS ON PATIENTS FROM ST. JAMES’S HOSPITAL ARE AVAILABLE ON THE ELECTRONIC PATIENT RECORD WITHIN APPROX. 20 MINUTES OF AUTHORISATION. 

CLERICAL STAFF WILL NOT PROVIDE UNAUTHORISED REPORTS.

Turnaround is impacted by the following factors. All tissue samples for histology generally require overnight processing.
Large surgical resection specimens require overnight fixation before dissection and overnight processing.  Some specimens, eg large GI resections, require even longer fixation (48-72 hours)

Diagnosis may require additional procedures including immunohistochemistry, level sections through tissue blocks, additional sampling or comparison with previous histology. In approximately 5% of cases, material will undergo intradepartmental consultation with other consultant pathologists.
On occasion, reports may be held pending discussion at multidisciplinary team meeting.
In general, it is the policy of the department to issue a complete report following all relevant tests rather than issuing multiple supplementary reports.



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