Department of Pathology is a specialized diagnostic department with multiple divisions involved in complex laboratory processes including Histopathology, Cytopathology, Hematology and Clinical pathology as well as pathology training for undergraduate and postgraduate medical students and various other courses. Its laboratory services help the clinicians to arrive accurate diagnosis which allows different modalities of treatment thereby promoting health care services among the public.
Our department provides timely, accurate, precise and clinically relevant pathology reports to help clinicians alleviate patient suffering & disease with best suited treatment; to inculcate simplified and foundational pathology education for undergraduate students of various medical and allied health science courses; to impart comprehensive training for post graduate students of pathology; and to conduct clinically meaningful pathology research.
To transform into a modernized pathology laboratory with highest standards operated by trained & motivated personnel, which is high throughput, cost effective, error free, having shortest turnaround times and performing all the essential pathology tests for current needs as well as for personalized medicine; to render world class pertinent pathology education for undergraduate & postgraduate students to create health professionals with sound understanding of diseases; generate top quality pathology research publications which widen our knowledge on diverse aspects of pathology including diagnostic, prognostic & theragnostics dimensions, in turn benefitting the patients and medical services universally.
The department strives to enable students develop comprehensive understanding of origin, cause and nature of the human diseases and to correlate normal and altered morphology of various organs, so that, understanding clinical manifestations of diseases become easier. The student is trained to describe alterations in cells, the patho-physiological processes, patterns of tissue response to injury, normal and altered morphology of different organ systems, describe the rationale, principles and interpretation of routine diagnostic tests, perform basic blood and urine tests, understand the physiologic and biochemical disturbances that occur as a result of diseases as well as integrate the diseases to its causes for the most prevalent diseases in our country.
Based on the guidelines laid down by MCI/Pondicherry University at the end of course the post graduates will be skilled in the following competencies:
- Surgical Pathology: Demonstrate ability to perform a systematic gross examination of the tissues, take appropriate tissue sections, identify & diagnose gross and microscopic pathological changes, be familiar with automated tissue processing & its principles, process tissue, do appropriate basic staining, basics of frozen section and demonstrate the understanding of immune histochemistry [IHC] and be able to perform common IHC staining.
- Cytopathology: Perform FNAC, independently prepare and stain good quality smears for cytopathologic examination, know the techniques of cytology specimen processing and interpret cytology slides including FNAC, fluid cytology & pap smears.
- Hematology: Correctly and independently perform basic hematology tests, as well as special stains, basic coagulation tests, understanding of HPLC and electrophoresis, demonstrate knowledge on Platelet function tests, thrombophilia tests, Immuno phenotyping of leukemia, Cytogenetics and Molecular diagnostics.
- Clinical pathology: Demonstrate familiarity with and successfully perform:routine analysis of urine, faeces, semen and body fluids.
- Biochemistry: Independently and correctly perform basic biochemical tests/assays, prepare standard solutions and exhibit knowledge on principles of various commonly used instruments & their applications.
- Transfusion medicine: The Postgraduates are trained to correctly and independently perform the following: donor selection & bleeding, blood component preparation, grouping, antiglobulin tests, TTI [Transfusion Transmitted Infection] screening, resolve grouping problems, investigate transfusion reaction.
- Postgraduate student should be able to plan a strategy of laboratory investigation of a given case, given the relevant clinical history and physical findings in a logical sequence and be able to correctly interpret the laboratory data of such studies.
- They will be able to correlate clinical and lab data with utmost accuracy and will be able to advice on the nature of tests required with appropriate specimens necessary to arrive at a diagnosis.
- Will be able to teach to undergraduates, postgraduates, laboratory personnel, nurses and other paramedical staff with efficiency.
- Carry out research projects in their fields of interest with ability to systematically write a scientific paper and publish articles in journals
- Able to confidently present scientific research papers in conferences.
- Will be able to attend to technical problems in laboratory and offer useful solutions so as to maintain quality in laboratories.
- Perform autopsies & correlate with clinical & lab findings.
- They will be able to function as a part of a team essential for the diagnosis and management of a patient.
DR.S. P. Arun Kumar, Professor and HOD
The department library has large collection of recent edition books covering various branches in pathology along with recent advances and reference books, catering the needs of undergraduate, post graduate students and faculties. We also have subscription of international and national pathology journals with high impact factor and access to various e journals.
The department museum exhibits more than 350 mounted specimens comprising various organ systems. It also has numerous displayed charts and models.
Practical laboratories & Demo rooms:
The department is furnished with two well equipped practical laboratories and two ICT enabled demonstration rooms with audio visual aids.
The pathology department provides comprehensive diagnostic services with accuracy, precision and rapid reporting helping patients in prompt patient management.
The various labs functioning under this department include Histopathology, Cytology, Hematology, Clinical Pathology and Blood bank.
Histopathology deals with macroscopic examination followed by processing and microscopic analysis of body tissue samples taken by surgery to assist the clinician in arriving at diagnosis as well as appropriate management of patients. A team of well-trained pathologists do the reporting in hierarchy basis. All reports are given with adherence to turn around time. Special stains and immune histochemistry are done at the requests of the pathologists, as and when required.
Cytopathology comprises of FNAC (Fine Needle Aspiration Cytology) of lesions, PAP smears from uterine cervix and all body fluids (CSF, pleural, peritoneal, pericardial, synovial fluids) . Cytopathology provides rapid analysis of samples aiding in early diagnosis of tumors, as well as other inflammatory conditions.
In the 24 hour Hematology/Clinical Pathology labs, complete blood counts are done by auto analyzers, along with other tests like peripheral smear, parasite screening, coagulation studies, Bone marrow examination and ESR along with urine & semen analysis. The department has IQA [Internal Quality Assurance] programs and participates in External Quality Assurance Programs [EQAP] with AIIMS, New Delhi and CMC Vellore.
The department undertakes undergraduate pathology teaching for MBBS, BDS, BPT, BSc. MLT, BSc. Nursing, and D. Pharmacy students. We also do post graduate training in Pathology (MD PATHOLOGY).
Undergraduate teaching is done with Audio visual aids, Overhead projection as tutorials, seminars and small group discussions. Two spacious laboratories with individual microscope facility for all students are availed for practical classes. Internal assessment exams, practical exams and viva are conducted with timely intimation about the students’ performance and attendance to parents is done. Special care is given to all students to overcome difficulties in studies and to provide psychological support in the form of Mentor- Mentee programs. The students are encouraged to do research activities and to participate in quiz, oral and poster presentations in many conferences.
The post graduates undergo rotational postings in Histopathology, cytology and hematology with additional postings in Histology, Biochemistry, Microbiology, Radiology and blood bank. The students are sent for peripheral postings to recognized centers like Malabar Cancer Centre in Thalassery, Kidwai Memorial Institute of Oncology in Bangalore, The National Institute of Mental Health and Neuro-Sciences in Bangalore for training in oncopathology, autopsies, neuropathology and advanced molecular pathology. The post graduates are given hands on experience in grossing including oncology specimens and fetal autopsies. The students are allotted undergraduate classes for various courses to improve their teaching skills. Routine daily work also includes presentations, journal clubs and technique discussions. Clinico pathological meets with multiple departments are conducted to enrich the clinical knowledge with enhancement of interdisciplinary correlation. All students do their dissertations under qualified faculties with their support and encouragement. The post graduates will be given solid foundation so that they will be able to choose their field of interests and scale great heights.
All faculty and students [both undergraduate and postgraduate] are encouraged by the management to do authentic scientific research. Undergraduate students participate actively in Short Term Studentship projects by Indian Council of Medical Research (STS– ICMR). Faculty and students participate in various continuing medical education programmes, seminars, workshops, as well as do paper & poster presentations in many conferences.
Some of the publications by the Department Of Pathology, are listed below:
- Verma SK; Kumar R; Srivani J; Arnold J. Diagnostic Accuracy of Squash Preparations in Central Nervous System Tumors. Iranian Journal of Pathology. 2013; 8 (4): 227 – 234
- Sandhya Panjeta Gulia, Swati Anil Wadhai, Lavanya M , Roshni Menon, Madhusudan Chaudhary,SP Arun Kumar. Histopathological Pattern of Skin Diseases in a Teaching Hospital Puducherry. International Journal of Recent Trends in Science And Technology, ISSN 2277-2812 E-ISSN 2249-8109, Volume 11, Issue 1, 2014 pp 45-50.
- Rathna S, Venkatraman J, Govindaraj, Anand S. Patil, Pavithran. Study of Morphological Pattern of Anemia in Children. Journal of Evolution of Medical and Dental Sciences 2014; Vol. 3, Issue 27, July 07; Page: 7540-7543, DOI: 10.14260/jemds/2014/2931.
- Lavanya , KGM Premaleela , Sandhya Panjeta Gulia : Bilateral Multicystic Dysplastic Kidneys in association with high anorectal anomaly – A case report. Peoples Journal of Scientific Research; 2014; 7(1): 9- 11 (ISSN: 0974-6358).
- Susruthan M, Priyathershini N, Narayanan, C. D, Thanka J, Dedifferentiated Liposarcoma With Low Grade Differentiation – A Case Report. International Journal Of Development Research 2014 . 5(1). 3034- 36.
- Venkatraman J, Rathna S, Dhananjay S. Kotasthane, Govindaraj T. “Clinicopathological Study of Malignant Soft Tissue Tumors”. Journal of Evolution of Medical and Dental Sciences 2014; Vol. 3, Issue 71, December 18; Page: 14483-14489, DOI: 10.14260/jemds/2014/4029.
- Sandhya Panjeta Gulia, M. Lavanya, Archana V., S. P. Arun Kumar, Kalaivani Selvi. Histomorphological analysis of granulomatous lesions in a teaching hospital, Puducherry.Int J Cur Res Rev | Vol 7 • Issue 9 • May 2015.
- Sandhya Panjeta Gulia, Lavanya. M, Varun Kamidi, Arun Kumar SP, Pammy Sinha. Omphalomesenteric Duct Remnant: Umbilical Polyp- Clinically Mimicking Umbilical Granuloma. International Journal of Health Sciences & Research. July 2015:Vol.5( 7); 513-16.
- Sandhya Panjeta Gulia, Lavanya M, Varun Kamidi, Arun Kumar SP.Epidermoid cyst of the tonsil: an incidental finding. International Journal Of Advances In Case Reports, 2015;2(12):777-779.
- Lavanya M, Archana V, Sandhya Panjeta Gulia, Vijayabaskar Mithun KR, Arun Kumar SP.Placental Site Trophoblastic Tumor complicating pregnancy- A Case Report.2015;2(12):759-761
- Srivani J, Arnold J, Arul P. Histomorphological Spectrum of Lesions of the Cervix, A Retrospective Study in a Tertiary Care Hospital. J Evol Med Dent Sci. 2015 July 23;4(59):10326-329. DOI:10.14260/jemds/2015/1487.
- Subashree ,M.Susruthan, N Priyathersini, Leena Dennis Joseph, Sandhya Sundaram Sarcomatoid renal cell carcinoma : A case series. International journal of recent trends in science and technology. July 2015;15(3):538-541.
- Jonathan Arnold A. P, Srivani Saravanan. A Two Year Clinicopathological Study of Non-Gravid Women with Abnormal Uterine Bleeding in A Rural Tertiary Care Centre In Tamilnadu- in Concurrence with The Figo Recommendations. J Evol Med Dent Sci. 2015 August 06; 4(63):10990-11000. DOI: 10.14260/jemds/2015/1585.
- Subramanian KS, Gulia SP, Lavanya M, Arun Kumar SP. Gastric candidiasis with gastric adenocarcinoma intestinal type: A rare association. CHRISMED J Health Res 2015;2:279-81.
- Sandhya Panjeta Gulia, Kalaivani Selvi, Lavanya. M. Incidental lesions of appendix – case reports. Int J Health Sci Res. 2015; 5(1):377-381.
- Venkatraman, S. Rathna, Kotasthane DS, T. Govindaraj. clinicopathological study of benign soft tissue tumors. IJCRR. (2014), [cited December 08, 2015]; 6(8): 57-62.
- Govindaraj, S. Rathna, J.Venkatraman. bone marrow study in pancytopenia. IJCRR. (2015), [cited December 08, 2015]; 7(11): 50-52.
- Lavanya M, Sandhya Panjeta Gulia, S P Arun Kumar, Thulasiraman V. Fine- needle aspiration cytology of thyroid lesions: A four-year study. International J. of Recent Trends in Science and Technology.2016. 17(3).
- Sandhya Panjeta Gulia, Lavanya M, S P Arun Kumar, V Prabhu. Spectrum of head and neck lesions in a teaching hospital. International J. of Recent Trends in Science and Technology.2016. 17(3).
- Vijayabaskar Mithun KR, Jayanthi Chandran, Ulagammal, Sankareshwari, Arun Kumar SP.(2016). High grade serous carcinoma of fallopian tube – An Incidental finding. International Journal of Advances in case reports,3(6), 229-231
- Vijayabasker Mithun KR, Rajesh Kumar G, Govindaraj T, Arun Kumar SP.Spectrum of Gastroduodenal Lesions in Endoscopic Biopsies: A Histopathological Study with Endoscopic Correlation. J. App. Med. Sci., Oct 2016; 4(10A):3585-3589.
- Govindaraj T, Venkatraman J, Shankar U. Clinico-pathological profile of anemia in elderly: a hospital based cross sectional study. Int J Res Rev.2016; 3(2):50-52
- Thimmarayan Govindaraj, Janarthanam V. Rationale use of platelet transfusion in dengue fever-experience from a tertiary care hospital. J. Evolution Med. Dent. Sci. 2016;5(70):5054-5057, DOI: 10.14260/jemds/2016/1148.
- Shivanna R, Thimmarayan Govindaraj, Janarthanam V, et al. Clinico-pathological study of cutaneous tuberculosis in a tertiary care hospital, rural Puducherry. J. Evolution Med. Dent. Sci. 2016;5(100):7381-7383, DOI: 10.14260/jemds/2016/1670.
- Jayanthi, Lavanya.M, G.Rajesh Kumar, SP Arun Kumar. Histopathological analysis of chronic gastritis and correlation of pathological features with helicobacter pylori. Indian journal of pathology and oncology. Volume 4, Issue 4, Oct –Dec 2017, page 495-500
- Kamidi Varun , Govindaraj T , Arun Kumar SP. Correlation Study of Cervical Cytology on PAP smear With Biopsy in a Tertiary Hospital. Sch.J.App.Med.Sci.Feb 2017;5(2E):677-68.
- Govindaraj T., Objective Structured Practical Examination (OSPE) as a tool for formative assessment of practical skills for second MBBS students in pathology department. J. App. Med. Sci., Mar 2017; 5(3D):981-983
- Govindaraj T,Venkatraman J,Rangaraj. Accuracy and reliability of Tzanck smear compared to histopathology in ulcerative and nodular lesions of skin. Indian Journal of Pathology and oncology . Vol.4. Issue.1.2017
- Kalla Ravi Teja, Govindaraj T, Arun Kumar SP, Hiremath. Histopathological Study of Placenta in Gestational Diabetes in a Tertiary Care Hospital. Sch. J. App. Med. Sci., Nov 2017; 5(11C):4500-45.
- Govindaraj T, C.R. Sirajunnisa Begum, Kalla Ravi Teja. Cytological and Histomorphological Correlation of Salivary Gland Lesions: Study at a Rural Tertiary Healthcare Hospital. Indian Journal of Pathology: Research and PracticeVolume 6, Issue 4 (Part-2), Oct-Dec 2017, Pages 1024-1028.
- Govindaraj, Arnold J, Revathy, Menon R, Jacqueline. Syringocystadenoma Papilliferum in an Unusual Location – A Rare Presentation. Scholars Journal of Applied Medical Sciences.2018 July;6(7):2807-2810.
- Janani, S.P.Arun Kumar, Kalla Ravi Teja. The Bethesda System of Reporting Thyroid Cytology – A Prospective Study in a Tertiary Care Centre. Scholars Journal of Applied Medical Sciences .march 2019; 7(3):936-940.
- Jayanthi, M.Lavanya .Histopathological spectrum of female genital tract lesions in a tertiary care hospital, Puducherry. Indian journal of Pathology Research and Practice .2019; 8(2): 159-165.
- Srivani S, Arnold APJ, Varadarajan U. Nitroblue tetrazolium test as an assay of neutrophil function in diabetes mellitus. J Evol Med Dent Sci. 2019;8(25):2016-22. DOI: 10.14260/jemds/2019/444.
- Arnold APJ, Durairaj D. Pre and post iron therapy absolute reticulocyte count- a reliable test with early response to treatment in iron deficiency anaemia. J. Evol Med Dent Sci. 2019;8(20):1662-1666, DOI: 10.14260/jemds/2019/367.
- Margaret Theresa, T.Govindraj , Kalla Ravi Teja. Case report on a rare intraabdominal tumor mesenteric cyst.IJRAR. May 2019;6(2):921-924.
- Govindaraj T, Kalla Ravi Teja, Margaret Theresa.A Rare Presentation of Hyalinizing Clear Cell Carcinoma of Minor Salivary Gland.Sch J Med Case Rep, May, 2019; 7 (5): 351–354
- Margaret Theresa J,Gerard Rakesh, Lavanya. Role of Immunohistochemical Markers in Salivary Gland Neoplasms. Recent Advances in Pathology and Laboratory Medicine (ISSN: 2454-8642). 2019;5(4):7-12.
- Margaret Theresa , HarkeA B, Lavanya M, A study on the morphological spectrum of salivary gland tumors. Indian JPathol Onco 2020;7(1):1-4.
- Margaret TheresaJ, Lavanya.M, GerardRakesh, Basha, K.S.Evaluating the spectrum of histomorphological patterns on endoscopic biopsy in patients with upper gastrointestinal tract disorders. Pathology Update: Tropical Journal of Pathology and Microbiology. 2020 6(1), 1-9.