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SERVICES

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SURGICAL PATHOLOGY

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DERMATOPATHOLOGY

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IMMUNOPATHOLOGY

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IMMUNOHISTOCHEMISTRY

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CYTOPATHOLOGY

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FINE-NEEDLE ASPIRATION BIOPSY

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MACROSCOPIC/GROSS 
PHOTOGRAPHY

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MICROSCOPIC PHOTOGRAPHY

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PATHOLOGY SLIDE PRODUCTION

Microscope

HISTOPATHOLOGY GUIDELINES​

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HISTOPATHOLOGY REQUEST

All collected specimens (tissues or body fluid) from the patient should be submitted for histopathologic documentation.


Necrotic, burned, cauterized, unfixed, &/or autolyzed specimens are not recommended.

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Histopathologic/cytologic request should include:

  • Printed name of patient, age, sex, civil status

  • Specimen/s- container labelled specimen with patient’s name  , date collected/operation

  • Specimen-specific source/organ, and operation performed.

  • Short clinical history and PPE

  • Clinical impression

  • Name of requesting physician & clinic/hospital

  • Relevant laboratory test results, previous biopsy, & imaging  procedures

SPECIMEN FIXATION

Pap’s & Tzanck smears

Smear on slide and immediately dip in 95% ethanol for 10 minutes. Air dry & wrap in paper.

Include OB history, LMP, & other pertinent data for correlation.


Smear for Gram’s staining

Smear on slide & gently heat-fix with a match or lighter. No fixative required.


Body fluids cytology (CSF, pericardial, pleural,peritoneal, synovial fluid, FNAB aspirates,etc,)

Immediately fix in 95% ethyl alcohol in  1:10-20 volume ratio (1 part specimen, 10-20 parts  95% ethyl alcohol) in a tightly sealed plastic bag or specimen bottle.

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KOH Mount of Skin Scrapings

No fixative. Apply scraped tissue to slide, cover with another slide, and wrap in paper.

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Biopsy


  • Small (FNAB, CNB), large, & radical specimens: 

    • Fix in 10% buffered formalin in 1:10-20 volume ratio (1 part specimen:10-20 parts 10% buffered  formalin) in a wide-mouth container

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  • RADICAL SPECIMENS (MRM, etc)

    • To be fixed in formalin for at least 24 hours before histopath processing.

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  • FROZEN SECTION SPECIMENS

    • NO FIXATIVE. Bring specimen immediately to processing laboratory. Results in 20-30 mins.

    • Can be arranged at the nearest affiliate hospital.

                                         

  • IMMUNOSTAINING  (Immunochemistry/Immunocytochemistry/Tumor markers)

    • Various tests, e.g. ERA, PRA, HER2 neu, Cytokeratin, Vimentin, chromogranin, p63 or p40, CD3, CD20, CK7, CK20, Melan A, PAS

    • Microscopic slide and paraffin block of specimen required

    • To be outsourced

SPECIMEN COLLECTION

Send specimen/s to our receiving office via DROP-OFF or COURIER SERVICE: 


127 Balagtas Street, Pasay City

Operating Hours: Mon-Sat 8am-4 pm CLOSED on Sundays & Holidays

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Note: Specimens submitted on a Saturday will be processed on the following Monday or next business day.

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Tel: 8525 1730

Mobile: 0977 823 1208

Email: pbcasuela@yahoo.com

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Pick-up by our messenger may be arranged free of charge, subject to location and availability of our messenger/s in the area.

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N.B.: OUTSOURCE LABORATORY: Closed on Sat, Sun, & Holidays.

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PAYMENT

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Payment can be made with CASH or PERSONAL CHECK to PODEROSO B. CASUELA, JR.

For payments via GCash or BPI over-the-counter/online bank transfer, please contact us for the account details. 


SENIOR CITIZENS AND PWDS can avail of 20% discount on PROFESSIONAL/READER'S FEE,

subject to presentation of valid Senior/PWD ID's or submission of xerox copy thereof.

OUTSOURCE LABORATORY PROCESSING FEE- subject to approval of processing center

SPECIMEN STORAGE

  • Small to large specimens shall be stored in formalin for seven working days only after release of official report, thereafter the specimen shall be discarded.

  • Radical specimens due to cancer shall be stored for 14 days only.

  • Slides & paraffin blocks of cases shall be stored for only 4 years from the date of request.

TURN-AROUND TIME

Computer-printed official reports will be available within the following time frames:

  • PAP’S smear, Tzanck’s smear, Gram’ staining and body fluid without Cell block : within 2-3 working days. Sundays & Holidays no processing.

  • Body fluid with cell block, small and medium biopsy – 3-4 working days

  • Large and radical specimens – 5-7 working days

  • Additional printed copy of results - 1-2 working days

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Note:

  • The benchmark of some histopathological cases (e.g. carcinoma) is immunochemistry/immunostaining). If a case requires additional tests for confirmation of diagnosis, suggestion/outsourcing shall  be recommended.

    • Provisional Diagnosis may be reported but  Final diagnosis will  be based on, or correlated with, the specific immunostaining test

  • COMPUTERIZED COPY OF REPORTS  (DATA BANK) may be provided periodically upon request. External hard drive should be provided by the REFERRING LABORATORY.

BORROWING / PURCHASING OF SLIDES & PARAFFIN BLOCKS

2-3 working days (review of the case will be undertaken)

GROSS DOCUMENTATION: PHOTOGRAPHY & MICROPHOTOGRAPHY

A schedule may be arranged if gross photography is desired. 


During the operation, the specimen should not have been dissected to the point that the morphology is obliterated.

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Photos (gross and/or microscopic) may be requested for a minimum fee. 

RATES

Updated on October 2018

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CYTOPATHOLOGY

  • Pap smear / Tzanck smear / Gram staining (per slide), P200

    • Discounted rate, P150       

    • Per additional slide, P50

  • KOH Mount  (1-2 slides), P200

  • Per additional slide, P50     

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  • Non-gynecologic body fluid, smears only - sputum, pleural, peritoneal, urine (1-4 slides), P1,000

    • Per additional slide, P50    

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  • Non-gynecologic body fluid, smears (1-4 slides) with CELL BLOCK, P1,200  

    • Per additional slide, P50


  • FNAB, smears only - breast, thyroid (1-4 slides), P1,000

    • Per additional slide, P50          


  • FNAB, smears (1-4 slides) with CELL BLOCK, P1,200

    • Per additional slide, P50

HISTOPATHOLOGY

  • 1 Small biopsy (up to 3 cm in diameter) - Products of conception, endocervical/endometrial scrapings, polyp, BTL, hernial sac, skin biopsy, mole/nevus, epidermal cyst, P1,000                             

  • 2 Small Biopsies and diagnostics (e.g. endoscopic biopsies, core needle/punch biopsies, 4Quadrant cervix bx, whole placenta, tubal pregnancy, appendix, gallbladder, hemorrhoids), P1,200 

  • 3-4 small biopsies, placenta, P1,500  

  • Medium (3.1-5.0 cm in diameter, sTah, Tah, R or LSO, Subtotal Total thyroidectomy), P2,000

  • Large (more than 5.1 cm in diameter, Prostatic TURP, TAH-BSO, Total Thyroidectomy), P4,000  

  • Radical  (large specimen requiring nodal dissection and/or involves more than one type of tissue, TahBSO+BLND, Mod.Rad.Mastectomy,  Radical thyroidectomy, Radical Laryngiectomy, Hemicolectomy, Radical gastrectomy, Radical Nephrectomy), P5,000 & up

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REVIEW OF SLIDES :  PER PATIENT /PER  CASE/ PER ORGAN /OR per ANATOMIC SITE :                                         

                                                  1 -   2    SLIDES  = PhP   500

                                                  3 -   4    SLIDES  =         1000

                                                  5 -   6    SLIDES  =         1500

                                                  7 -   8    SLIDES  =         2000

                                                  9 - 10    SLIDES  =         2500

OTHERS

IMMUNOSTAINING (ERA, PRA AND HER 2-NEU)

  • Php 7,500

  • Need for report, microscopic slides and paraffin blocks of case: one (1) week processing

    

Other tests: Cytokeratin, Vimentin, Chromogranin, CD3, CD20, CD30, TTF1, CD 117, fungal stain, Acid Fast Bacilli (AFB) stain, etc.  

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