Dr. Nirupama Kothari runs a histopathology lab located in Jodhpur, India. The lab has 2 histopathologists, with one working full time and one part time. They process samples in-house and receive approximately 600-650 biopsy samples, 200-225 cytology samples, and 20-22 IHC samples per month. Their workload consists mainly of gastrointestinal, genitourinary, and breast biopsy samples, with 15% being oncology cases. They have 2 technical staff and classify samples as large biopsies, medium biopsies, small biopsies, and various types of cytology samples. Their areas of specialty include oncopathology, hematopathology, and

1. MY
HISTOPATHOLOGY
WORLD

2. 1) Name : Dr.Nirupama Kothari
2) Location : Jodhpur
3) Network Lab
4) Accreditation Status: For NABLIn future plans
5) Number of Histopathologists:2
Full Time:one,
Part time :one (for grossing only)
NABL Signatories:
6) Number of technical Manpower : Two

3. 8) Processing: In-house
9) Average workload / Month :
600-650 - Histopathology
200-225- Cytopathology
20-22 - IHC
10) Organ specific classification (approx %)
11) Oncology cases (15%)

4. Organ specific classification
CNS/spine 5-10 (1%) Tumors&disc
Oral/ENT 100-150 (19%) Thyroidectomies
Endoscopic 80-100(13%) duodenal/colon/
Gastric/esophag
Breast 8-12 (01%) Mastectomies
Endometrium 35-40(05%)
G.B/Uterus
/appendix
300-320(40%)
Bronchial 6-10 (01%)
Genitourinary 25-30(04%) Turp/turbt,etc
GIT/Intestine 5-7(01%) Including sleen
Bone marrow 20 (3%)
skin
Misc/Diagnostic
20-25 (3%)
70/100 (15%)
Lumps,,nodes
Sinuses etc

5. Oncology cases
• Mastectomies,
• Abdomino-perineal resections/hemicolectomies
• Whipples/gastrectomies/esophagectomies
• Commandos/laryngectomies
• Werthiems/ovarian tumors with L.N dissections.
• Nephrectomies
• Amputations-occ

6. 12) Classification of samples (approximately %)
Histopathology
Large Biopsy Medium
Biopsy
Small Biopsy
30 12 58
Cytology
PAP Smears Non – Gynaec
Cyto:90/month
35-40(excluding
Lbc)
FNA with proced.
76-80.
B.M with proced:
22-30
Immunohistochemist
ry
Breast Panel Others
5-10 8-21

7. 13) Sub-speciality of Interest
i)oncopathology ii)hematoncopath
iii)cytology
14) Escalation Matrix for second opinions:Mumbai histopath
15) Back-up Laboratory for sending routine histopathology /
Cytology cases in case of : Mumbai/GGN histopath
Increase workload / Manpower crisis / Instrument Breakdown
2010 2013-15 2014 sep
biopsy 1800 4680 4800
Exp 7000

8. Thank
You