Services

Services

The Department of Pathology, headed by Professor Dr. Cheah Phaik Leng comprises 3 divisions:
1. DIVISION OF ANATOMIC PATHOLOGY- coordinated by Professor Dr. Cheah Phaik Leng

2. DIVISION OF FORENSIC PATHOLOGY – coordinated by Associate Professor Dr. Nazarina Abdul Rahman

3. DIVISION OF LABORATORY MEDICINE – coordinated by Prof Dr Clement Kam Man Ho

DIVISION OF ANATOMIC PATHOLOGY
Division of Anatomical Pathology provides diagnostic services in Histopathology and Cytopathology to the University Malaya Medical Centre (UMMC).

The type of services offered by the histopathology laboratory includes diagnostic histopathology based on H&E and special histochemistry and immunohistochemistry. The histopathology laboratory also provides urgent diagnostic services through intraoperative frozen sections.

Clinical specialists of this laboratory also provide consultancy services to Ministry of Health Hospitals and private hospitals in the areas of renal, cardiac, muscle and nerve pathology.
Services provided by the cytopathology laboratory include gynaecological and non gynaecological smear tests as well as Fine Needle Aspiration Cytology. Pathologists carry out Fine Needle Aspiration for the in-patients in UMMC ward. Fine Needle Aspiration Clinics are conducted twice a week.

DIVISION OF FORENSIC PATHOLOGY
Forensic pathologists undertake forensic pathology services for the police and also conduct clinical autopsies to UMMC. They also serve as “expert witness” for court cases. This division is also responsible for the smooth running of UMMC mortuary.

Autopsy reviews are carried regularly with the Division of Anatomic Pathology once in two weeks.

DIVISION OF LABORATORY MEDICINE, DEPARTMENT OF PATHOLOGY, UMMC
The Division of Laboratory Medicine (LMD) is a clinical diagnostic laboratory of national and international repute, providing quality service of the highest order to its customers through relevant, effective and up to date laboratory diagnosis and consultancy.

The facility is located on the 4th and 6th floors, Menara Timur, UMMC while a satellite laboratory operates in the clinic area on the ground floor of the Primary Medical Care (RUKA) Building.
Diagnostic services

1) THE CORE LABORATORY SERVICES
This is a composite of several disciplines providing routine diagnostic service. These disciplines are grouped together on the basis of similar workflow in their operations and include:

· Routine Clinical Chemistry
· Fluids and Excretion

· Routine Haematology
2) SPECIAL LABORATORY SERVICES
Several areas function as specialized laboratories in view of the nature of work, which are performed, requiring specific staffing and methodologies. These include:

Endocrine Laboratory

This laboratory handles chemical and immunological tests that require special techniques and include hormones and tumour markers.

Inborn Errors of Metabolism (IEM) laboratory

Investigation of Inherited Metabolic Disorders or Inborn Error of Metabolism including urine screening, amino acid and organic acid analyses, GAG Quantitation and GAG electrophoresis and sweat test.

Immunology

This laboratory provides Immunology service including immunochemistry, protein electrophoresis, auto antibodies screen, monoclonal gamma globulin detection and quantitation of lymphocyte subsets.

Special Chemistry

Chemistry tests which are more complex and not provided on a 24-hour basis are conducted here. This includes therapeutic drug monitoring (in conjunction with Pharmacy Department), HbA1c and catecholamines.

Special Haematology

This laboratory handles Haematology tests that are more esoteric and in-depth and include specific coagulation and haemoglobinopathy studies.

Bone Marrow Studies

These involve analysis of bone marrow samples including morphological and immunophenotyping studies.

Molecular and Genetic Analysis Laboratory

This laboratory provides cytogenetics and molecular diagnostics for various haematological and non-haematological disorders including histocompatibility and immunogenetics testing.

Toxicology

This laboratory provides the services in the area of clinical Toxicology.

3) POLYCLINIC LABORATORY SERVICE

The division also operates a satellite laboratory, named The Polyclinic Laboratory, located at the Rawatan Utama Building and serves all the outpatient areas. It carries out basic Routine Haematology and Fluids and Excretion examination including urinalysis and seminal assays.

Activities

1. Review of Autopsy Cases weekly
2. Clinicopathological Correlation Sessions with Radiology, Breast Surgery Team, Urology, Gastroenterology, Orthopaedics, Obstetrics and Gynaecology, General Surgery, Opthalmology, Otorhinolagryngology on weekly basis
3. Specialist Clinicopathological Correlation Sessions with Neurosurgery, Nephrology, Dermatology
4. Guest Lectures:

  • Lectures by: Assoc Prof Dr Tan Soo Yong
    Duke-NUS Graduate Medical School Senior Consultant Pathologist, Singapore General Hospital Director, Singhealth Tissue Repository

Year 2010

DateTeaching Programme
14.04.2010Approach to diagnosis of lymphomas
15.04.2010Low grade indolent B-cell lymphomas
16.04.2010High grade aggressive B-cell lymphomas
03.08.2010Normal lymphoid tissue and immunoarchitecture
04.08.2010Slide seminar – Lymphoma pathology
05.08.20101. Principles and applications of interphase FISH 2. Practical : Interphase FISH with enumeration and breakpart probes
06.08.20101. Algorithmic approach to NK and T cell neoplasms 2. Slide seminar: Diagnosis of mature NK and T cell neoplasms

Year 2011

DateTeaching Programme
10.01.2011Hodgkin Lymphoma
11.01.2011Slide seminar: B- cell Neoplasms
12.01.2011Cutaneous lymphoma
13.01.2011Slide seminar: NK and T cell neoplasms
14.01.2011Slide seminar: Hodgkin lymphoma and others
08.08.2011Algorithmic approach to NK and T cell neoplasms
09.08.2011Slide seminar: NK and T cell lymphomas
10.08.20111. Histopathology in the investigation of sudden deaths 2. Pathology of Low grade indolent B-cell lymphomas
11.08.2011Slide seminar:Hodgkin Lymphoma
12.08.2011Pathology of high grade b-cell neoplasms
02.12.2011Normal immunoarchitecture and ontogeny, and Autopsy /slide seminar
05.12.2011Approach to low grade b-cell neoplasms and Autopsy /slide seminar
06.12.2011Approach to high grade b-cell neoplasms and Autopsy /slide seminar
07.12.2011Approach to NK and T cell neoplasms
08.12.2011Pathology of Hodgkins Lymphomas and Autopsy /slide seminar
09.12.2011Autopsy /slide seminar

5.Division of Forensic Pathology also facilitated and assisted the Departments of Surgery and Orthopaedic surgery in the conduct national and international workshops and courses during the year 2010.
1. 1st Korea-Asean Joint Laproscopy cadaver workshop in Malaysia on 18th June 2010
2. 1st laproscopic surgery cadaver hernia workshop in Malaysia on 28-30th June 2010
3. ACL Double bundler Reconstruction workshop on 12-13thAugust 2010

Dr Ong Beng Beng -Forensic Pathologist, Forensic and Scientific services Queensland Health visited the Department to give lecture on topic Sudden Cardiac Deaths (28.01.2011)