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Meticulous attention to detail and careful clinicopathological correlation are the foundations of Dr Fearnhead’s approach to surgical pathology. She prides herself on staying up to date with ever-changing terminology, diagnostic criteria, and molecular/genetic advances and assays, always cognisant of the impact on oncological decision-making. Her reports are detailed and feature colour images of both macroscopic and microscopic pathology, as well as easy-to-reference summary datasets.

Intraoperative pathology
(frozen section)

Dr Fearnhead spends a portion of most days in theatre rendering on-site assessment of primary pathology and margin status. She uses a free-hand formal sectioning technique which allows for assessment of both architecture and cytology. Although formal haematoxylin and eosin (H&E)-stained sections remain the gold standard for final pathological diagnosis, preliminary intraoperative pathological assessment drastically reduced re-excision rates.

Cytology, including on-site cytology

Non-gyaecological cytopathology is part of Dr Fearnhead’s repertoire, and includes breast, thyroid and lymph node fine needle aspirates (FNA's). Rapid On-Site Assessment of image-guided FNA’s and imprint cytology of image-guided core biopsies is also part of her service.