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SERVICES
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Histopathology

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.

 
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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.

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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.

 
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Core principles
  1. Attention to detail in grossing and microscopic reporting
  2. Biopsy reports in 1-3 working days from receipt in laboratory
  3. Excision reports in 2-7 days from receipt in laboratory
  4. Tabulated reports with colour images and summary datasets
  5. Interactive approach with case discussion in MDT meetings
  6. Clinicopathological correlation through close liaison with clinicians – bespoke pathology service
  7. Adherence to up-to-date WHO-mandated terminology