Squamous cell carcinoma in situ

Surgical Pathology

Full range of immunohistochemistry for diagnostic and prognostic testing.

Special stains for microorganisms available.

Correlation with previous/concurrent pathology included in reports.

Molecular and Other Testing

BRAF testing performed on all metastatic melanoma cases.

Melanoma FISH available.

Our lab will facilitate sending out any additional specialized testing needs to other labs, including molecular tests, microbiology, and immunofluorescence studies.

Specialized Pathologists

See Sample Reports

Extensive experience and expertise in thyroid pathology

Over 30 years experience with interpretation of thyroid FNA specimens.

Board certified cytopathology specialists interpret FNA specimens.

Reports include guidance on follow up based on results.

Correlation with previous and concurrent pathology findings is incorporated into reports.

Molecular profiles for indeterminate thyroid FNA cases available:

Afirma® test by Veracyte
ThyraMIR and ThyGenX® test by Interpace Diagnostics

Extensive experience in head and neck pathology, including salivary gland, oral, nasal, sinus, ear, and skin biopsies

Full range of immunohistochemistry for diagnostic and prognostic testing.

p16 testing performed on all head and neck squamous cell carcinomas.

Technical expertise for the best specimen collection and processing

Three-part processing for FNA specimens enhances diagnostic quality and includes evaluation of smears, ThinPrep slides and cell button.

Convenient FNA collection kits with customized requisitions and reflex testing options.

Tutorials on effective methods for obtaining high-quality FNA samples and in-service of staff to improve specimen preparation are available.

Specialized Pathologists

Eric Broxham, M.D., Fine needle aspirations
cell: 214-205-4947
email: eric.broxham@topathology.com

Jianming James Yin, M.D., Ph.D., Head and Neck pathology, Hematopathology
cell: 805-368-2227
email: jianming.yin@topathology.com

Wayne Schultheis, M.D., Fine needle aspirations
cell: 818-261-6701
email: wayne.schultheis@topathology.com

See Sample Reports

Papillary thyroid carcinoma

Papillary thyroid carcinoma

Fine Needle Aspiration

Board certified cytopathologists have extensive experience in the interpretation of thyroid FNA pathology and review all FNA and cytology specimens.

Three-part processing for FNA specimens enhances diagnostic quality and includes evaluation of smears, ThinPrep slides, and cell button.

Reports include guidance on follow up based on results.

Correlation with previous and concurrent cytology/biopsy results is incorporated into reports.

Customized requisitions with reflex testing options.

Convenient FNA collection kits.

Tutorials on effective methods for obtaining high-quality FNA samples and in-service of staff to improve specimen preparation are available.

Molecular and Other Testing

Molecular profiles for indeterminate thyroid FNA cases are available:

Afirma® test by Veracyte
ThyraMIR and ThyGenX® test by Interpace Diagnostics

Specialized Pathologists are board certified in cytopathology

Wayne Schultheis, M.D.
cell: 818-261-6701
email: wayne.schultheis@topathology.com

Eric Broxham, M.D.
cell: 214-205-4947
email: eric.broxham@topathology.com

Edward Blackman, M.D.
cell: 818-726-1298
email: edward.blackman@topathology.com

See Sample Reports

Surgical Pathology

Full range of immunohistochemistry for diagnostic and prognostic testing.

Pathology findings correlated with biopsy and/or cytology findings.

Pap smears available using ThinPrep or SurePath.

Molecular and Other Testing

Rapid Molecular Microbiology Panels available with same-day results.

GI Panel tests for 22 most common bacteria, viruses and parasites.

Respiratory Panel tests for 20 common bacteria and viruses.

Single tests for Pertussis, Group A Streptococcus, Influenza and C. difficile.

Combination Panels for: Influenza/RSV, Vaginosis/Vaginitis Panel (Candida, Trichomonas, Gardnerella), and Chlamydia/Gonorrhea.

Human Papillomavirus (HPV) testing of high-risk strains with automatic genotyping of strains 16 & 18.

No wait time to reflex genotyping of the 16 & 18 HPV strains at no extra charge to the patient or insurance.

Convenient 4 in 1 pap testing includes liquid-based pap, HPV (including genotyping of 16 & 18), Neisseria Gonorrhea, and Chlamydia Trachomatis from a single pap vial.

Affirm Test Bacterial Vaginosis/Vaginitis Panel.

Bacterial Vaginosis Panel.

Candida Panel.

Mycoplasma/Ureaplasma Panel.

Specialized Pathologists

Eric Broxham, M.D., Gynecologic pathology
cell: 214-205-4947
email: eric.broxham@topathology.com

Edward Blackman, M.D., Molecular microbiology
cell: 818-726-1298
email: edward.blackman@topathology.com

See Sample Reports

CIN 3

GIST

Surgical Pathology

Full range of immunohistochemistry for diagnostic and prognostic testing.

Special stains for Helicobacter, fungus and intestinal metaplasia routinely performed.

Mismatch repair protein testing performed on all new colorectal carcinomas.

Her2 IHC testing performed on all new gastric carcinomas.

Cytology

Board certified cytopathologists read endoscopic ultrasound guided FNAs and esophageal brushings.

Molecular

KRAS and BRAF PCR testing on metastatic colorectal carcinomas.

Her2 FISH reflex testing on all gastric carcinomas that are negative or equivocal by IHC.

FISH testing for Barrett esophagus available.

KIT/PDGFRA reflex profile on GIST tumors.

Rapid Molecular Microbiology

Comprehensive rapid molecular gastrointestinal microbiology panel tests for 22 common bacteria, viruses and parasites, with results in hours.

Endoscopy Center/Facility Support

Experience providing customized services for facilities, including customized report delivery and billing assistance.

Our gastrointestinal pathology specialists

Regina Singson, M.D., Gastrointestinal pathology
cell: 805-279-3719
email: regina.singson@topathology.com

Edward Blackman, M.D., Director of Molecular Microbiology
cell: 818-726-1298
email: edward.blackman@topathology.com

See Sample Report

Surgical Pathology

Full range of immunohistochemistry for diagnostic and prognostic testing.

Breast prognostic and predictive markers (Her2/neu by IHC and FISH, ER, PgR, Ki-67, p53) performed on all new breast cancers with results within 24 hours (FISH reported within 3 business days).

Computer-assisted quantitative image analysis of all prognostic immunohistochemical markers for increased accuracy.

Correlation with radiologic findings and previous/concurrent pathology included in reports.

Cytopathology

Board certified cytopathologists interpret FNA and cytology specimens.

Molecular & Other Testing

Predictive and prognostic tests automatically performed on all relevant malignant cases for rapid results. Offerings include: MSI testing, BRAF, KRAS, HER2, KIT/PDGFRA.

Flow cytometry available for lymphoma workups.

Molecular profiles for indeterminate thyroid FNA cases are available.

Specialized Pathologists

Danielle Westfall, M.D., Breast pathology
cell: 310-422-9416
email: danielle.westfall@topathology.com

Eric Broxham, M.D., Fine needle aspirations
cell: 214-205-4947
email: eric.broxham@topathology.com

See Sample Report

Invasive ductal carcinoma of breast

Acute leukemia

Surgical Pathology

Board certified hematopathologist reviews bone marrow and lymphoma cases.

Comprehensive integrated summary reports issued at the completion of all bone marrow cases and ancillary testing that incorporate all findings.

One pathologist oversees your case from start to finish.

Breast prognostic and predictive markers (Her2/neu by IHC and FISH, ER, PgR, Ki-67, p53) performed on all new breast cancers with results within 24 hours (FISH reported within 3 business days). Computer-assisted quantitative image analysis of all breast prognostic immunohistochemical markers for increased accuracy.

Cytopathology

Board certified cytopathologists interpret FNA and cytology specimens.

Molecular & Other Testing

Predictive and prognostic tests automatically performed on all relevant malignant cases for rapid results. Offerings include: EGFR, ALK, ROS1, PD-L1, Mismatch repair proteins, BRAF, KRAS, HER2, KIT/PDGFRA, p16.

Our pathologists have advanced knowledge in molecular testing and can offer guidance on test selection and interpretation.

FISH for myelodysplasia, lymphoma, leukemia, and myeloma interpreted by our pathologists. Flow cytometry interpreted by our pathologists, performed on all bone marrow cases.

Our lab will facilitate sending out any additional specialized molecular tests to other labs.

Specialized Pathologists

Jianming James Yin, M.D., Ph.D., Hematopathology
cell: 805-368-2227
email: jianming.yin@topathology.com

See Sample Report

Surgical Pathology

Full range of immunohistochemistry for diagnostic and prognostic testing.

Cervical biopsies are correlated with pap smear and/or prior biopsy findings.

Cytopathology

Cytotechnologists and board certified cytopathologists interpret pap smears.

Gold Standard, liquid-based pap technology using ThinPrep method for cervical cytology screening with computer-assisted image analysis.

Dual-processing system for pap smears: every pap smear specimen is reviewed with the ThinPrep Imager as well as by a cytotechnologist and/or pathologist.

Normal pap letter service for patients.

Pap smear: ThinPrep or SurePath.

Molecular & Other Testing

Human Papillomavirus (HPV) testing of high-risk strains with automatic genotyping of strains 16 and 18.

No wait time to reflex genotyping of the 16 and 18 HPV strains at no extra charge to the patient or insurance.

Convenient 4-in-1 pap testing includes liquid-based pap, HPV (including genotyping of 16 and 18), Neisseria Gonorrhea, and Chlamydia Trachomatis from a single pap vial.

Affirm Test Bacterial Vaginosis/Vaginitis Panel.

Bacterial Vaginosis Panel.

Candida Panel.

Mycoplasma/Ureaplasma Panel

Specialized Pathologists

Eric Broxham, M.D., Gynecologic pathology
cell: 214-205-4947
email: eric.broxham@topathology.com

Edward Blackman, M.D., Molecular microbiology
cell: 818-726-1298
email: edward.blackman@topathology.com

See Sample Report

p16

Pterygium

Surgical Pathology

Expertise in the pathology of lesions of the eye, including eyelid, conjunctiva and cornea.

Full range of immunohistochemistry for diagnostic and prognostic testing.

Lymphoma work-ups available, including flow cytometry, with cases interpreted by a board certified hematopathologist.

Correlation with previous/concurrent pathology included in reports.

Cytopathology

Board certified cytopathologists interpret cytology and FNA specimens.

Molecular & Other Testing

Most current prognostic and predictive markers are automatically performed, if applicable, for rapid results.

BRAF testing performed on all metastatic melanoma cases.

Melanoma FISH available.

Our lab will facilitate sending out any additional tests to other labs, including microbiology cultures.

Specialized Pathologists

Danielle Westfall, M.D., Ophthalmologic pathology
cell: 310-422-9416
email: danielle.westfall@topathology.com

See Sample Report

Surgical Pathology

Full range of immunohistochemistry for diagnostic and prognostic testing.

Correlation with radiologic findings and previous/concurrent pathology included in reports.

Cytopathology

Board certified cytopathologists interpret FNA and cytology specimens.

Molecular & Other Testing

Our lab will facilitate sending out any additional specialized testing needs to other labs, including molecular tests, microbiology, and immunofluorescence studies.

Specialized Pathologists

See Sample Report

Squamous cell carcinoma in situ

Nail (H&E stain)

Surgical Pathology

Nail, skin, soft tissue and bone pathology.

Full range of immunohistochemistry for diagnostic and prognostic testing.

Special stains for microorganisms available.

PAS stains performed for onychomycosis with classification of fungal organisms.

Gram stain available for bacteria.

Correlation with previous/concurrent pathology included in reports.

Pre-paid Federal Express shipping option or courier service pick-up.

Cytopathology

Board certified cytopathologists interpret FNA and cytology specimens.

Fluid analysis available for gout.

Molecular & Other Testing

BRAF testing performed on all metastatic melanoma cases.

Melanoma FISH available.

Our lab will facilitate sending out any additional specialized molecular tests to other labs, such as microbiology cultures.

Specialized Pathologists

See Sample Report

Surgical Pathology

Fellowship trained urologic pathologist reviews your cases.

Full range of immunohistochemistry for diagnostic and prognostic testing.

Color microscopic images, Partin table and organ diagram on all malignant prostate reports.

Personalized educational reports available for your patients explaining their prostate cancer.

Customized requisitions with reflex testing options.

Convenient prostate biopsy specimen collection kits with preprinted labels.

Cytopathology

Board certified cytopathologists interpret urine and washing specimens.

Molecular & Other Testing

Bladder FISH testing available.

Our lab will facilitate sending out any additional specialized molecular tests to other labs.

Specialized Pathologists

Danielle Westfall, M.D., Urologic pathology
cell: 310-422-9416
email: danielle.westfall@topathology.com

See Sample Report

PIN4 cocktail