Subspecialized Pathology Training
The department of Pathology comprises faculty with subspecialty fellowship training in all pathology subspecialites, providing state of the art and up to date diagnostic evaluation, including integration of molecular pathology assessment. Dr. Ping Tang, Professor and Vice Chair of Anatomic Pathology discusses the importance of subspecialty pathology and a multi-disciplinary approach to diagnosis in this video clip.
- Pediatric Pathology
- Orthopedic Pathology
- Surgical Pathology
- Transplant Pathology
- Digital Pathology
Cytopathology is the study of cell samples from various body sites for the detection of pathologic processes. In some organ systems, such as the cervix, exfoliative cytology is the screening technique used for the detection of cancer. For other sites ( e.g., breast, thyroid, lymph nodes, etc.) fine needle aspiration biopsy (FNAB) is the technique of choice for obtaining material. The role of a cytopathologist is that of manager, consultant to the clinicians, as well as teacher to other pathologists, medical students, residents, fellows, and cytotechnologists. At the Loyola University Medical Center, residents receive training in interpreting all types of cytologic material. These are correlated with clinical presentation and supplemented by ancillary studies including: immunohistochemistry, flow cytometry, image analysis, electron microscopy, and molecular pathology. The residents are also trained in quality assurance of cytologic diagnosis and correlating cytologic material with the corresponding histologic specimens. Several teaching conferences are integrated into the core of this rotation. Our department also offers fellowship training in cytopathology.
Dr. Güliz A. Barkan, Professor of Pathology and Urology, Cytopathology Fellowship Program Director and Director of Cytopathology explains her role as a cytopathologist and genitourinary-pathologist in this video:
Dermatopathology is a continuously evolving discipline of both Pathology and Dermatology. The pathology residents at the Loyola University Medical Center have the opportunity to study pathology of skin diseases on a daily basis as part of their Surgical Pathology rotation as well as an elective during their senior years. Our Residents work in close collaboration with our clinical dermatology and pathology faculty to provide a comprehensive, integrated learning experience. Residents receive extensive and specialized training encompassing all aspects of skin diseases. The LUMC experience is exceptional in that it provides fellows a synergistic learning experience between clinical diagnosis and investigative dermatology. Residents hone their diagnostic skills serving Loyola's busy satellite ambulatory care patients, active inpatient infectious disease patients, and transplant and burn unit patients. There is emphasis on "low power" pattern recognition of the various inflammatory and neoplastic diseases of the skin. A criteria-based systematic approach to the differential diagnosis of common neoplastic and inflammatory entities is stressed, incorporating molecular studies, direct immunofluorescence, and electron microscopy. Didactic lectures are offered weekly to review common and challenging dermatopathology cases. Supplemental materials for self-study include access to an online digital dermatopathology library with quiz and annotation formats and an extensive glass slide library. Additionally, residents have the opportunity to explore disease pathogenesis and new treatment modalities via collaboration with our active cutaneous research programs based in the Cardinal Bernadin Cancer Center.
Dr. Jodi Speiser, Director of Dermatopathology explains her role in patient care and the importance of clinco-pathologic correlation in this video:
Pediatric Pathology at Lurie Childrens Hospital
Senior residents can take an elective in orthopedic and podiatric pathology to see a wide range of musculoskeletal cases. Residents will learn to correlate radiological imaging with bone and soft tissue pathology. Residents also can rotate through the orthopedic surgery department to observe surgical procedures and participate in orthopedic tumor boards.
Take a look at the amazing resource on Orthopedic and Pediatric Pathology developed by Dr. Dariusz Borysz by clicking below:
The section of Surgical Pathology is responsible for the diagnosis of specimens obtained from the Loyola University Medical Center and Edward Hines, Jr. VA Hospital. The total volume is approximately 35,000 specimens: 30,000 at Loyola and 5,000 at Edward J. Hines VAH. Many cases are seen in consultation from outside hospitals and clinics. The section of Surgical Pathology at Loyola supports the clinical activities of a 561-bed hospital of adult and pediatric medical/surgical activities. Edward Hines, Jr. VA Hospital is a 495-bed medical/surgical facility. The residency training in Surgical Pathology, supervised by the faculty, includes gross examination, microscopic description, frozen section techniques, and the use of special stains and imaging as well as other ancillary studies. Specialized areas of Surgical Pathology are also available such as Neuropathology and Renal Pathology. Special facilities in the Surgical Pathology division are available to assure the best diagnosis for patients. These include electron microscopy, molecular biology lab, immunofluorescence, immunohistochemistry, and DNA analysis of solid tumors. A regular schedule of interdepartmental conferences is maintained for presentation of interesting cases, providing an ideal forum for clinicopathologic correlation.
At the end of the Surgical Pathology rotation, the residents are competent in handling all surgical specimens, integrating light microscopy with special stains, cytology, electron microscopy, immunohistochemistry, and molecular pathology as indicated.
Dr. Maria Picken discusses her role as a multifaceted surgical pathologist and the evolution of personalized diagnostics in this video:
Transplant Pathology cases can be seen during HNT and GI rotations, however, an elective rotation focused on Transplant Pathology can be arranged for senior residents at Loyola University Medical Center. Loyola's cardiac transplantation program is one of the most active in the country with more than 500 heart transplant cases performed to date. A very active lung transplant service is also well established -- the third largest in the country -- with more than 300 single-lung, double-lung, and heart-lungs transplants performed. The resident exposed to this material learns to interpret cardiac (7/week) and lung (4/week) biopsies and aids in the study of explanted hearts and lungs, congenital heart defects, ischemic and dilated cardiomyopathies, myocarditis, chronic restrictive lung diseases, and cystic fibrosis cases. Major research opportunities in this area include the study of acute and chronic rejection and complications of transplantation (e.g., opportunistic infections and post-transplant lymphoproliferative disorders).
Loyola’s Department of Pathology introduced its Digital Pathology Laboratory in 2013 with Dr. Dariusz Borys as the director of the laboratory. In the new lab, anatomical pathology slides are scanned to provide high-resolution digital histology images. Loyola pathologists are now working with clinicians and researchers in other medical departments to provide images that improve medical care and enhance tumor board presentations, research projects and publications. The new technology also enables the emerging practice of telepathology, with sharing and viewing of histological images at locations outside the hospital and a streamlined ability to consult experts at external sites. Furthermore, the department’s ever-increasing digital collection of slide images representing a wide range of pathological conditions will enhance fellow, resident and medical student teaching and training and create new opportunities for research.
Loyola’s pathology department is excited to be at the cutting edge of this new technology and feel it will play a significant role in the future of the field.