The preventive and curative diagnostics carried out by histopathologists is important for almost every area of modern medicine. Our findings are used to detect and precisely classify diseases, to plan treatments and to monitor the outcome of treatments. This is why the pathologist plays a guiding role in many therapeutic decisions. To cooperate with the disciplines directly involved in patient care, our specialists must have a broad cross-sectional knowledge at a high level. They must also keep their expertise up to date within their constantly evolving discipline by attending continuing professional development programmes and studying the specialist literature to ensure that diagnostics are kept at the highest standards, particularly for cancer management.
For all the areas of activity listed below and illustrated with examples of macroscopic and histological images taken from our routine work, we adhere strictly to the requirements for cost-effective health care. This is achieved by using a rational stepwise diagnostic process starting with H&E staining as standard procedure which is often all it needs to successfully complete the diagnosis. However, in some cases special stains, immunohistochemistry or even molecular pathological analyses might be required.
In addition to biopsy diagnostics of the gastrointestinal tract (see paragraph Gastroenterology) examination of biopsies from the upper respiratory tract, lungs, pleura, various internal organs (e.g. needle biopsies from the liver) and the lymphatic system (lymph nodes).
Specimens from hospital surgery departments as well as from outpatient departments including biopsies and surgical specimens from the skin, mucosa, soft tissue, bones and joints. Morphological diagnostics as part of plastic surgery.
Biopsies and surgical specimens from the external genitals, vagina and cervix (e.g. HPV-induced lesions, dysplasia diagnostics). Examination of cervix biopsies, tissue obtained during laparoscopy from the uterine appendages or the ovaries and the peritoneum, cervical or uterine curettage material (including cycle phase, abortion, pregnancy diagnostics and examination of curettage material in case of miscarriages), of placental and surgical specimens (e.g. uterus, uterine appendages). Morphological examinations as part of breast surgery, particularly morphological diagnostics of breast cancer including hormone receptor analysis and determination of HER2-expression and lymph node staging.
Biopsies and surgical specimens from the genito-urinary tract (particularly the bladder), transurethral resection material from the bladder and the prostate, prostate punch biopsies and surgical specimens (external genitals, scrotum, epididymis, tunica testis, bladder, prostate and kidneys including prostatectomy and nephrectomy specimens).
ENT, oral and maxillofacial surgery, dentistry
Biopsies and surgical specimens from the face and neck, oral cavity (jaw, oral mucosa, salivary glands), the upper respiratory tract and the ears.
Biopsies and surgical specimens from the skin and the semi-mucous membranes (morphological diagnostics and curative). Licenced by the Hamburg Association of Statutory Health Insurance Physicians to carry out histopathological examinations as part of the skin cancer screening programme.
Biopsies and surgical specimens from the soft tissue, bones and joints.
Specimens from the eyelid and cornea.