WELCOME TO HISTOPATHOLOGY & CYTOLOGY

Histopathology

1. All specimens sent to CDL must be accompanied by two (2) copies of the request form, which must be clearly completed with the patient’s information, clinical history, and the date/time of specimen collection. Request forms are available from CDL upon request. Request forms from other institutions are also accepted.
2. Both the specimen and the request form must carry identical patient identification details to ensure proper matching and traceability.
3. All urgent test requests should be clearly indicated by writing the word 'URGENT' at the top section of the request form
4. The clinic, ward, and department to which the results should be dispatched must be clearly stated in the 'Location' column of the request form.
5. Fresh specimens from the operation theatre must be delivered directly to the laboratory by 4:00 PM on the same day, to allow for immediate examination and appropriate grossing while the specimen is still fresh.
6. Specimens collected after 4:00 PM may be sent the following working day morning, provided they have been immersed in an appropriate fixative (10% buffered formalin).
7. Routine specimens properly fixed with an appropriate fixative (10% buffered formalin) may be submitted to the CDL counter at any time during office hours.
8. All specimens must be registered in the CARE2X system before being sent to the laboratory.

Histopathology- Molecular

1. Requests must be submitted via a formal HER2 FISH test application memo to the laboratory. The memo must include comprehensive patient information (such as name, identification number, PID number, and clinical diagnosis), as well as complete specimen details.
2. The formalin-fixed paraffin-embedded (FFPE) tissue block must be clearly labelled and must match the specimen details stated in the memo.
3. Payment for the test must be made prior to sending the specimen to the laboratory. A copy of the payment receipt must be attached along with the memo and the FFPE tissue block.

Cytology

1. All specimens sent to CDL must be accompanied by two (2) copies of the request form, which must be clearly completed with the patient’s information, clinical history, and the date/time of specimen collection. Request forms are available from CDL upon request. Request forms from other institutions are also accepted.
2. Both the specimen and the request form must carry identical patient identification details to ensure proper matching and traceability.
3. All urgent test requests should be clearly indicated by writing the word 'URGENT' at the top section of the request form
4. The clinic, ward, and department to which the results should be dispatched must be clearly stated in the 'Location' column of the request form.
5. Specimens must be delivered in a fresh state, without the use of any fixative
6. Collected specimens must be sent to the laboratory as soon as possible. If immediate delivery is not feasible, the specimens must be stored in a refrigerator at a temperature of 2–8°C.

1. Requests should be made by the requesting doctors.
2. Requests can only be accepted if the sample is sufficient and relevant to the cases.
3. Requests should be accepted by pathologist.

*Note: The verbal request should be followed by request form / memo (if necessary)

Slide/ paraffin block request

1. Written request/ memo shall be made and sent by requesting doctor to the Pathologist.in-charge for approval for the release of slide/ tissue block
   *Patient information, diagnosis and purpose of request shall be stated clearly.
2. Staff of Histopathology and Cytology Unit shall pack the slide/ paraffin block upon approval by the pathologist in-charge.
3. The requester shall collect the package directly from the laboratory and sign in the Movement of Sample Material (PPUSMB/CDL/QR-27(22)) for record purpose
4. Slide/ block shall be return back to the laboratory upon completion of the purpose of request.
5. Staff in-charge that has received the returned Slide/ Tissue Block must record in the Movement of Sample Material (PPUSMB/CDL/QR-27(22)) for record purpose.

Grossed tissue request

1. Written request/ memo shall be made and sent by requesting doctor to the Pathologist in-charge for approval for the release of slide/ tissue block.
2. Upon obtaining approval from the pathologist in-charge, the requester shall fill up the ‘Borang Permohonan Mengambil Balik Spesimen Tisu’ request form.
3. The requester shall be informed of all safety hazards related to the handling of tissue specimens.
4. The requester shall be informed that Histopathology and Cytology Unit will not be held liable for any subsequent issues after the Grossed Tissue Specimen has been released and that the requester shall bear full responsibility of the released Grossed Tissue Specimen.
5. Upon approval of the request form by the pathologist in-charge, the grossed tissue specimen will be packed well in a suitable and airtight labelled container.
6. The requester will be informed that the Grossed Tissue Specimen is ready for collection.
7. The requester shall collect the item directly from the laboratory and sign in the Movement of Sample Material (PPUSMB/CDL/QR-27(22)) for record purpose.