Hematopathology Rotation

Hematopathology has five full-time faculty with expertise covering the entire spectrum in the field of hematopathology, ranging from hematolymphoid malignancies to non-malignant blood and blood-related disorders.

Our diagnostic morphologic services cover both the adult (Parkland Memorial Hospital, UT Southwestern Hospitals and Clinics) and childhood (Children’s Medical Center) disorders.

Our diagnostic state-of-the-art Flow Cytometry facility provides reliable, accurate and timely immunophenotypic analysis of all hematolymphoid malignancies for the entire Dallas-Fort Worth metroplex. As a result, we have a wealth of peripheral blood, bone marrow, lymph nodes, and lymphoid tissue, not only for training our fellows and residents, but also for clinical and translational research.

In addition to our in-house materials, we also have a busy and active consultation service providing comprehensive morphologic, immunophenotypic, cytogenetic, and molecular evaluation to our referring pathologists and hematologists/oncologists.

The Big Picture

Besides providing accurate diagnosis and minimal disease monitoring for our patients in a timely manner, one of our important missions is to provide in-depth training for our hematopathology fellows, residents, and rotating medical students. Our overall goal is to make our fellows and residents competent and confident in diagnosis of any hematolymphoid disorder based on a variety of tissue types and materials available, including:

• Peripheral blood
• Body fluid
• Bone marrow aspirate
• Core biopsy
• Fine needle aspiration of any tissue and organ
• Excisional biopsy of any tissue and organ system

Faculty

• Nitin Karandikar, MD, PhD (Director)
• Charles Timmons, MD, PhD
• Brian Levenson, MD
• Franklin Fuda, DO

Duration

Basic: Two months

Advanced: Two months

Prerequisites

None

Objectives

• Patient Care
• Medical Knowledge
• Practice-Based Learning and Improvement
• Interpersonal and Communication Skills
• Professionalism
• Systems-Based Practice

Conferences

• Clinical Pathology Lecture Series
• Clinical Pathology Rounds
• Pediatric Heme/Onc Tumor Board
• Heme/Onc Rounds
• Hemepath Unknown conference
• Multimodality Tumor Board
• Update in Pathophysiology

Basic Reading

• WHO Classification: Tumors of Hematopoietic and Lymphoid tissues.
• The Morphology of Human Blood Cells by Diggs et al
• Practical Diagnosis of Hematologic Disorders by Kjeldsberg, et al
• Bone Marrow Pathology by Foucar
• Neoplastic Hematopathology by Knowles
• AFIP Bone Marrow Fascicle by Brunning and McKenna
• AFIP Lymph Node Fascicle by Warnke et al
• Hematology by Williams
• Wintrobe’s Clinical Hematology by Lee et al
• Hematology of Infancy and Childhood by Nathan and Oski
• Hemoglobin: Molecular, Genetic, and Clinical Aspects by Bunn and Forget
• Hemoglobinopathies and Thalassemias: Laboratory Methods and Clinical Cases by Fairbanks