World time

Molecular Laboratory Clinic / Diagnostic discipline

Molecular Pathology

Use nucleic-acid and genomic evidence to refine diagnosis, prognosis and treatment pathways.
Modern molecular pathology laboratory workflow
Molecular PathologyCOHSEW laboratory perspective

Purpose and scope

Evidence designed for the decision.

Molecular pathology examines DNA and RNA changes in pathogens, inherited conditions and tumours. Consent, tissue content, assay limits, variant classification and clinical interpretation are essential; a detected or undetected target does not always establish or exclude disease by itself.

Scope noteAvailability, recognised methods and accreditation status must be confirmed for the exact laboratory, location, test and sample type before use.

Specialist capabilities

A connected technical programme.

Panels are selected after the question, sample matrix, applicable limits, required sensitivity and reporting purpose are understood.

01

Infectious-disease PCR

Targeted or syndromic amplification for selected organisms.

02

Hereditary testing

Consent-led germline pathways with counselling and confirmatory requirements.

03

Oncology biomarkers

Tumour mutation and fusion testing to support classification or treatment selection.

04

Monitoring

Quantitative or high-sensitivity assays for selected disease markers.

Samples and evidence

Defined matrices.
Controlled handling.

Correct container, identity, preservation, temperature, transport and holding time are agreed before collection.

01Whole blood02Plasma03Swabs04Fresh tissue05FFPE tissue06Extracted DNA or RNA

The laboratory pathway

01

Confirm request, consent and patient identification

02

Collect and transport the correct specimen

03

Examine with validated methods and quality controls

04

Authorise, interpret and communicate the report

Authoritative framework

Primary guidance for quality and practice.

COHSEW summarises these sources; it does not reproduce standards or replace current national rules and competent professional judgement.

Need a programme for Molecular Pathology?

Define scope, samples and decision criteria with a specialist.

Talk to the laboratory team ↗