Division of Gynecologic Pathology


The Gynecologic Pathology Consultation Service is staffed by 3 faculty pathologists with experience in gynecologic pathology:

We offer consultative diagnostic interpretation of pathologic material concerning all diseases of the female genital tract. This service is offered for practicing pathologists desiring assistance with difficult cases, as well as for gynecologists and patients wanting a second opinion.

For Patients: Get a Pathology second opinion
For Physicians: Anatomic Pathology consultations

The following materials and information are required for interpretation and processing of all consultations:

  1. Histologic section (glass slides, either original or recut sections)
  2. Copy of original pathology report(s) and any consultation reports
  3. Pertinent clinical history (provided in accompanying documents such as the pathology report, clinic notes, operative reports, or a letter)
  4. Pathologic and/or clinical questions to be addressed in the consultation (if more than the routine diagnosis is desired)
  5. Billing information (either referring institution or patient's insurance information)
  6. Representative paraffin block(s) or unstained slides* (see below for details) for tumors and other lesions likely requiring ancillary studies (e.g. immunohistochemical analysis) for diagnosis.

For multi-part and staging specimens, the efficiency of the consultation process (including the accessioning, review, and reporting processes) can be improved by considering the following recommendations:

  1. If staging specimens (omentum, peritoneal biopsies, lymph nodes, etc.) are negative and do not require review, omit these slides from the material sent for consultation.
  2. If cytologic specimens are negative or do not affect staging and do not require review, omit these slides from the material sent for consultation.
  3. If certain parts of a case are not relevant to the specimen for which consultation is requested (have benign findings not related to the main specimen), omit these slides from the material sent for consultation.

All materials should be sent to:

Gynecologic Pathology Consultation Service
Johns Hopkins Medical Institutions
1620 McElderry St.
Reed Hall, Rm. 315
Baltimore, MD 21205
Phone: 410-955-2405
Fax: 410-367-2404

*Unstained Slides Requirement:
If unstained slides are provided in place of paraffin blocks, these tissue sections must be submitted on a plus charged slide. The Immunopathology Laboratory recommends a white plus charged slide that is available from Cardinal Health. The catalogue number for the white plus slide is M6159-6 (one must specify to the vendor whether to order as one gross [pack of 144 slides] or one case [10 packs per case]). Paraffin blocks are required for certain diagnostic evaluations (click Hydatidiform Mole Evaluation for details regarding these particular specimens).

For inquiries regarding the status of cases currently being evaluated, please contact the gynecologic pathology divisional assistant at 443-287-4996 or the gynecologic pathology service fellow at 410-955-3580. For inquiries regarding receipt or return of case materials, please contact the consultation office at 410-955-2405.

Turn-around-time: Most consultation cases are completed in 3 to 5 working days. When ancillary studies are performed, additional time is required; the turn-around-time for these cases will depend on a variety of factors, including the time it takes to receive the requested paraffin blocks.

Consultation material retention policy: All original slides from tissue specimens and cytologic specimens, original histochemical and immunohistochemical stains, and paraffin blocks will be returned upon completion of the consultation. Recut sections, rather than original slides, should be submitted whenever possible (for those cases for which diagnostic findings are not altered by this process) so that the contributing laboratory can retain original slides and our laboratory can retain representative slides for our files (for consultation documentation as well as academic and teaching purposes).