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“Introducing Liquid Based Cytology (LBC) For Early Detection Of Cervical Cancer In Women”

This technique is the major advancement for early detection of cervical cancer in women. It allows to get more accurate results than conventional paps smear. The technique is FDA approved.

TECHNIQUE: The sample is collected using brush with detachable head and placed in a vial containing preservative fluid, thus capturing the entire sample. The sample goes through a process of sedimentation followed by centrifugation to generate a pellet which is applied to the slide for analysis.

“USG/CT Guided Fnac For Accurate Cancer Diagnosis”
Successful cancer treatment relies on the combination of clinical findings , radiological imaging studies and pathologic evaluation. A timely and accurate diagnosis can be achieved by the use of appropriate tissue sampling techniques and competent interpretation of pathologic findings.
Fine needle aspiration cytology(FNAC) is the primary pre operative pathologic diagnostic tool to give tissue diagnosis in cancer patients.
TECHNIQUE :A very small needle is inserted into the lesion to extract cells. The success of FNAC requires an excellent aspirator technique to obtain satisfactory sample.
At our centre we expertise in CT(CAT SCAN)/USG (ULTRASOUND )guided FNAC for BREAST lumps, LIVER nodules/lesions, THYROID nodules, GALL BLADDER mass, PANCREATIC mass /lesions etc.
ALLERGY
Serum Ig E levels -Overview of the allergen-specific IgE antibody test, used to help diagnose allergies
Food allergy panel
Asthma /Pollen allergy panel
Drug allergy panel
Comprehensive allergy panel
BONE AND JOINTS
Anti –CCP To help diagnose rheumatoid arthritis (RA) and differentiate it from other types of arthritis; to help evaluate the prognosis of a person with RA.

Preparation needed: None

RA factor The rheumatoid factor (RF) test is primarily used to help diagnose rheumatoid arthritis (RA) and to help distinguish RA from other forms of arthritis or other conditions that cause similar symptoms. The RF test must be interpreted in conjunction with a person’s symptoms and clinical history.

Preparation needed: None

ASO titre The ASO test is primarily used to help determine whether a recent strep infection with group A Streptococcus: is the cause of a patients glomerulonephritis, a form of kidney disease.

Preparation needed : None

C-REACTIVE PROTEIN(CRP) The C-reactive protein (CRP) test is used to detect inflammation. CRP is an acute phase reactant, a protein made by the liver and released into the blood within a few hours after tissue injury, the start of an infection, or other cause of inflammation.

Preparation needed: none

ARTHRITIS PROFILE REFER TO PACKAGES
DEXA SCAN REFER TO RADIOLOGY
CANCER
CA-125 Cancer Antigen 125 (CA-125) is a tumor marker primarily used to monitor therapy during treatment for ovarian cancer. CA-125 is also used to detect whether cancer has come back after treatment is complete.

Preparation needed: None

C 19.9 CA 19-9 is used as a tumor marker to monitor a person’s response to pancreatic cancer treatment and/or cancer progression.

Preparation needed: None

CA15.3 The cancer antigen 15-3 (CA 15-3) test is mainly used to monitor response to breast cancer treatment and to help watch for breast cancer recurrence.

Preparation needed: None

CALCITONIN The calcitonin test is primarily used to help diagnose C-cell hyperplasia and medullary thyroid cancer, to evaluate the effectiveness of treatment, and to monitor those affected for recurrence.

Preparation needed: None

CEA (carcinoembryonic antigen) To monitor the treatment of patient diagnosed with colon cancer. It may also be used as a marker for medullary thyroid cancerand cancers of the rectum, lung, breast, liver, pancreas, stomach, and ovaries.

Preparation needed: None

PSA levels The PSA test is used to screen both asymptomatic and symptomatic men for prostate cancer.

Preparation needed: None

THYROGLOBULIN The thyroglobulin test is primarily used as a tumor marker to evaluate the effectiveness of treatment for thyroid cancer and to monitor for recurrence.

Preparation needed: None

FNAC (FINE NEEDLE ASPIRATION CYTOLOGY) In fine needle aspiration, a thin needle is inserted into an area of abnormal-appearing tissue or body fluid. The sample collected during fine needle aspiration can help make a diagnosis or rule out conditions such as cancer.

Preparation needed: None

HISTOPATHOLOGY Histopathology refers to the examination of a biopsy or surgical specimen by a pathologist, after the specimen has been processed and histological sections have been placed onto glass slides.

Preparation needed: None

DIABETES
BLOOD SUGAR- FASTING , POSTPRANDIAL (PP) The blood glucose test may be used to: Detect high blood glucose (hyperglycemia) and low blood glucose (hypoglycemia).Helps diagnose diabetes, prediabetes and gestational diabetes. Monitor glucose levels in people diagnosed with diabetes.

Preparation needed:

  • Blood sugar fasting :-overnight fasting is required.
  • For post prandial-Sample to be collected 2 hrs after finishing meal and regular medication taken.
HBA1C The hemoglobin A1c test may be used to screen for and diagnose diabetes and prediabetes in adults. It gives an average of blood sugar level of the last 3 months.

Preparation needed: None

MICROALBUMINURIA The urine albumin test detects and measures the amount of albumin in the urine. The presence of a small amount of albumin in the urine may be an early indicator of kidney disease.

Preparation needed: None

ALBUMIN /CREATININE RATIO The urine albumin test or albumin/creatinine ratio (ACR) is used to screen people with chronic conditions, such as diabetes and high blood pressure (hypertension) that put them at an increased risk of developing kidney disease.

Preparation needed: None

DIABETES PROFILE REFER TO PACKAGES
Pancreas abnormality
AMYLASE The blood amylase test is used to help diagnose and monitor acute pancreatitis.

Preparation needed: None

LIPASE Primarily to diagnose and monitor pancreatitis.

Preparation needed: None

FEVER
DENGUE SEROLOGY Ig M,IgG antibodies against the virus is seen.

Preparation needed: None

DENGUE NS1 ANTIGEN Antigen specific to dengue virus is detected.

Preparation needed: None

WIDAL TEST The Widal test is one method that may be used to help make a presumptive diagnosis of enteric fever also known as typhoid fever.

Preparation needed: None

TYPHIDOT TEST IgG and IgM antibodies against Salmonella typhi are seen . used to help make a presumptive diagnosis of enteric fever also known as typhoid fever.

Preparation needed: None

SCRUB TYPHUS TEST Scrub typhus, also known as bush typhus .Scrub typhus is spread to people through bites of mites.

Preparation needed: None

MALARIAL ANTIGEN DETECTION TEST Malarial parasite causes fever with chills. Antigen-based rapid diagnostic tests (RDTs) are done for detection of the plasmodium species.

Preparation needed: None

MALARIAL PARASITE ON P/S Routine microscopy of peripheral blood smear is done for detection of plasmodium species detection.

Preparation needed: None

CHIKUNGUNYA SEROLOGY It is mosquito-borne viral infection causing fever with joints pain.

Preparation needed: None

HORMONES
ACTH ACTH (adrenocorticotropic hormone) blood tests are used, usually in conjunction with cortisol tests, to help detect, diagnose, and monitor conditions associated with excessive or deficient cortisol in the body, such as Cushing disease, Cushing syndrome, Addison disease, secondary adrenal insufficiency, and hypopituitarism.

Preparation needed: Sample to be taken early morning and fasting .To stop steroid intake /drugs before having the test.

ANDROSTENEDIONE Androstenedione is used to evaluate the function of the adrenal gland and the ovaries or the testicles as well as the production of hormones related to the development of male sex organs and physical characteristics (androgens). It is most commonly used to determine the cause of symptoms of excess androgens in a woman who has an elevated testosterone level
CORTISOL A cortisol test may be ordered to screen for and help diagnose Cushing syndrome, a group of signs and symptoms associated with excess cortisol.

Preparation needed  : Morning samples to be collected at 8 am and evening sample to be collected  at 4 pm.

ESTRADIOL Estrogen tests are used to detect a deficiency or excess in a woman and to help diagnose a variety of conditions associated with this imbalance. They may also be used to help determine the timing of a woman’s ovulation and may be ordered to monitor the health status of the developing baby and placentaduring pregnancy.

Preparation needed: None

FSH (Follicular Stimulating Hormone) The test for follicle-stimulating hormone (FSH), a hormone associated with reproduction and the development of eggs in women and sperm in men, has several uses.

Preparation needed: None

LH (Luteinizing Hormone) (Luteinizing hormone) is a hormone associated with reproduction and the stimulation of the release of an egg from the ovary (ovulation) in women and testosterone production in men.

Preparation needed: None

TESTOSTERONE Testosterone is the main sex hormone in men and is responsible for male physical characteristics. It is present in the blood of both men and women and is used to help diagnose low sex drive, erectile dysfunction, infertility or delayed or early puberty.

Preparation needed: None

GROWTH HORMONE Growth hormone (GH) testing is primarily used to identify growth hormone deficiency and to help evaluate pituitary gland function.GH testing is also used to detect excess GH and to help diagnose and monitor the treatment of acromegaly and gigantism.

Preparation needed : Overnight fasting is mandatory. Patient should be at rest for 30 minutes prior to basal sample collection.

PARATHYROID HORMONE It is used to help diagnose the cause of a low or high calcium level and to help distinguish between parathyroid-related and non-parathyroid-related causes. PTH is routinely monitored for people with chronic kidney disease or who are on dialysis.

Preparation needed: None

AMH-ANTI MULLERIAN HORMONE AMH is a hormone produced by reproductive tissues. Its role and the amount normally present varies depending upon sex and age.

Preparation needed: None

PROLACTIN PRL is a hormone ordered in patients with infertility , suspected prolactinoma with symptoms of unexplained headaches, visual impairment, and/or unexplained breast nipple discharge.

Preparation needed: None

PCOD PROFILE REFER TO  PACKAGES
INFERTILITY PROFILE REFER TO  PACKAGES
HEART DISEASE
Troponin T Troponin T are proteins found in heart muscle and are released into the blood when there is damage to the heart. Troponin tests are primarily ordered to help diagnose a heart attack and rule out other conditions with similar signs and symptoms.
HEMATOLOGY AND COAGULATION DISORDER
CBC(Hb,TLC,DLC,MCV,MCH,MCHC,Platelet count , RBC count) (complete blood count)- Basic blood test giving information about Hb(haemoglobin),TLC, DLC, MCV, MCH, MCHC, Platelet count.
Preparation needed: None
PERIPHERAL SMEAR Blood film investigation under microscope to diagnose type of anaemia, malarial parasite , leukemiasetc
Preparation needed: None
RETICULOCYTE COUNT Blood film microscopy to look for reticulocyte (immature developing form of red blood cells)
Preparation needed: None
ESR Erythrocyte sedimentation rate is a relatively simple, inexpensive, non-specific test to help detect inflammation associated with conditions such as infections, cancers, and autoimmune diseases.
Preparation needed: None
BLOOD GROUP Preparation needed: None
BONE MARROW EXAMINATION The bone marrow produces the cellular elements of the blood, including platelets, red blood cells and white blood cells. Bone marrow examination is used in the diagnosis of a number of conditions, including leukemia, multiple myeloma, lymphoma, anemia, and pancytopenia.

Preparation needed: None

COOMB’S TEST The indirect Coombs test is used in prenatal testing of pregnant women and in testing blood prior to a blood transfusion. It detects antibodies against rbcsthat are present unbound in the patient’s serum.

Preparation needed: None

GLUCOSE-6-PHOSPHATE DEHYDROGENASE (G6PD) enzyme testing is used to screen for and help diagnose G6PD deficiencies. A deficiency in G6PD causes rbcsto become more vulnerable to breaking apart (hemolysis) under certain conditions.

Preparation needed: None

COAGULATION PROFILE The prothrombin time (PT) with a partial thromboplastin time (PTT), to help diagnose the cause of unexplained bleeding or inappropriate blood clots. The international normalized ratio (INR) is a calculation based on results of a PT and is used to monitor individuals who are being treated with the blood-thinning medication.

Preparation needed: None (sample to reach lab as soon as possible or within 2 hours of taking the sample)

THROMBOPHILIA PROFILE Lupus anticoagulant testing is a series of tests used to detect lupus anticoagulant (LA) in the blood. LA is an autoantibodyassociated with excess blood clot formation. LA testing is used Along with tests for cardiolipin antibody and anti-beta2-glycoprotein.

Preparation needed: None

HPLC To detect and/or identify hemoglobinopathy (hemoglobin abnormality or thalassemia) in those with symptoms of unexplained anemia or abnormal results on a complete blood count (CBC).

Preparation needed: None

HEPATITIS
HBsAg To screen for, detect, and help diagnose acute and chronic HBV infections; earliest routine indicator of acute hepatitis B and frequently identifies infected people before symptoms appear; undetectable in the blood during the recovery period, primary test to diagnose carrier.
Preparation needed: None
ANTI-HBs ANTIBODY Used to detect previous exposure to HBV; it can also develop from successful vaccination so it is used to determine the need for vaccination (if anti-HBs is absent) or to determine if a person has recovered from an infection.
Preparation needed: None
HBe ANTIGEN Often used as a marker of ability to spread the virus to other people (infectivity); it may also be used to monitor the effectiveness of treatment.
Preparation needed: None
ANTI HBe ANTIBODY Used to monitor acute infections in those who have recovered from acute hepatitis B infection.
Preparation needed: None
ANTI HBc ANTIBODY Used to detect acute HBV infections; sometimes present in chronic infections as well.
Preparation needed: None
HCV ANTIBODY Hepatitis C tests are used to screen for and diagnose a hepatitis C virus (HCV) infection.

Preparation needed: None

HIV
HIV antibody and HIV antigen (p24) testing is used to screen for and diagnose HIV infections.
INFECTIOUS DISEASE
TUBERCULOSIS (TB) AFB testing is used to detect common bacteria causing TB i.e
Mycobacterium tuberculosis. AFB – smear, AFB culture, TB PCR, TB Quantiferon Gold, TB
platinum.
GRAM STAIN Pathogenic gram positive and gram negative bacilli/cocci to be detected in
Pus/fluid/CSF/culture/sputum.
KIDNEY FUNCTION TEST
Serum tests are done to see the normal functioning of the kidney.
UREA Waste product filtered by kidney and released into the urine.
CREATININE Creatinine is a waste product produced by muscles and filtered from the blood by the kidneys and released into the urine.
SERUM SODIUM/POTASSIUM Sodium and potassium are electrolytes present in all
body fluids and is vital to normal body function, including nerve ,muscle functionand heart
function.
SERUM CALCIUM A blood calcium test is ordered to screen for, diagnose, and monitor a range of conditions relating to the bones, heart, nerves, kidneys, and teeth.
SERUM PHOSPHORUS Phosphorus testing is typically performed in follow up to an
abnormal calcium test and/or when symptoms of abnormal calcium such as fatigue, muscle
weakness, cramping, or bone problems are present.
LIVER FUNCTION TEST
SERUM BILIRUBIN Bilirubin is an orange-yellow pigment and a waste product. A
bilirubin test may be used to help determine the cause of jaundice and/or help diagnose
conditions such as liver disease, hemolytic anemia and blockage of the bile ducts.
ALT/AST The alanine aminotransferase (ALT/AST )test is typically used to detect liver injury.
SERUM ALBUMIN Albumin is protein produced by the liver, its level can decrease with loss of liver function.
ALP Alkaline phosphatase (ALP) is an enzyme found mostly in the cells of bone and the liver. The ALP test may be used to help detect liver disease or bone disorders.
GGT The gamma-glutamyl transferase (GGT) test may be used to determine the cause of elevated alkaline phosphatase (ALP). Both ALP and GGT are elevated in disease of the bile ducts and in some liver diseases, but only ALP will be elevated in bone disease.
LIPID PROFILE
TOTAL CHOLESTEROL It’s a composite of different types. A person’s total
cholesterol score is calculated by adding their HDL and LDL cholesterol levels and part
of their triglyceride level.
TRIGLYCERIDES This test is used to help identify an individual’s risk of
developing heart disease and to help make decisions about what treatment may be needed
if there is borderline or high risk.
VLDL Very low density lipoprotein .It is a major carrier of triglycerides.
HDL High-density lipoprotein (HDL) is considered good cholesterol because it removes excess cholesterol from arteries. The HDL-C test as part of a lipid profile screens for unhealthy lipids levels.
LDL Low-density lipoprotein (LDL cholesterol, LDL-C) is one type of lipoprotein that carries cholesterol in the blood.
PREGNANCY RELATED TESTS
Beta –HCG HCG (human chorionic gonadotropin)-Serum marker increases in pregnancy. It also helps to diagnose gestational trophoblastic disease (GTD)
DUAL MARKER TEST This is a screening blood test done during the first
trimester between the 11th and 13th week of pregnancy for Down’s syndrome.
TRIPLE / QUADRUPLE MARKER TEST A triple or a quadruple marker test is done
during the second trimester of pregnancy, during the 14th to 20th week for screening of
Down’s syndrome.
TORCH INFECTIONS -The TORCH panel is a group of blood tests used to screen
newborns and pregnant women for certain infections that can cause birth defects in a baby if the mother contracts them during the pregnancy. It includes tests for toxoplasmosis, rubella, cytomegalovirus (CMV) and herpes.
ANC PROFILE Refer to packages
INFERTILITY PROFILE Refer to packages
DRUG ABUSE
Drugs of abuse testing is used to screen for and confirm the presence of several drugs in a person’s sample, such as urine, blood or hair. Drugs commonly tested are Amphetamine, methamphetamine, Barbiturates such as phenobarbital, secobarbital and pentobarbital, Benzodiazepines such as diazepam, lorazepam and oxazepam, Marijuana, Cocaine, Methadone, Opiates, such as heroin, codeine and morphine, Phencyclidine (PCP).
THYROID RELATED DISORDERS
SERUM T3, T4 A free or total (free T3,T4 or total T3,T4) test is used to assess thyroid function. It is ordered primarily to help diagnose hyperthyroidism /hypothyroidism.
SERUM TSH The thyroid-stimulating hormone (TSH) test is often the test of choice for evaluating thyroid function and/or symptoms of a thyroid disorder, including hyperthyroidism or hypothyroidism.
ANTI-TPO ANTIBODIES/ANTI-THYROGLOBULIN ANTIBODIES
THYROID FNAC In fine needle aspiration, a thin needle is inserted into an area of abnormal-appearing tissue. The sample collected during fine needle aspiration can help make a diagnosis or rule out conditions such as cancer.
SEMEN ANALYSIS – The test is done to assess the sperm count and quality.
Preparation needed: Abstain from ejaculating for 2 to 5 days before the sample is collected. Sample to reach
the lab as soon as possible , not beyond half hour of sample collection.

About Us

SIKUND DIAGNOSTIC CENTRE was established in July 1993 in Dehradun by Dr. SHOBHA SIKUND. Initially, computerized pathology laboratory services were started by her. The Radiology and imaging services were gradually added in 1999 by Dr. RAJEEV SIKUND and it became the first diagnostic center in Dehradun to provide both pathology and radiology diagnostic services in one premise.

Radiology

Pathology

  • BIOCHEMISTRY
  • HISTOPATHOLOGY
  • CYTOLOGY
  • CLINICAL PATHOLOGY
  • MICROBIOLOGY
  • IMMUNOLOGY
  • HEMATOLOGY