Available Services and Expertise:
Dr. Carolina Gutierrez offers comprehensive
diagnostic consultation services to physicians and patients at the
Baylor/Ben Taub Breast Care Center. Access to the same services for
individuals outside the Baylor/Ben Taub system can be arranged by contacting
us directly.
Diagnostic Approach and Philosophy:
Breast pathology is an evolving science and art. We conform closely
to the approach described in: Diagnostic Histopathology of the Breast.
Ed. DL Page and TJ Anderson, First Edition, Churchill Livingston,
1987 – modified to accommodate our own thinking and experience.
Our evaluation of breast cancer provides all the information currently
considered to be essential for therapeutic decision making, including:
histological subtype, tumor size, histological grade, mitotic index,
status of surgical margins, and status of axillary lymph nodes. We
have developed a diagnostic
template (see example) and use it in the majority of cases to promote
concise standardized terminology and content.
What to Send:
Our pathologists need as much information as possible to provide an
accurate and comprehensive diagnosis. To facilitate this, please send:
Cases are routinely evaluated and reported within 48 hours of receiving them. We usually keep one or two representative slides in our files and return all remaining materials by mail to the originating hospital unless requested otherwise.
Where to Send:
Physicians requesting consultation within the Baylor/Ben Taub system
can send materials through the hospital courier service to the Department
of Pathology at The Ben Taub Hospital (please write “Attention
Dr. Gutierrez on the requisition slip), or hand deliver them to the
Breast Center Pathology Laboratory (Alkek Building, Room 12.10).
Requests by physicians or individuals outside the Baylor/Ben Taub system should be mailed directly to the Laboratory:
Breast Center Pathology Laboratory
Attn: Dr. Carolina Gutierrez
Baylor College of Medicine
One Baylor Plaza
Alkek Building, Room N-1210.08
Houston, Texas 77030
Billing Information/Rates:
The cost/billing structure of the Breast Center Pathology Laboratory
is based on the Medicare/Medicaid RBRVS reimbursement scale and the
AMA Current Procedure Terminology (CPT codes). We bill patients directly
and they are responsible for payment (see
current costs for the most common procedures).