Introduction
Establishing a diagnosis of cancer begins with a thorough history and physical examination Is Tissue Always Necessary?
There are very few circumstances where the diagnosis of malignancy is made in the absence of pathological confirmation Obtaining Tissue
An important principle is to obtain diagnostic material via the least invasive approach Histopathology/Cytopathology
Historically, histopathology and cytopathology have been the main tools utilised in the diagnosis of cancer Molecular Genetics/Cytogenetics
Molecular and cytogenetic studies have demonstrated that the development and progression of human malignancies involves multiple genetic changes Tumour Markers/Biomarkers
Tumour markers are substances released by cancer cells into the blood In malignant tumours, cells undergo an uncontrolled and haphazard growth that can lead to disorganized architectures. Cytologically, this can be observed as nuclear moulding (nucleus of one cell to deform around the nucleus of another cell) and cell crowding (overlapping of nuclei).