Head & Neck/Oral Pathology

Primary Contact

Cytopathologist and Dermatopathologist - Richard H. Knierim, M.D.

Richard H. Knierim, M.D.

Dr. Knierim is board certified in Anatomic Pathology, Clinical Pathology, Cytopathology, and Dermatopathology. He holds additional sub-specialty expertise in Direct Immunofluorescence, Fine Needle Aspiration, Head and Neck/Oral Pathology, Opthalmic Pathology, and Perinatal and Placental Pathology.

Full Bio

Why CellNetix?

  • Two board certified pathologists with sub-specialty expertise in Head & Neck/Oral Pathology
  • Intraoperative consultations provided to Head & Neck surgeons to optimize surgical treatment
  • 94% of our biopsy reports are returned within 48 hours

 

  • Reports convey information clearly, concisely and correctly
  • State-of-the-art Information Technology systems with EMR interface capabilities
  • Full service billing department for direct billing of patient insurance, as well as payment plans for cash-paying patients
  • Customizable test requisitions

Upcoming Events

  • North American Society of Head and Neck Pathology, a companion society of the United States and Canada Academy of Pathology, annual meetings

When it comes to the head and neck, you want your pathologist to be familiar with the great diversity of diseases and tumors that occur in this region. Our pathologists see a high volume of specimens related to the head and neck which ensures recognition of the wide range of appearances of diseases and cancers, leading to more accurate and timely diagnosis. You also want your pathologist to take the time to do a very thorough evaluation of your tissue biopsies and surgical resections.  At CellNetix, we know there is a patient on the other side of every case we see, and we care about getting it right every time.  That way, you and your doctor will be armed with the most accurate and complete information possible for your treatment planning.

Our Strengths

CellNetix' quality program mandates that all new cancers are reviewed by a second pathologist for quality assurance. Our state-of-the-art bar-coding system has been shown to reduce common histologic slide identification errors by 95% and overall case identification errors by 62%.

  • Two board certified pathologists with sub-specialty expertise in Head & Neck/Oral Pathology
  • Intraoperative consultations provided to Head & Neck surgeons to optimize surgical treatment
  • 94% of our biopsy reports are returned within 48 hours
  • Reports convey information clearly, concisely and correctly
  • State-of-the-art Information Technology systems with EMR interface capabilities
  • Full service billing department for direct billing of patient insurance, as well as payment plans for cash-paying patients
  • Customizable test requisitions

Our Head & Neck/Oral Pathologists are available to provide their expertise for questions, evaluations and second opinions on all cases pertaining to their specialty.

Types of Testing We Do
  • Histochemical staining to evaluate for infections
  • Immunohistochemial staining to diagnose and sub-classify tumors
  • Non-gynecologic cytology with Fine Needle Aspiration (FNA) for less invasive diagnostic testing
  • Molecular testing for HPV for prognosis (see reference below)
Types of Conditions and Diseases We Test For
  • Cancer of the oral cavity

  • Cancer of the tongue
  • Cancer of the throat
  • Cancer of the tonsils
  • Cancer of the larynx
  • Cysts in the jaw
  • Diseases of the nasal and sinus passages
  • Diseases of the inner ear
  • Parathyroid disease
  • Salivary gland tumors
  • Thyroid nodules

References

"Improved survival of patients with human papillomavirus-positive head and neck squamous cell carcinoma in a prospective clinical trial." Fakhry, C., Westra W.H., LIS, et al. Journal of National Cancer Institute, 2008 Feb 20; 100(4); 261-9  free full text available online at jnci.oxfordjournals.org