Speakers:
Rhonda Yantiss, MD
Mary Kay Washington, MD
Alyssa M. Krasinskas, MD, FASCP
Robert M. Najarian, MD
Steven Wexner, MD
Mariana Berho, MD
Description:
Members of the Rodger C. Haggitt Gastrointestinal Pathology Society Education Committee felt that a multidisciplinary discussion of colorectal cancer may be helpful to practicing surgical pathologists. Recent changes to the AJCC TNM Cancer Staging Manual, the WHO Tumor Classification, and the CAP guidelines have led to confusion and inconsistent reporting practices among pathologists. Advanced surgical techniques have changed the way patients with colon cancer are managed, yet many pathologists, residents, and pathology assistants do not understand the anatomy of resultant specimens. The topics of discussion will include: 1. Surgical Management of Rectal Cancer: What Pathologists Need to Know—Steve Wexner 2. Pathologic Evaluation of Malignant Polyps–Robert Najarian 3. Pathologic Staging Issues: Applying Criteria of the AJCC 7th edition–Kay Washington 4. Ancillary Testing of Colon Cancer: The Routine and Esoteric–Alyssa Krasinskas
Learning Objectives:
CASE HISTORIES – 2012 IAP GI PATHOLOGY SLIDE SEMINAR (AN UMCIMBI OF GI PATHOLOGY)
Meeting Handouts – Members can access meeting handouts here.
CASE 1
Dr. Tomas Slavik (Ampath Pathology Laboratories & Extraordinary Lecturer, University of Pretoria, South Africa)
71 year old female who presented with diarrhoea and weight loss. Upper endoscopy revealed hypertrophic gastric rugae and irregularly nodular to polypoid mucosa. Biopsies were received, marked as: 1. gastric mucosa/polyps, 2. duodenal mucosa/polyps.
CASE 2
Dr. Andrew Clouston (Envoi Specialist Pathologists & Associate Professor of Pathology, University of Queensland, Australia)
A 67 year old male with a history of fistula-in-ano and recurrent perianal abscess. An initial biopsy showed gelatinous material macroscopically. In this resected specimen, the anorectal muocsa had scarring but was otherwise smooth.
CASE 3
Prof. Marco Novelli (Professor of Pathology, University College London Medical School, United Kingdom)
38 year old male with a sigmoid tumour, lymph node and lung metastases, as well as a presacral lesion. No reponse to Glivec was obtained. Sections provided from the sigmoid tumor – H&E and immunoperoxidase stains (CD117, CD34).
CASE 4
Prof. Elizabeth Montgomery (Professor of Pathology and Oncology, Johns Hopkins University, USA)
Duodenal biopsy received with the following history: “diarrhoea, rule out coeliac disease”.
CASE 5
Prof. Claude Cuvelier (Professor of Pathology, University of Gent, Belgium).
CASE 6
Prof. David Owen (Professor of Pathology, University of Vancouver, Canada)
24 year old male with subacute large bowel obstruction, for which right hemicolectomy was performed. The proximal colon and caecum were dilated and filled with faecal material.
Meeting Handouts – Members can access meeting handouts here.
Aatur Singhi, Johns Hopkins Hospital
Acinar Cell Cystadenoma of the Pancreas: A Benign Neoplasm or Non-Neoplastic Ballooning of Ducts
Runner-Up Presentations:
David Hernandez Gonzalo, Cleveland Clinic: Hirschsprung’s Disease and Calretinin in Inadequate Biopsies
Bing Ren, University of Rochester Medical Center: MACC1, a Potential Diagnosis Marker for Early Stage Colorectal Cancer
Gastrointestinal Manifestations of Systemic Diseases
Sunday, March 18, 1:30 PM
Vancouver Convention Center
Room:
Moderator: Rhonda Yantiss, Cornell University, New York NY
GI Infections in the Immunocompromised Host.
Laura Lamps, University of Arkansas, Little Rock, AK
Drug-induced Injury of the GI Tract.
David Owen, University of British Colombia, Vancouver, BC
Immunodeficiency Syndromes that Mimic Primary GI Disorders.
Susan Abraham, MD Anderson Medical Center, Houston, TX
Vasculitis.
John Hart, University of Chicago, Chicago, IL
Rodger C. Haggitt Memorial Lecture:
Cutaneous Manifestations of GI Disorders and Dermatologic Diseases that Affect the GI Tract
Bruce Smoller, University of Arkansas, Little Rock, AK
Evidence-Based Medicine In The Practice Of Gastrointestinal Pathology
Saturday, March 17, 3-5 PM, Vancouver Convention Center, Room 211-214
Agenda
Moderator: Jim Crawford
Panelists: Wade Samowitz, Marie Robert, And Larry Burgart
Meeting Handouts – Members can access meeting handouts here.
William W Bivin, Allegheny General Hospital
The Roger Haggitt Gastrointestinal Pathology Society (GIPS) would like to invite applications for the “GIPS Travel Award”. Each year, this award is given by GIPS to pathology residents who are interested in gastrointestinal pathology. The award comprises of free registration to selected GI courses and a sum of $500 to cover travel-related expenses.