It is almost April and the countdown to the 2008 Annual Scientific Meeting of the Australasian Division, IAP has well and truly started.
Our principal guest speakers will present a wide ranging and interesting programme on the general themes of hepatic and pulmonary pathology.
Dr Zachary Goodman from the Armed Forces Institute of Pathology will focus on inflammatory and neoplastic lesions of the liver as part of Saturday’s programme, while on Sunday Dr Andrew Chung from the University of British Columbia, Vancouver, will speak on the often diagnostically challenging areas of pulmonary vasculitis and malignant mesothelioma. The comprehensive presentations from these speakers will be supplemented by a varied programme, with highlights being Friday’s Keynote Lecture and Saturday’s Vincent McGovern Memorial Lecture. The Friday lecture will have a forensic flavour as Dr John Rutherford from Wellington and late of the Home Office Pathology Service, will discuss his first hand experiences in the case of Dr Harold Shipman, who is notable as Britain’s most prolific serial killer. Professor Soon Lee is this year’s Vincent McGovern Lecturer and has as his general theme fibroepithelial tumours of the breast.
Building on the successes of the past two years, the grey-green series of Master Classes for trainees will continue in 2008 with acknowledged international experts providing presentations in the fields of breast pathology, forensic science and neuropathology.

Victor Reuter, President of USCAP, and Brett Delahunt, President of the Australasian Division.

The presentations from our principal speakers will be available for purchase as colour booklets with an accompanying CD ROM for Liver Pathology and DVD for Pulmonary Pathology. This format was trialled by our Editor, Professor Robin Cooke last year and proved to be very successful. As we move into a slide free digital age, these profusely illustrated texts constitute a valuable teaching resource both for registrars and qualified pathologists and I recommend them to you.
The Annual Scientific meeting of the Australasian Division, IAP is the largest annual gathering of anatomical pathologists in the southern hemisphere – plan to be part of the 2008 meeting, catch up with old friends, learn something new and earn those vital CPDP credits!
Brett Delahunt

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Friday May 30

9:00 – 10:45
Auditorium
SOFT TISSUE TUMOURS & BONE

Convenor: Dr Richard Jaworski, Douglass Hanly Moir Pathology, Macquarie Park, NSW
Lecture: Cutaneous vascular neoplasms: A selected review. Part 1 – Benign Vascular Neoplasms
Dr. Richard Jaworski, Douglass Hanly Moir Pathology, Macquarie Park, NSW

Case Presentations:
Case 1 Dr Victor Lee, KK Women’s and Children’s Hospital, Singapore
Case 2 Dr Fiona Bonar, Douglass Hanly Moir Pathology, Macquarie Park, NSW
Case 3 Dr Fiona McLean, Douglass Hanly Moir Pathology, Macquarie Park, NSW
Case 4 Dr Anita Achan, ICPMR, Westmead Hospital, Westmead, NSW
Case 5 Dr Gelareh Farshid, IMVS, Adelaide, South Australia
Case 6 Dr Raghwa Sharma, ICPMR, Westmead Hospital, Westmead, NSW

Bayside Room 102
LYMPHOMA
Cutaneous lymphoproliferative disorders:
Convenor: Dr Benhur Amanuel, PathWest, Nedlands, WA

Case Presentations:
Case 1 Dr Debra Norris, Queensland Medical Laboratory, VMO Princess Alexandra Hospital, Brisbane QLD
Case 2 Dr Daniel Kearney, IMVS, Adelaide SA
Case 3 Dr David Ellis, FMC/Gribbles Pathology, Adelaide SA
Case 4 Dr Dominic Spagnolo, PathWest Laboratory Medicine, Nedlands, WA
Case 5 Dr Benhur Amanuel, PathWest Laboratory Medicine, Nedlands, WA
Case 6 Prof Tony Leong, Hunter Area Pathology Services, NSW

Bayside Room 105
LIVER/PANCREAS
Convenor: A/Prof James Kench, ICPMR, Westmead Hospital, Westmead, NSW

Case Presentations:
Case 1 A/Prof Andrew Biankin, Garvan Institute of Medical Research, Bankstown Hospital, Sydney, NSW
Clinical Implications of Molecular Phenotypes of Cancer
Case 2 Dr Anthony Gill, PaLMS, Royal North Shore Hospital, Sydney, NSW
Autoimmmune pancreatitis
Case 3 Dr Bastiaan De Boer, PathWest, QEII Medical Centre, Perth, WA
Pancreas endocrine neoplasms: EUS-FNA cytology
Case 4 Dr Andrina McGivern, Princess Alexandra Hospital, Brisbane, QLD
Intraductal papillary mucinous neoplasms – an update
Case 5 Dr Kayla Tran, ICPMR, Westmead Hospital, Sydney, NSW
Intraductal tubular carcinoma – a new entity

11:15 – 1:00
Auditorium
LUNG
Convenor: Dr Jenny Ma Wyatt, PathWest, QE11,Perth, WA

Speaker: Dr Wendy Cooper, Royal Prince Alfred Hospital, Sydney, NSW
Molecular Prognostic Markers in Early Stage Non-Small Cell Carcinoma

Case Presentations:
Case 1 Dr Jenny Ma Wyatt, PathWest QEII, Perth, WA
Pneumocytic adenomyoepithelioma
Case 2 Dr Caroline Cooper, Royal Prince Alfred Hospital, Sydney, NSW
Multiple sclerosing haemangiomas
Case 3 Dr Anthony Gill, PaLMS, Royal North Shore Hospital, Sydney, NSW
Diffuse panbronchiolitis (Japanese type)
Case 4 Prof. Doug Henderson and Dr Sonja Klebe, Flinders Medical Centre,
Dr Lachlan Henry, Gribbles Pathology, Adelaide, SA
Bullous placentoid transmogrification of lung
Case 5 Prof. Doug Henderson and Dr Sonja Klebe, Flinders Medical Centre, Adelaide, SA
Pleural amyloidosis
Case 6 Dr Kayla Tran, ICPMR, Westmead Hospital, Sydney, NSW
Pulmonary crystal-storing histiocytosis

Bayside Room 102
BREAST
Convenor: Dr Gelareh Farshid, IMVS, Adelaide, SA

Case Presentations:
Case 1 A/Prof Jennet Harvey
Antibodies that assist in confirming breast cancer in metastatic sites
Case 2 Dr Nirmala Pathmanathan
Antibodies for separating DCIS from ADH and antibodies to assist in the classification of papillary lesions
Case 3 A/Prof Stephen Fox
Gene expression profiling – the emerging story
Case 4 A/Prof Jane Dahlstrom
The differential diagnosis of atypical vascular lesions of the breast. Does immunohistochemistry have a role?

Bayside Room 104
NEUROPATHOLOGY
Convenor: Dr Peter Robbins, PathWest QEII, Perth, WA

Lecture: Update on molecular genetics of gliomas
Dr Michael Gonzales, Royal Melbourne Hospital, VIC
Case Presentations:
Case 1 Dr Michael Gonzales, Royal Melbourne Hospital, VIC
Case 2 Dr Kate Stewart, St Vincent’s Hospital, Melbourne, VIC
Case 3 Dr Penny McKelvie, St Vincent’s Hospital, Melbourne, VIC
Case 4 Dr Alpha Tsui, Royal Melbourne Hospital, VIC

Bayside Room 105
PAEDIATRICS
Convenor: Dr Adrian Charles, Princess Margaret Hospital, Perth, WA

Case Presentations:
Case 1 Gareth Jevon, PathWest, Princess Margaret Hospital, Perth, WA
Approach to the paediatric liver biopsy
Case 2 C W Chow, The Royal Childrens Hospital, Melbourne
The paediatric esophagus biopsy
A digest of three short cases:
1. Shen Khor, PathWest, Princess Margaret Hospital, Perth, WA
Cushing’s syndrome and a liver mass
2. Susan Arbuckle, The Childrens Hospital, Westmead, Sydney, NSW
Neonatal liver failure
3. Jill Lipsett, Women’s and Children’s Hospital, Adelaide, SA
Granulomas in the gut

2:00 – 3:45
Auditorium
INTERNATIONAL SOCIETY OF GYNAECOLOGICAL PATHOLOGISTS (ISGP)
Convenor: Dr Richard Jaworski,
Douglass Hanly Moir Pathology, Macquarie Park, NSW

Case Presentations:
Case 1 Dr. Lyndal Anderson, ICPMR, Westmead Hospital, Westmead, NSW
Case 2 Dr. Catherine Mitchell, Austin Hospital, Heidelberg, Victoria
Cases 3A & 3B Dr Sue Fredericks, Prince of Wales Hospital, Randwick, NSW
Case 4 Dr. Raghwa Sharma, ICPMR, Westmead Hospital, Westmead, NSW
Case 5 Dr. Inny Busmanis, Singapore General Hospital, Singapore

Bayside Room 105
DERMATOPATHOLOGY
Convenor: Dr Vicki Howard, Douglass Hanly Moir Pathology, Macquarie Park, NSW
Speaker: Dr Richard Bunter, Box Hill Hospital, VIC
New therapy for an old tumour

Case Presentations:
Case 1 Dr Hedley Coleman, ICPMR, Westmead Hospital, Westmead, NSW
Potentially malignant disorders of the oralmucosa
Case 2 Dr Rooshdiya Karim, Royal Prince Alfred Hospital, NSW
Endocrine mucin producing sweat gland carcinoma
Case 3 Dr Dugald McCallum, Royal Perth Hospital, WA
An unusual case of cellulitis and confusion
Case 4 Dr Marcella Roman, Barratt and Smith Pathology, Penrith, NSW
An unusual buccal lesion
Case 5 Dr Supriya Venugopal, Dept of Dermatopathology, St George Hospital, Kogarah, NSW
A case of black urine and skin colour change
Case 6 Dr Allan Cala, John Hunter Hospital, NSW. Squadron Leader R.A.A.F, Specialist Reserve
Dermatopathology of war and peacekeeping (Rashes and the R.A.A.F)

Bayside Room 104
RENAL
Convenor: Dr John Dowling, Alfred Hospital, Prahran, VIC
Speaker: Dr Brian Nankivell, Renal Physician, Westmead Hospital, Sydney, NSW
Chronic Allograft injury

Cases for discussion:
Case 1 Dr Alison Skene, Anatomical Pathology, Austin Health, Heidelberg, VIC
Case 2 Dr Reimar Junckerstorff, Histopathology Dept, WestPath, WA
Case 3 Prof John Dowling, Sessional Pathologist, Anatomical Pathology, St Vincents Hospital,Melbourne, VIC

Bayside Room 102
ORELL FNA
Convenor: Dr Jane Twin, Capital Pathology, DEAKIN, ACT

Case Presentations:
Case 1 Dr Connull Leslie, Registrar PathWest QE2, Perth, WA
Can some lymphomas be diagnosed on FNA with ancillary tests without the need for biopsy?
Case 2 Dr Daniel Wong, Registrar PathWest QE2, Perth, WA
Bilateral submandibular gland enlargement in a 40 year old woman
Case 3 Dr Priyanthi Kumarasinghe, Consultant PathWest QE2, Perth, WA
The use of CK19 and HBME1 in thyroid histopathology and its value in thyroid FNA material.
Case 4 Dr Felicity Frost, Consultant PathWest QE2, Perth, WA
Surgical outcomes of the two categories INDETERMINATE and ATYPICAL in FNA thyroid cytology - PathWest QE2 experience. Implications for management and where we can improve.
Case 5 Dr Angeline Teo, Registrar in Anatomical Pathology and Cytopathology at ACT Pathology, ACT
FNA diagnosis of an interesting parotid swelling
Case 6 Dr Stephen Braye (Senior Staff Specialist, HAPS, John Hunter Hospital, Newcastle
Neurocytology

5:15 – 7:00
Auditorium
GASTROENTEROLOGY
Convenor: Dr Ian Brown, Sullivan Nicolaides Pathology, Taringa, QLD

Case Presentations:
Case 1 Dr Catherine Mitchell, Austin Hospital, Melbourne, VIC
Case 2 Dr Thomas Robertson, Royal Brisbane and Womens Hospital, Brisbane, QLD
Case 3 Dr Nick Musgrave, Sullivan Nicolaides Pathology, Brisbane, QLD
Case 4 Dr Norman Carr, University of Wollongong & Southern IML Pathology, Wollongong, NSW
A presentation on Barrett’s oesophagus
Case 5 A pot pouri of new developments in GIT luminal pathology - various presenters.

Bayside Room 102
INTERNATIONAL SOCIETY OF UROLOGICAL PATHOLOGISTS (ISUP)
Convenors: Dr Geoff Watson, Royal Prince Alfred Hospital, Campedown, NSW and
Dr Hema Samaratunga, Sullivan Nicolaides Pathology, Taringa, Qld
Lecture: Dr Warick Delprado, Douglass Hanly Moir Pathology, Sydney, NSW
Neuroendocrine tumours of the prostate

Case Presentations:
Case 1 Dr Leo Francis, Royal Brisbane Hospital, Brisbane, QLD
Case 2 Dr Tim Khamu, Princess Alexandria Hospital, Brisbane, QLD
Case 3 Dr Fiona McLean, Douglass Hanly Moir Pathology, Sydney, NSW
Case 4 Dr Hugh Turner, Peter McCallum Centre, Melbourne, VIC
Case 5 Dr Karl Rodins and Dr Hwee-Sin Chong, Princess Alexandria Hospital, Brisbane, QLD

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Australian delegates attending the Asia Pacific IAP meeting in Singapore, May 2007. Edwina Duhig, Margaret Cummings, David Papadimos, Ann Whitehouse (Brisbane) and others.

Marianne Priyanthi Kumarasinghe, Bastiaan de Boer, (Perth)

Three graduates from the Uni of Colombo Medical School, Sri Lanka in 1968. They had not been together since graduation until the Singapore meeting.
P.U. (Teli) Telesinghe (now in Brunei), Sujatha Fernando (Sydney) and Sareth Seneviratne (Brisbane)

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Pathology in Moldova

Moldova is a landlocked country of about 4 million people, located in Eastern Europe between Rumania and Ukraine. As one of the 15 former Soviet republics, the country became independent in 1991. The national language is Rumanian, and the Moldovans are proud to point to their Latin ancestry, and though currently one of Europe’s poorest states, are looking westward towards eventual integration into the European Union. Russian is the second language for most people, since any higher education in Soviet times made this a necessity. Moldova’s major (and effectively only) export is wine, and there are several wineries containing tens of kilometres of underground tunnels for storing wine at a constant temperature.

I had the privilege of spending a week as visiting scholar at the pathology department of the State University of Medicine and Pharmacy “Nicolae Testemitanu”, in September 2006, at the invitation of the head of pathology, Prof Ieremia Zota.

The Moldovan health system is undergoing a transition from a Soviet style communist system, to a Western one. This has caused some grief for people who were used to free health care, and there has been a recent drop in many health indicators such as life expectancy. Health insurance now costs about $50 per year, which is considerable when the average salary is only about $100 monthly. Tuberculosis and hepatitis are major problems.

Stephen Weinstein (centre) and Ieremia Zota (right) Head of the Pathology Department, with some of his staff.

Pathology in Soviet times was divided into “morphologic pathology”, basically anatomic pathology and morphologic haematology on the one hand, and everything else on the other. The State University of Medicine and Pharmacy in the capital Chisinau (Kishinev in Russian) has its origins in WWII, when the city of Leningrad was under threat, and the Soviets moved the medical and academic staff south to the relative safety of Moldova. After the war, Stalin decided that they were to stay on in Moldova, and form the nucleus of a medical university there.
The pathology department was well staffed, some would argue too well staffed, given the number of pathologists and scientists sitting and waiting for work, a legacy of a centrally planned economy. However lack of modern equipment was striking. Sectioning was done using the small sledge microtomes which are popular in Europe, and staining was done manually dipping the slides in a series of jars.
Stephen Weinstein,
Pathology Queensland,
Gold Coast

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Introducing
Dr John D Rutherford
BSc, MB ChB, FRCP (Edin), FRCPath, DMJ, FFFLM
Keynote Lecturer ASM 2008

Qualifications
Dr Rutherford initially qualified with a first class honours Bachelor of Science degree in Anatomy (with gold medal) in 1969 and then continued with medical studies gaining the combined degrees of Bachelor of Medicine and Bachelor of Surgery from the University of Sheffield, UK, in 1972. During vocational training in internal medicine and pathology he qualified MRCP (UK) and MRCPath by examination, later being admitted to Fellowships of the Royal College of Physicians of Edinburgh and the Royal College of Pathologists (UK). Developing his interest in forensic pathology he qualified DMJ in 1992 and in 2006 became a Founding Fellow of the new Faculty of Forensic and Legal Medicine (FFLM) of the Royal College of Physicians of London.

Vocational
Dr Rutherford started work as a general practitioner in 1972 and then moved into clinical hospital medicine where he worked until 1979 when he changed to pathology. After a resident clinical pathology job at Manchester Royal Infirmary he worked as a lecturer in pathology at Manchester University before accepting a job as a consultant diagnostic histopathologist at North Manchester General Hospital, retaining honorary lecturer status with the University.
During this time he developed his interest in forensic pathology and was admitted to the list of accredited forensic pathologists of the UK Home Office in 1992. He worked both as a diagnostic histopathologist and as a forensic pathologist until 1995 when the workload became oppressive and he gave up his National Health Service commitment to become a full time independent forensic pathologist. At the end of March 2006, after 14 years clean service on the list of accredited UK Home Office forensic pathologists, he declined to sign up to the new Home Office “agreement” which he (and many of his colleagues) found unacceptable for a number of reasons. He continued to work as an independent defence and coronial pathologist (albeit frustrated by the restrictions of the new UK Human Tissues Act and post-Shipman failure of the government to effect a revision of the coronial system) until appointed in December 2006 as the Regional Forensic Pathologist serving the Wellington area in the new National Forensic Pathology Service of New Zealand. He looks forward to assisting in the continuing development of this service and liaising with the wider Australasian scene. In his career he has been involved in a large number of forensic cases some of which were high profile ones, including conducting autopsies on the exhumed bodies of Dr Harold Shipman’s victims.
He has always felt that his early clinical experience has added an extra dimension to his practice of pathology (both diagnostic and forensic), particularly useful in the aforementioned Shipman cases. On the darker side, he has survived a full page libellous article in a leading Sunday newspaper (a case of mistaken identity and media misrepresentation -successfully defended and apology extracted) and “abuse of process” allegations in court (successfully defended).

Academic
Although a self-acknowledged disinterested paper writer, he has lectured widely abroad including invited keynote speeches in Paris (France) and Berne (Switzerland) as well as the United States including an invited address on the Dr Shipman case; he finds lecturing terrifying.

Outside Interests
Dr Rutherford is most proud of having been captain of his university judo team, winning the gold medal in psychiatry as an undergraduate, writing (directing and acting in) successful hospital pantomimes, doing the hippie trail to India with a backpack, climbing Kilimanjaro with his son and daughter and winning the Manchester Laser Quest championships in 1991 (as part of a two man team with his son -when he was really too old to be doing it at all). He has an interest in the nature of human consciousness and, in his spare time, is currently undertaking an MSc in existential psychotherapy. He played rugby union at school (full back for many years) and is looking forward to rekindling his (voyeuristic) interest in the sport at the home of the world’s most famous rugby team. Taking on board the internationally noted “outdoor and sporting” philosophy of New Zealand he has bought an electrically assisted bicycle and a pair of shorts -but does not intend to engage in bungee jumping.

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