pathology Companion Meeting
The session was well attended and received. This year there were 7 speakers, presenting on a range of dermatopathology topics. The interesting case mix included case reports of newly described tumours, unusual stromal reactions in common tumours, old tumours for which there are new therapies (molecular target therapy) and clinical case presentations of patients presenting with dermatological manifestations of systemic disorders. This included a fascinating case presentation by Dr Venugopal of a patient with generalised skin colour change and dark urine as manifestations of advanced metastatic melanoma.
Dr Coleman gave a succinct and up-to-date presentation on premalignant disorders of the oral mucosa. While not strictly dermatopathology, it was a common addition to the case mix of the dermatopathologist.
Dermatopathology club: Squadron Leader Alan Lyons (RAAF-SR), Supriya Venugopal, Richard Bunter, Rooshdiya Karim, Dugald McCallum, Marcella Roman, Group Captain Greg Bruce (RAAF-SR), Vicki Howard, Hedley Coleman, Allan Cala, Squadron Leader Scott de Havilland (RAAF-SR).
A highlight of the session was a presentation by Dr Cala, RAAF-SR an amateur military historian on the topic of Dermatopathology of war and peacekeeping with conditions from “trench foot” to modern day problems of Leishmaniasis, a condition which is currently encountered in troops in Iraq. Three high ranking officers from the Royal Australian Air Force Specialist Reserve were in attendance. Group Captain Greg Bruce was given an opportunity to respond with interesting insights into skin conditions afflicting the military over the ages.
I saw a few examples of Trench Foot when I visited a pathology museum in the University of Padua some years ago. The specimen jars were very murky and the feet were a homogenous white colour. They did not lend themselves to making a photograph that would be useful for demonstration of the subtle features of this historical condition.
Dr Cala mentioned during his talk that he thought that there might be at least one example of this in the Pathology museum at the Forensic Pathology Department at Glebe. Dr. Jo Duflou very kindly asked his photographer to take some photographs of the two amputation specimens they have, and he sent them to me. I then enhanced them, and I was pleased to see how much colour was restored with a minimum of tweaking. The blistered, necrotic skin, and even the light green colour of the gangrene can be seen.
Trench foot amputated in 1914. Note the blistering and the gangrene. (Courtesy of Jo Duflou and his photographer)
The illustration is one view of one of the feet. Of course the colour is not captured in the black and white reproduction.
Information obtained from the web:
Trench foot (now called non-freezing cold injury) appeared in the soldiers fighting in the trenches in the winter of 1914. One report says that there were about 77,000 casualties amongst the allied forces. The condition was characterised by pain, swelling and then numbness of the feet. Blisters appeared and secondary infection followed, especially fungal infections. This was followed by gangrene.
It was quickly recognised as being a new condition, and not frost bite because it occurred at temperatures of around 16 degrees Celsius. The possibilities were – exposure, diet and infection. Ultimately it was decided that it was caused by circulatory changes in the foot caused by cold, wet and pressure of tight fitting boots.
Conservative treatments were used, and by relieving the pressure and drying the feet, recovery occurred. Amputation was a last resort, and many amputations were done. Preventive measures were aimed at improving the foot wear and trying to keep soldiers provided with dry socks. The measures were considered to be successful because the prevalence of this condition was greatly reduced by 1917-1918.
ASM Gallery 2008
Paediatric club speakers Gareth Jevon, Susan Arbuckle, Adrian Charles, CW Chow, Shen Khor and Jill Lipsett
Jack Kariks and Robin Cooke. Jack is now 82 and this will be his last meeting. He worked for many years in PNG as a medical officer, and later as a pathologist. He then went to Brisbane for a few years as pathologist at Wolston Park Hospital. Then to the Forensic Pathology Department in Sydney, and for some years after that he ran a small private practice in Sydney.
Michael Bilous with some registrars after his master class on Breast Pathology.
Board members May 29 2008 Kon Muller, Richard Jaworski, Gina Skuza, Stephen Fairy, Vicki Howard, David Ellis, Jane Nankervis, Brett Delahunt, Bastiaan De Boer, Soon Lee, Bob Eckstein, Peter Bethwaite, Jan Kencian, Robin Cooke, Jan McLean.
John Rutherford, the Keynote speaker.
Doug Henderson, Jennet Harvey, Marian Pryanthi, Benhur Amanuel
Jenny Hamilton, Grace and Sutjahjo Endardjo (Sec of the Indonesian Division of IAP), Greg Manderson (Ventana)
Paediatric pathologists Jill Lipsett, Lynette More, Fiona Brown, Jane Dahlstrom, CW Chow, Adrian Charles, Susan Arbuckle.
Warick Delprado, Robin Cooke, Zachary Goodman, Stephen Fairy, Brett Delahunt, Robin Warren
Catriona McLean and students after her master class lecture on brain biopsy and its problems
Brett Delahunt presenting the first Robin Cooke Meritorious Service Medal for the IAP to Warick Delprado.
Stephen Allpress , Cynric Temple-Camp, Jullie Beatson, Andrew Tie, Mike O’Sullivan ( an engineer from NZ)
Graham Windrum, Jeffrey Searle, Afaq Khan
First prize for a registrar poster
First prize for a poster by a pathologist.
Pathology Update 2009 in conjunction with
Ona Marie Faye-Petersen
In the anatomical pathology program, the range of topics has been designed to suit both the general anatomical pathologist as well as those with special interests, and includes symposia on breast, liver and lymphoma pathology. Of particular note, will be presentations given by US head, neck and endocrine pathology expert, Dr Lester Thompson, including a session on the challenges associated with diagnosing neoplasia of the salivary glands.
Dr Thompson will also present at one of the cross-discipline sessions, a feature of the WASPaLM programme. His talk entitled ‘What is a small round blue cell tumour anyway?’ will cater for those delegates with an interest in anatomical pathology and/or oral pathology.
Similarly, another session will see the interests of Anatomical and Paediatric pathology combined.
This session, featuring an approach to placental examination will be presented by the world-renowned, Associate Professor of Pathology and Obstetrics and Gynaecology at the University of Alabama, Ona Marie Faye-Petersen.
Associate Professor Faye-Petersen is well-recognised for her expertise in fetoplacental pathology and evaluation of pregnancy complication and loss, and her talk is expected to be a highlight of the anatomical pathology program.
Forensic pathology is always a popular conference stream, and WASPaLM’s 2009 line-up of sessions is unlikely to disappoint. Presentations include advances and controversies in paediatric forensic pathology, pandemics and bioterrorism, recreational deaths, sudden death, and the use of CT imaging in forensics to name a few.
The Congress committee is especially delighted to have Dr Michael Pollanen, Chief Forensic Pathologist of Ontario, Canada as a speaker.
Dr Pollanen has been directly involved in forensic investigation of war crimes and miscarriage of justice including the appeal of the Steven Truscott case that resulted in a wide ranging review of the Canadian approach to forensic paediatric cases. Among other topics, Dr Pollanon will be discussing anthrax autopsies of which he has had personal experience.
IAP Australasian Division Scholarship Programme
The Australasian Division of the IAP is offering two scholarships which include the air fare and expenses (conference registration and accommodation) of pathologists or senior pathology trainees to attend the annual general meeting of the Division. This meeting is usually held on the first weekend in June. (in 2009 it will be held on the second weekend in June.)
The successful scholars will be able to spend one week either before or after the conference as an observer in a pathology laboratory in Australia.
Accommodation expenses will be covered for this week as well.
(Applicants need not necessarily be current members of the Australasian Division.
Nominations can be made by Members of the Division on behalf of overseas pathologists.)
Preference will be given to pathologists from the South Pacific Area who are working in relative isolation and who do not normally have the opportunity to attend such conferences.
The meeting lasts for 3 days. Day one (Friday) consists of a series of lectures on a wide range of subjects. The next two days each have a theme which is addressed by an invited international expert. Some of the subjects may be too specialized for the selected scholar but there are many topics of more general interest.
Applications and nominations must be received by February 1st, 2009.
For more information consult the web page.
Send all applications and nominations to
Associate Professor Robert Eckstein
Department of Anatomical Pathology
Pacific Laboratory Medicine Services
Royal North Shore Hospital
St Leonards NSW 2065
Phone 61-2 99267085
IAP ASM 2009
34th Annual Scientific Meeting
of the Australasian Division of the International Academy of Pathology Limited
Date: June 12-14, 2009
Venue: Sydney Convention & Exhibition Centre, Darling Harbour, NSW, Australia
Testis - Presenter John Srigley, McMaster University, Ontario, Canada
Soft Tissue - Presenter, Christopher Fletcher, Brigham and Women’s Hospital, Boston, USA
Tel: 61-2 8356 5898
PLEASE NOTE THE DATES FOR THIS YEAR ONLY, ARE THE SECOND WEEKEND IN JUNE. That is JUNE 12-14
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