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Case #8: Quarter 3, 2020
A 38-year-old female with a history of hypertension presented to the emergency department with complaints of nausea, vomiting, and back pain. MRI showed a T1 hypointense, T2 hyperintense, nonenchancing cystic lesion at the tail of the pancreas, which caused mass effect upon the spleen and stomach. A distal pancreatectomy was subsequently performed. The patient is currently being followed with no evidence of recurrence or malignant transformation.
See figures and answer here: Case #8: Quarter 3, 2020
MESSAGE FROM THE PRESIDENT
I am sad to share news of the death on July 7 in Milan, Italy of Dr. Juan Rosai.
Dr. Rosai was clearly one of the most influential figures in surgical pathology in the last 50 years, whose broad diagnostic expertise was recognized worldwide. For much of his career, he served as a consultant to the international pathology community, providing expert second opinions and making enormous contributions to direct patient care. As a researcher, Dr. Rosai was best known for his work on neoplasms of the thyroid, thymus, and vascular system, but essentially there is no subspecialty area that did not receive his investigative attention. In fact, he wrote many papers on pancreatic neoplasms, and it was his encouragement of me to pursue a case of pancreatic acinar cell carcinoma that led me to the field of pancreatic pathology. Dr. Rosai was among the first to embrace technologies like electron microscopy, immunohistochemistry, and molecular biology to enhance pathologic diagnosis. He was also one of the first pathology leaders to promote digital pathology and predicted the field’s evolution from microscopic to digital pathology many years before it occurred, and he pushed for subspecialization of academic pathology years before it became commonplace – ironic, given that he himself was the quintessential generalist. But perhaps his most lasting contributions were made as a mentor and teacher, roles he took on with great enthusiasm. He fostered the careers of countless trainees, many of whom are now in leadership positions around the world. Recitation of his numerous achievements, awards, and honors can await more formal tributes that will appear in time, but no one can doubt that Juan Rosai achieved as much as any individual can in our field, and his influence has been felt across all subspecialties. A world-renowned surgical pathologist, as well as a treasured friend to many, Dr. Rosai’s generous spirit and ability to build consensus are as much a part of his legacy as his unparalleled expertise. Our thoughts are with his wife, Dr. Maria Luisa Carcangiu, and his children.
President, Pancreatobiliary Pathology Society
PANCREATOBILIARY PATHOLOGY SOCIETY’S SPECIAL SECTION IN Archives of Pathology and Laboratory Medicine
Dear Pancreatobiliary Pathology Society Members
I am writing to draw your attention to the newly released Arch Pathol Lab Med (https://archivesofpathology.org/toc/arpa/144/7) which includes a Special Section containing review articles on the topics we presented at our 2019 USCAP Companion Meeting session. You will find comprehensive and authoritative reviews written by our speakers, Drs. Laura Wood, Laura Tang, Stefano La Rosa, and Huamin Wang, along with selected collaborators. We are particularly pleased and grateful to the Editors of Archives, Drs. Philip Cagle and Donna Hansel, for agreeing to publish a Special Section based on our meeting, and to Managing Editor Katie Giesen, whose assistance was tremendously helpful during the process.
I am also happy to report that we will be publishing a second installment based on the presentations at the 2020 USCAP Companion Meeting, so stayed tuned. Thanks to all who participated in authoring, reviewing, and publishing these reviews, and I hope you all enjoy reading them.
On behalf of the Executive and Education Committees
Pancreatobiliary Pathology Society
Case #7: Quarter 2, 2020
A 24-year-old female presented to the emergency department with severe left-sided abdominal pain. CT abdomen/pelvis showed a heterogeneous mass in the tail of the pancreas with multiple metastatic liver lesions and lymphadenopathy. Liver lesion biopsies were attempted and yielded necrotic debris with outlines of atypical cells that were positive for pancytokeratin (AE1/AE3). The patient next underwent a distal pancreatectomy.
See figures and answer here: Case #7: Quarter 2, 2020
USCAP 2020: PANCREATOBILIARY PATHOLOGY COMPANION SOCIETY HANDOUTS
Cystic and Intraductal Neoplasms of the Pancreatobiliary Tract
Martha Bishop Pitman, Deepti Dhall
Jin-Young Jang: Management Algorithms for Pancreatic Cysts and Intraductal Neoplasms: The Surgeon’s Perspective
Click to Download
Michelle D. Reid: Cytologic Assessment of Cystic/Intraductal Lesions of the Pancreatobiliary Tract
Click to Download
Aatur D. Singhi: Preoperative Molecular Assessment of Pancreatic Cysts and Intraductal Lesions
Click to Download
David S. Klimstra: Mucinous Cystic and Intraductal Neoplasms of the Pancreatobiliary Tract
Click to Download
Irene Esposito: Non-mucinous Cystic Lesions of the Pancreas
Click to Download
Pancreatobiliary Pathology Society Best Abstract Award of USCAP2020 goes to:
Julia R. Naso, MD/PhD
University of British Columbia
Association of Inflammatory Cell Infiltrates with Signatures of Immunogenicity in Pancreatic Adenocarcinoma
Message from the President
Dear Pancreatobiliary Pathology Society Members,
We are gearing up for the annual USCAP meeting! Our Companion Society session will be held on Saturday, February 29th from 7-10 pm in room LACC 502-A. Our annual Business Meeting will immediately follow. This year is the end of the two-year terms for the Executive Committee so we will be presenting the slate for President, Vice President and Secretary Treasurer. Please attend and cast your votes! Also, nominations have been submitted for the PBPath Society Abstract Award and the winner will be announced at the Business Meeting.
Our society has been extremely productive over the past several months. The creation of an excellent program for the Companion Society by our Education Committee is only one of several accomplishments. I am excited to inform everyone that Archives of Pathology and Laboratory Medicine is going to publish review articles sponsored by the PBPath Society. These articles are based on the lectures that were given during our Companion Society Meeting at USCAP 2019. Please keep an eye out for these publications. Our Case of the Quarter Subcommittee remains active and has been providing educational cases for all members to tackle; this past fall, we welcomed 4 new members to the subcommittee: Deyali Chatterjee, Goo Lee, Yue Xue and Zhaohai Yang. Our bimonthly Journal Watch nicely highlights pertinent publications involving the pancreatobiliary tract.
And there is more good news. Because of Serdar Balci’s web-based knowledge and dedication to the society, the Membership/Website Committee, along with the Executive Committee, have appointed Serdar Balci as the official Webmaster for the society – congratulations Serdar on this well-deserved appointment! The PBPath Society is also now accepting ads for job and fellowship postings. The Working Groups have been productive as well: The Cytology group is wrapping-up a multi-institutional study assessing the minimal number of tumor cells required for Ki67 index calculation on pancreas FNA samples using corresponding resections as the gold standard for comparison, and the Neoadjuvant group presented their data at the 2019 USCAP Annual Meeting and is planning to write a consensus paper based on the group’s work. This past fall, PBPath Society members also participated in the ASCP, CAP and European Congress of Pathology annual meetings. Most recently, we’ve been asked to provide input on the ICCR’s draft dataset on carcinoma of the exocrine pancreas (please check your emails as the deadline is February 14th).
Our society continues to be a success because of you, its members! I would like to recognize the following members who continuously contribute time and effort to our society: Olca Basturk, for organizing another stellar USCAP Companion Society session; Serdar Balci for publishing the bimonthly journal watch; Mabel Ko for managing our website and the members of the Executive Committee, Grace Kim, David Klimstra, David Lewin, Volkan Adsay, and Olca Basturk, for keeping everything on track and in order.
The PBPath Society is an international organization that strives to improve the clinical practice of pancreatobiliary pathology by providing an environment of team work and cooperation. As my Presidency comes to an end, it amazes me how much we have accomplished over the past 2 years. None of what we now have would have been possible without such collegial, friendly, and motivated members. I am so happy and so proud that I had the chance to serve as the President of this great society.
– Alyssa M. Krasinskas, MD
Happy New Year,
Our latest Journal Watch has just been posted to the PBPS website http://pbpath.org/journal-watch/.
Please share with your colleagues, fellows, and residents.
Pancreatobiliary Pathology Society Education Committee
World Pancreatic Cancer Day
November is the Pancreatic Cancer Awareness month and November 21st is World Pancreatic Cancer day.
We, the Pancreatobiliary Pathology Society, support the mission to raise awareness and inspire action on this day.
We send our support to the survivors, their families and to everyone who has lost a loved one to this deadly disease. We also reiterate our dedication to improve the clinical practice and management of pancreatic cancer and to foster tissue-based research.
World Pancreatic Cancer Day
Spread the word! #WPCD or #worldpancreaticcancerday