Welcome to the Pancreatobiliary Pathology Society

Welcome to the Pancreatobiliary Pathology Society


Challenging case 1

– PBPS Newly Launched Challenging Case Series

NOTE: The case will be open for 2 weeks for discussion. Please leave a reply of your proposed diagnosis, differential diagnosis and suggested ancillary tests (bottom of the page). We will collect the replies and post the final diagnosis with discussion.

Please see case description and scanned whole slide images here: 

https://pbpath.org/challenging-case-1/

 

The PBPS is seeking a new Journal Watch Committee Member

The PBPS journal watch (JW) is seeking a new committee member to join our team for a term of 3 years. The JW is posted every 2 months and includes articles to be highlighted from the most relevant journals in pancreatobiliary pathology. The JW is a valued educational tool among our community and a great way to network with others in the field.  

Interested PBPS members should send CV to info@pbpath.org by June 8, 2022.  Applicants must be paid members of the Pancreatobiliary Pathology Society. 

Daniela Allende, MD MBA, PBPS JW Editor 


USCAP2022 highlights

Pancreatobiliary Pathology Society Best Abstract Award of USCAP2022 goes to Dr. Burcin Pehlivanoglu.

Congratulations to Dr. Burcin Pehlivanoglu, of Dokuz Eylul University, who was awarded the Pancreatobiliary Pathology Society’s Best Abstract at USCAP 2022! Dr. Pehlivanoglu’s winning abstract is entitled “ TPPP-BRD9 Fusion-Related Gallbladder Carcinomas are Associated with Intracholecystic Neoplasia, Neuroendocrine Carcinoma and a Distinctive Small Tubular-Type Adenocarcinoma Commonly Accompanied with Syringomatous Pattern.” Dr. Pehlivanoglu was presented the award at USCAP 2022 by Drs. Reid and Klimstra.

The authors for this abstract are listed below: 

Burcin Pehlivanoglu, Dokuz Eylul University (Primary Presenter) 
Jill Koshiol, National Cancer Institute 
Scott Lawrence, Division of Cancer Epidemiology and Genetics, National Cancer Institute 
Juan C Araya, Universidad de La Frontera 
Serdar Balci, Independent Consultant 
Jesper B Andersen, University of Copenhagen 
Catterina Ferreccio, Pontifica Universidad Católica de Chile 
N. Volkan Adsay, Koç University Hospital


 

PBPS PATHCAST 2022

Dear members of the PBPS,

PBPS, together with PathCast, organized a free 2-day course which was streamed live on January 29-30, 2022 on FaceBook.com/PathCast as well as YouTube.com/Pathcast. Here is link of the recorded course videos:

https://pathologycast.com/index.php?title=Pancreatobiliary_Pathology_Society_pathCast_Short_Course

January 29th 2022

8:00 – 9:20 AM (EST): Intraductal/cystic lesions of the pancreas (40 minute prerecorded didactic powerpoint – Dr Olca Basturk) followed by a 40 minute slide session on Intraductal/cystic lesions of pancreas – Dr David Klimstra); live Q and A at 9:20 AM (15 minutes) – Dr David Klimstra and Dr Olca Basturk

9:40 – 11:10 AM (EST): Neuroendocrine neoplasms of the pancreas and differential diagnosis: (40 minute prerecorded didactic powerpoint) followed by a 40 minute slide session); live Q and A at 11:10 AM (15 minutes) – Dr Stefano LaRosa and Dr Silvia Uccella

January 30th 2022

8:00 – 8:50 AM (EST): Gallbladder and bile duct: 50 minute didactic lecture followed by a 10 minute live Q and A at 8:50 AM – Dr Volkan Adsay

9:00 – 9:50 AM (EST): Cytology of the Bile Duct: 50 minute didactic lecture followed by a 10 minute live Q and A at 9:50 AM – Dr Michelle Reid

10:05 – 11:20 AM (EST): Pancreatic ductal adenocarcinoma and variants (40 minute pre-recorded didactic powerpoint – Dr Laura Wood); Approach to neoadjuvant treated pancreatic ductal adenocarcinoma (40 minute prerecorded didactic powerpoint – Dr Huamin Wang); Live Q and A at 11:20 AM – Dr Laura Wood and Dr Huamin Wang (15 minutes)

 


Pancreatobiliary Pathology Society Abstract Award USCAP 2022

Dear members of the PBPS,

The PBPS is now accepting applications for this year’s PBPS Abstract Award. This award will go to a pathology trainee with an abstract (poster/platform) in pancreatobiliary pathology presented at the 2022 annual USCAP meeting. Submitted abstracts will be evaluated for originality, scientific merit and presentation, and the winner will receive a $500 prize. At least one author should be a PBPS member. Trainees are strongly encouraged to apply.

The deadline for submission of Award applications is February 15, 2022.

Please email your completed abstract in Word format along with the information below to the education committee chair Dr. Michelle Reid (michelle.reid@emory.edu).

Name:
Training Institution:
Position:
PGY Year:
Date/Time of Presentation:
Abstract Name:
Poster Number (if applicable):


 Pancreatic Cancer Awareness Month and PBPath Society Updates

Dear colleagues,

November is Pancreas Cancer Awareness Month, and today (Thursday, November 18) is World Pancreatic Cancer Day, when “loved ones, communities and organizations around the world unite to shine a light on pancreatic cancer” (World Pancreatic Cancer Day) specifically to raise awareness of the disease and its presenting symptoms, in hopes for earlier detection and a greater possibility of survival.  Please take this opportunity to reflect on our PBPS’s efforts to enhance collaboration, stimulate research, and disseminate knowledge about pancreatic and biliary diseases – wear purple! And tell your colleagues, friends, and associates about what we are doing to help combat pancreatic cancer.  PBPS members have an understanding of these diseases (plural intended) that provides a vital context for clinical and basic researchers, so engagement of pathologists in the study of pancreatic neoplasia is a key to success.  I know I am preaching to the choir here, but we need to actively (aggressively) engage with other researchers to ensure our impact is contributed!

There are many updates from the leadership of our Society.  We have enhanced our website with additional content, including the ongoing “Case of the Quarter” feature, led by Dr. Elizabeth Thompson and our new “Challenging Case” content, which will allow the posting of whole slide images of truly challenging or controversial cases to enable members to contribute their comments about the findings.  This feature is led by Dr. Rondell Graham and will establish an interesting dialog about these diagnostic conundrums.

In other news, the Grossing Working Group, led by Dr. Grace Kim and Dr. Daniela Allende, published a paper in Am J Surg Pathol recently detailing their recommendations for grossing pancreatic specimens, entitled Towards a More Standardized Approach to Pathologic Reporting of Pancreatoduodenectomy Specimens for Pancreatic Ductal Adenocarcinoma: Cross-continental and Cross-specialty Survey from the Pancreatobiliary Pathology Society Grossing Working Group (PMID 33899890; https://pubmed.ncbi.nlm.nih.gov/33899790/).  This paper will hopefully help standardize our approach to these challenging specimens, and I congratulate the members of this working group.

Members of the PBPS are also participating in a number of courses.  Drs. Olca Basturk and Michelle Reid presented a session at the CAP annual meeting on September 28 entitled EUS-Guided and “SpyBite” Biopsies of Pancreatic and Biliary Tract Lesions (FNA versus Biospy), which explored the relative utility of different diagnostic approaches to pancreatic lesions.  Soon there will also be a PathCast course organized with the PBPS, which will be a FREE 2 day online course, aired on January 29-30, 2022.  Details on the content and how to attend will be sent soon!

Finally, we are eagerly anticipating the next USCAP meeting, which is scheduled to be an in-person event, happily.  In addition to the PBPS Companion Meeting, there promises to be multiple presentations and courses on pancreatobiliary pathology, and details will be provided in another missive early in the new year.  For now, please remind your trainees about the PBPS abstract prize for USCAP submissions on pancreatobiliary topics.  The prize is for trainees only and comes with a $500 cash award and the opportunity to be honored at the Companion Society meeting and photographed with me (booster stool will be provided).  The deadline to submit abstracts for consideration is February 1, 2022, and they should be emailed to Dr. Michell Reid, Chair of the Education Committee (michelle.reid@emory.edu).

I will write again with more updates soon.  Thank you for your participation in the PBPS; with your help we are succeeding in bringing these important topics to center stage in the pathology community, and the response and impact has already been tremendous!  

Best wishes for the holiday season.

David Klimstra

President


Case 5: Quarter 4, 2021

Clinical Details:


A 63-year-old male with past medical history that includes hyperparathyroidism presented with ongoing left hip pain. Evaluation of the etiology of his pain revealed an incidental mid-abdominal mass on lumbar spine MRI. A dedicated CT scan confirmed the presence of a solid, well-demarcated ovoid peripancreatic mass measuring 11 cm. A CT-guided needle biopsy was performed.

See figures and answer here:  Case 5: Quarter 4, 2021


We are Seeking New Committee Members!

The PBPath Website/Membership committee is seeking new committee members to join our team, for a term of 3 years.
The website/membership team member(s) will help the Pancreatobiliary Pathology Society maintain and expand our membership, post updates to our website, and send newsletters to our members. Experience with WordPress and/or HTML is a plus, but not required.

The ideal candidates possess a willingness to learn and a team-player mentality.

Interested PBPath members should send CV to info@pbpath.org. Successful committee members must be active members of the Pancreatobiliary Pathology Society.

The Pancreatobiliary Pathology Society Executive Committee


Membership Renewal and Membership Application

Dear pancreatobiliary pathology enthusiasts. We would like to ask all members to update their information and renew their memberships. To renew your membership please click here.

You may reset your password here: Password Reset

If you want to apply for membership please click here.

If you experience any problems please contact us.


Case 4: Quarter 3, 2021

Clinical details:

A 2-year-old-baby presented as a transfer from an outside hospital (OSH) due to concerns for possible acute cholecystitis. The patient has a history of abdominal pain for the last 2 weeks. The laboratory tests from the OSH were notable for leukocytosis. An abdominal CT scan showed a thickened gallbladder wall with numerous polypoid, non-mobile lesions. Eventually, the patient underwent laparoscopic cholecystectomy.

See figures and answer here:  Case 4: Quarter 3, 2021


2021 PBPath Business Meeting agenda/minutes

Pancreatobiliary Pathology Society Members,

Alas, we will not be able to meet in person this year, therefore please find attached the 2021 Pancreatobiliary Pathology Society (PBPS) Annual Business meeting agenda/minutes for your review to learn what PBPS has accomplished: PBPath Business Meeting 2021

Two requests:
1. Listen to our PBPS Companion meeting speakers, submit your questions and attend the LIVE Question and Answer on Tuesday March 16, 2021 11-11:30 AM PST
2. Vote for our new member before March 20, 2021 (will only take 1 minute) https://www.surveymonkey.com/r/7PWVKV5

Can’t wait to see all of you in person next year!

Most appreciatively,
Grace E. Kim
Pancreatobiliary Pathology Society Secretary/Treasurer


Case 3: Quarter 2, 2021

Clinical details:

A 50-year-old woman with no significant past medical history presented with abdominal pain and a syncopal episode. Abdominal MRI showed a multicystic mass with a significant solid component in the pancreatic tail, measuring 2.2 cm in the greatest dimension. A fine-needle biopsy of the lesion was performed.

See figures and answer here:  Case 3: Quarter 2, 2021 


Pancreatobiliary Pathology Society Companion Meeting USCAP 2021

Rondell Graham, MBBS, Mayo Clinic (Moderator)
Michelle D. Reid, MD, MSc, Emory University Hospital (Moderator)
Barbara A. Centeno, MD, H. Lee Moffitt Cancer Center & Research Institute
Vikram Deshpande, MBBS, MD, Massachusetts General Hospital, Harvard Medical School
Günter Klöppel, MD, PhD, Technical University of Munich
Giuseppe Zamboni, MD, University of Verona

Inflammatory Conditions of the Pancreatobiliary Tree 

This session includes 1.5 hours of on-demand educational content. This content can be viewed starting March 1. There will also be a live 30-minute Q&A session with the faculty on Tuesday, March 16, from 11:00 AM – 11:30 AM Pacific Time.

Chronic pancreatitis is a complex inflammatory process with rising incidence and prevalence, and no curative treatment for frequently intractable chronic pain. Despite advances in the field, challenges remain in the radiologic, endoscopic and histologic diagnosis, and the distinction of pancreatitis from cancer. Although some specific pathologic subtypes of pancreatitis have been described and characterized in the past decade, many pathologists are still unaware of their existence, clinicopathologic characteristics, management and genetic implications. Pathologists also struggle with formulating diagnoses, reporting terminology, and determining etiology, particularly on small biopsies, fine needle aspirations and bile duct brushings. In the past year alone numerous multidisciplinary international, consensus guideline manuscripts have made new recommendations regarding risk factors, etiology, management (endoscopic, surgical/non-surgical), and histopathology of chronic pancreatitis. The latter was aimed at clarifying the pathologist’s role in diagnosis, histopathologic criteria, standardizing reports, and limiting confusion in reporting and the literature. The Pancreatobiliary Pathology Society executive committee determined the theme, titles, content and speakers for this year’s companion meeting, with a mission to educate surgical and Cytopathologists on recent advances in inflammatory conditions of the pancreatobiliary tree. This year’s meeting will provide a 360-degree expert analysis and update on acute and chronic inflammatory conditions of pancreatobiliary tree, including specific entities acute/alcoholic pancreatitis (Dr. Günter Klöppel), paraduodenal pancreatitis (Dr. Giuseppe Zamboni), IgG4-related (autoimmune) pancreatitis (Dr. Vikram Deshpande), and the cytopathology of inflammatory lesions of the pancreatobiliary tree (Dr. Barbara Centeno).

 The program can be accessed by USCAP attendees here:

USCAP 2021 Annual Meeting

 Continuing Medical Education

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The United States and Canadian Academy of Pathology and the Pancreatobiliary Pathology Society. The United States and Canadian Academy of Pathology is accredited by the ACCME to provide continuing medical education for physicians.

The United States and Canadian Academy of Pathology designates this Other activity (enduring materials and internet live activity) for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Live Q&A Session: Tue, March 16, 11:00 AM – 11:30 AM PT


Case 2: Quarter 2, 2021

Clinical details:

A 63-year-old man with a history of mixed hyperlipidemia and gallstones underwent cholecystectomy for recurrent episodes of pancreatitis. A follow-up computed tomography (CT) scan revealed an interval increase in the size of an ill-defined, mass-like lesion in the pancreatic head with peripheral enhancement and central necrosis, concerning for malignancy (Figure 1). Endoscopic ultrasound with fine needle aspiration documented a solid/cystic mass and acinar cells on cytology. He underwent pancreaticoduodenectomy.

See figures and answer here:  Case 2: Quarter 2, 2021


MESSAGE FROM THE PRESIDENT

Pancreatobiliary Pathology Society (PBPS) Members,

We will all remember 2020 as a year filled with challenges and new ways of doing things, and many of our modified processes are spilling into 2021 as well.  With the upcoming USCAP meeting being virtual, we have been working to prepare a compelling agenda for our PBPS Companion Meeting, and I am pleased to report that we have a very fine program devoted to the topic of pancreatitis.  Our speakers will include Dr. Barbara Centeno (Cytopathology of inflammatory lesions of the pancreatobiliary tree), Dr. Vikram Deshpande (IgG4-related (autoimmune) pancreatitis), Dr. Günter Klöppel (Acute/alcoholic pancreatitis) and Dr. Giuseppe Zamboni (Paraduodenal pancreatitis).  The lectures will be prerecorded, so you can listen to them any time after they go live on March 1.  Because of the modified format, the session will only be 90 minutes this year.  Please access the talks via the USCAP website.  There will be a 30 minute live question and answer session, hosted by Michelle Reid, PBPS Education Committee Chair, on Tuesday, March 16 at 2:00 PM Eastern time.  You can enter your questions on-line as well, and Michelle will review them with the speakers.  We hope this will be a highly interactive Q&A session, and that the virtual format will allow even more participants to hear these lectures.

I also want to remind everyone about the PBPS Abstract Award competition. Our PBPS Education Committee will select the winning abstract for 2021, and the first author will receive a $500 prize.  All applications should be submitted no later than 2/15/2021.  Please see the PBPS website for details.

In other news, we have recently revamped our Journal Watch feature, kindly edited by Daniela Allende, PBPS Chair of Journal Watch Subcommittee – please keep an eye on our website for updates about excellent publications related to pancreatobiliary pathology.

We truly regret that we cannot gather in person this year – one of the hardest things about the pandemic of course is the restriction on seeing family, friends, and colleagues – but there is a light at the end of the tunnel, and we will look forward to future meetings when we can gather again to share our interests and catch up on our professional lives!

David Klimstra,  Pancreatobiliary Pathology Society President


Accepting Applications for PBPS Abstract Award in USCAP 2021

Dear members of the PBPS,

Happy new year! 

The PBPS is now accepting applications for this year’s PBPS Abstract Award. This award will go to a pathology trainee with an abstract (poster/platform) in pancreatobiliary pathology presented at the 2021 annual USCAP meeting. Submitted abstracts will be evaluated for originality, scientific merit and presentation, and the winner will receive a $500 prize. At least one author should be a PBPS member. Trainees are strongly encouraged to apply.

The deadline for submission of Award applications is February, 2021.

Please email your completed abstract in Word format along with the information below to the education committee chair Dr. Michelle Reid (michelle.reid@emory.edu).

Name:
Training Institution:
Position:
PGY Year:
Date/Time of Presentation:
Abstract Name:
Poster Number (if applicable):

Comments:


Case 1: Quarter 1, 2021

Clinical details:

A 73-year-old female with a history of monoclonal gammopathy of undetermined significance (MGUS) and small fiber peripheral neuropathy was found to have elevated transaminases and alkaline phosphatase (ALP) – ALT 54 U/L (normal range 15-41), AST 66 U/L (normal range 14-54), ALP 322 U/L (normal range 38-126) on routine laboratory testing. Total bilirubin was within normal limits (0.3 mg/dL), and gamma-glutamyl transferase was not performed. Abdominal CT showed diffuse thickening and enhancement of the extrahepatic and central intrahepatic biliary tree with associated areas of narrowing as well as mild intrahepatic biliary ductal dilation. During ERCP, mucus was seen extruding from a gaping papilla, thus clinically a pancreatic main duct intraductal papillary mucinous neoplasm (IPMN) was considered. Bile duct brushing cytology showed atypical cells, which were favored to represent a reactive process. Whipple resection was performed for the suspected IPMN. After the Whipple procedure, she experienced an initial improvement in laboratory values. A rheumatologic evaluation was negative, including autoimmune (ANA, ANCA, SSA, SSB, anti-dsDNA, and anti-mitochondrial antibodies), infectious (viral hepatitis, HIV), and immunoglobulin (SPEP, quantitative immunoglobulins, including repeated IgG4) testing. Since her initial improvement, follow-up MRI showed new and worsening areas of stricture and continued thickening and enhancement of her biliary tree. Since optimizing her immunosuppressive regimen, her disease has remained stable.

See figures and answer here:  Case #1: Quarter 1, 2021


Pancreatic Cancer Awareness Month

This month, with so many global issues in front of us, I want to remind everyone that November is Pancreatic Cancer Awareness Month.  Pancreatic cancer has been in the national consciousness this year, in part due to well-known figures who have been affected, but we also draw greater awareness to the disease through Pancreatic Cancer Awareness Month, to urge private and public agencies to extend more funding to study this disease and help researchers search for a cure and improve the lives of those affected.  This year, over 56,000 people in the United States will be diagnosed with pancreatic cancer, and many more around the world will be affected.  Recognition of the growing prevalence of pancreatic cancer, with the help of foundations and organizations like the Pancreatobiliary Pathology Society, can help direct resources towards research and clinical care efforts.  Thursday, November 19 is World Pancreatic Cancer Day – an even more focused opportunity to recognize this disease and the numerous efforts to improve the care of those affected.  Please remember to “wear purple” and spread the word that we are redoubling our efforts, so that the impetus to address pancreatic cancer is also felt throughout the year and reflected in renewed energy and enthusiasm for research collaboration and knowledge sharing.  Pancreatobiliary pathologists are charged with establishing the diagnosis of pancreatic cancer, and surely we should be leading advocacy efforts as well!

David Klimstra, President 

Pancreatobiliary Pathology Society


CASE 4: QUARTER 4, 2020

Clinical History

A 58-year-old woman with no significant past medical history developed left abdominal pain. An abdominal MRI showed an irregular enhancing 4.5 x 4.0 cm pancreatic tail mass that was inseparable from vessels in the splenic hilum. Endoscopic ultrasound-guided fine-needle aspiration showed rare malignant cells, favoring adenocarcinoma. The patient subsequently underwent neoadjuvant therapy with Gemcitabine/Abraxane followed by a distal pancreatectomy, splenectomy, partial omentectomy and removal of surrounding lymph nodes.

See figures and answer here: Case 4: Quarter 4, 2020

 


Case 3: Quarter 3, 2020

Clinical History

A 38-year-old female with a history of hypertension presented to the emergency department with complaints ofnausea, 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 3: Quarter 3, 2020

 


MESSAGE FROM THE PRESIDENT

Dear Colleagues, 

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.

David Klimstra

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.

Best wishes, and Stay Safe!

David Klimstra

On behalf of the Executive and Education Committees

Pancreatobiliary Pathology Society


Case 2: Quarter 2, 2020

Clinical details:

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 2: Quarter 2, 2020


USCAP 2020: PANCREATOBILIARY PATHOLOGY COMPANION SOCIETY HANDOUTS

Cystic and Intraductal Neoplasms of the Pancreatobiliary Tract

Moderators:
Martha Bishop Pitman, Deepti Dhall

Speakers:
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

 


USCAP2020 highlights

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

See Poster at Tue, March 03 1:00 PM – 4:30 PM
LACC West Exhibit Hall A Poster Board Number: 164
 
 




Message from the President

Dear Pancreatobiliary Pathology Society Members,

Happy Winter!

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

 


Journal Watch

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

-Alyssa