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If you are involved in a court case how do you ensure that your evidence is accurately and fully disclosed?
S8
Pathology (2014), 46(S1)
PATHOLOGY 2014 ABSTRACT SUPPLEMENT
histologic features, and the terminology in dermatopathology often seems impenetrable. This course will cover a wide range of inflammatory diseases of the skin that may be encountered by the germinal surgical pathologist. A practical approach utilising reaction patterns will be emphasised, including spongiotic, psoriasiform, interface, perivascular, nodular, palisading granulomatous, panniculitis, and bullous diseases. During the course, practical tips and strategies to construct effective reports even in the setting of non-specific findings will be provided. By the end of the course, the participants will hopefully be able to approach inflammatory disease of the skin with less trepidation.
NEUROPATHOLOGY – TUMOUR AND NON-TUMOUR FOR ADULTS AND PAEDIATRICS Michael Buckland1 and Barbara Koszyca2 1Brain and Mind Research Institute, The University of Sydney, and Department of Neuropathology, Royal Prince Alfred Hospital, Sydney, NSW, and 2Hanson Institute Centre for Neurological Diseases, SA Pathology, Adelaide, and Discipline of Anatomy and Pathology, University of Adelaide, Adelaide, SA, Australia As if brain tumours were not enough of a challenge, the diagnosis of non-tumour pathology gives rise to an equal if not greater degree of apprehension in the mind of pathologists. This session will focus on the approaches to so-called ‘medical’ brain biopsies and resections. Topics covered will include epilepsy surgery specimens, intracerebral haemorrhage resections, tumoural demyelination biopsies, vasculitis and some other infectious and inflammatory conditions. As there have been recent significant advances in paediatric brain tumour molecular biology, this topic will also be reviewed.
VEXING VASCULAR TUMOURS Steven D. Billings Cleveland Clinic, Cleveland, OH, USA Vascular tumours are a significant source of diagnostic difficulty that often vex surgical pathologists. This course will cover a range of vascular tumours that can have deceptive histologic features, including benign vascular tumours that can be mistaken for malignancy and deceptive vascular tumours that do not appear to be vascular tumours at all. This course will emphasise histologic features and a practical approach to the differential diagnoses.
PRACTICAL ISSUES IN MELANOCYTIC TUMOURS Steven D. Billings Cleveland Clinic, Cleveland, OH, USA Melanocytic tumours are arguably the most important aspect of dermatopathology. This course will cover a range of issues encountered in the practice of surgical pathology related to melanocytic lesions. Laboratory issues such as embedding and fixation artifacts, topics not commonly discussed in textbooks, will be addressed. In addition, other situations that cause diagnostic difficulty will be discussed, including margin assessment in sun damaged skin, naevi that histologically mimic melanoma, naevoid melanoma, and desmoplastic melanoma. A practical approach and strategies to resolve the differential diagnosis will be emphasised. IF YOU ARE INVOLVED IN A COURT CASE HOW DO YOU ENSURE THAT YOUR EVIDENCE IS ACCURATELY AND FULLY DISCLOSED? Clive Cooke Forensic Pathology, PathWest, Perth, WA, Australia
PHOTOGRAPHY FOR PATHOLOGISTS; FROM MACRO TO MICRO AND POWERPOINT TO PUBLICATION Amanda Charlton The Childrens’s Hospital at Westmead, Sydney, NSW, Australia Aim: For pathologists, trainees and scientists who photograph specimens at cut up, and take photos using a microscope camera. How to quickly get the best quality images for your purpose. Input: How to take a gross specimen photo or video using ‘SPLICE’ mnemonic for Stage, Props, Lighting, Camera, Exposure. Photomicrographs; how to do white balance, close the diaphragms to increase the depth of field, but avoid vignette. Use a slide scanner for low power images. Save as jpeg for screen output, tif for print output. Output: For screen (Powerpoint), how to automatically insert multiple images using Create Album, and reduce all image sizes using Compress Pictures. Directly insert X-rays, etc., using Screen Clipping. Link to videos. Correct colour and brightness using Format. For print output, e.g., journal or textbook, how to use image editing software such as Photoshop Elements. Resize image resolution to 300 dpi, and 82 mm wide, save as a tif. Crop and rotate, replace background, remove identifying data, insert a scale. Correct the white balance, contrast, sharpen, erase spots and distracting bits. Make a montage (composite) from multiple adjoining slides. Insert text and arrows.
A personal case will be presented that highlights seven duties of an Expert Witness: 1. Evidence is independent, uninfluenced as to form and content by who is calling you 2. objective unbiased opinion in relation to matters within your expertise 3. should state the facts or assumption upon which the opinion is based (and) should not omit to consider facts which could detract from that opinion 4. make it clear if an issue is outside expertise 5. Any qualification about the report (such as uncertainty) should be stated 6. Any change of opinion should be clearly communicated/disclosed 7. All data on which opinion is based should be disclosed.
BONE INVASION IN ORAL SQUAMOUS CELL CARCINOMA (OSCC) Newell W. Johnson, Jingjing Quan, Jin Gao and Nigel Morrison Griffith University, Qld, Australia Background: Bone invasion in OSCC has poor outcomes. We hypothesise stimulation of osteoclasts directly by cancer cells; indirectly via osteoblasts.
Copyright © Royal College of pathologists of Australasia. Unauthorized reproduction of this article is prohibited.
Pathology (2014), 46(S1)
PATHOLOGY 2014 ABSTRACT SUPPLEMENT
histologic features, and the terminology in dermatopathology often seems impenetrable. This course will cover a wide range of inflammatory diseases of the skin that may be encountered by the germinal surgical pathologist. A practical approach utilising reaction patterns will be emphasised, including spongiotic, psoriasiform, interface, perivascular, nodular, palisading granulomatous, panniculitis, and bullous diseases. During the course, practical tips and strategies to construct effective reports even in the setting of non-specific findings will be provided. By the end of the course, the participants will hopefully be able to approach inflammatory disease of the skin with less trepidation.
NEUROPATHOLOGY – TUMOUR AND NON-TUMOUR FOR ADULTS AND PAEDIATRICS Michael Buckland1 and Barbara Koszyca2 1Brain and Mind Research Institute, The University of Sydney, and Department of Neuropathology, Royal Prince Alfred Hospital, Sydney, NSW, and 2Hanson Institute Centre for Neurological Diseases, SA Pathology, Adelaide, and Discipline of Anatomy and Pathology, University of Adelaide, Adelaide, SA, Australia As if brain tumours were not enough of a challenge, the diagnosis of non-tumour pathology gives rise to an equal if not greater degree of apprehension in the mind of pathologists. This session will focus on the approaches to so-called ‘medical’ brain biopsies and resections. Topics covered will include epilepsy surgery specimens, intracerebral haemorrhage resections, tumoural demyelination biopsies, vasculitis and some other infectious and inflammatory conditions. As there have been recent significant advances in paediatric brain tumour molecular biology, this topic will also be reviewed.
VEXING VASCULAR TUMOURS Steven D. Billings Cleveland Clinic, Cleveland, OH, USA Vascular tumours are a significant source of diagnostic difficulty that often vex surgical pathologists. This course will cover a range of vascular tumours that can have deceptive histologic features, including benign vascular tumours that can be mistaken for malignancy and deceptive vascular tumours that do not appear to be vascular tumours at all. This course will emphasise histologic features and a practical approach to the differential diagnoses.
PRACTICAL ISSUES IN MELANOCYTIC TUMOURS Steven D. Billings Cleveland Clinic, Cleveland, OH, USA Melanocytic tumours are arguably the most important aspect of dermatopathology. This course will cover a range of issues encountered in the practice of surgical pathology related to melanocytic lesions. Laboratory issues such as embedding and fixation artifacts, topics not commonly discussed in textbooks, will be addressed. In addition, other situations that cause diagnostic difficulty will be discussed, including margin assessment in sun damaged skin, naevi that histologically mimic melanoma, naevoid melanoma, and desmoplastic melanoma. A practical approach and strategies to resolve the differential diagnosis will be emphasised. IF YOU ARE INVOLVED IN A COURT CASE HOW DO YOU ENSURE THAT YOUR EVIDENCE IS ACCURATELY AND FULLY DISCLOSED? Clive Cooke Forensic Pathology, PathWest, Perth, WA, Australia
PHOTOGRAPHY FOR PATHOLOGISTS; FROM MACRO TO MICRO AND POWERPOINT TO PUBLICATION Amanda Charlton The Childrens’s Hospital at Westmead, Sydney, NSW, Australia Aim: For pathologists, trainees and scientists who photograph specimens at cut up, and take photos using a microscope camera. How to quickly get the best quality images for your purpose. Input: How to take a gross specimen photo or video using ‘SPLICE’ mnemonic for Stage, Props, Lighting, Camera, Exposure. Photomicrographs; how to do white balance, close the diaphragms to increase the depth of field, but avoid vignette. Use a slide scanner for low power images. Save as jpeg for screen output, tif for print output. Output: For screen (Powerpoint), how to automatically insert multiple images using Create Album, and reduce all image sizes using Compress Pictures. Directly insert X-rays, etc., using Screen Clipping. Link to videos. Correct colour and brightness using Format. For print output, e.g., journal or textbook, how to use image editing software such as Photoshop Elements. Resize image resolution to 300 dpi, and 82 mm wide, save as a tif. Crop and rotate, replace background, remove identifying data, insert a scale. Correct the white balance, contrast, sharpen, erase spots and distracting bits. Make a montage (composite) from multiple adjoining slides. Insert text and arrows.
A personal case will be presented that highlights seven duties of an Expert Witness: 1. Evidence is independent, uninfluenced as to form and content by who is calling you 2. objective unbiased opinion in relation to matters within your expertise 3. should state the facts or assumption upon which the opinion is based (and) should not omit to consider facts which could detract from that opinion 4. make it clear if an issue is outside expertise 5. Any qualification about the report (such as uncertainty) should be stated 6. Any change of opinion should be clearly communicated/disclosed 7. All data on which opinion is based should be disclosed.
BONE INVASION IN ORAL SQUAMOUS CELL CARCINOMA (OSCC) Newell W. Johnson, Jingjing Quan, Jin Gao and Nigel Morrison Griffith University, Qld, Australia Background: Bone invasion in OSCC has poor outcomes. We hypothesise stimulation of osteoclasts directly by cancer cells; indirectly via osteoblasts.
Copyright © Royal College of pathologists of Australasia. Unauthorized reproduction of this article is prohibited.