Australasian Division of the
International Academy of Pathology Limited


Newsletters - 2006

Number One

Home About Us Meetings Newsletter


A Message from the President


Can you recognise nested TCC?
Is PIN the precursor of prostatic carcinoma?
How many different forms of renal carcinoma are there?
Are oncocytic cells diagnostic?

The IAP meeting this year (June 2 – 4) will feature two of the leading experts in uro-oncology, who will discuss these and many other topics. William Murphy and David Grignon have done the research, written the books and lectured widely. They are both approachable, knowledgeable and entertaining speakers.

The Australasian IAP meeting can attract such distinguished speakers because it has a reputation for being a great meeting. Overseas visitors enjoy speaking in Australia because the pathologists in the audience are friendly, knowledgeable and participate actively. This year we are trying a more formal audience participation approach with Dr. Murphy.

We are also continuing the keynote lecture on Friday afternoon. This lecture is surrounded by the companion meetings which have become an integral part of the weekend.

At 5 15 pm on Friday we will have a new companion meeting that we have called the Grey-Green Club. This is for pathology trainees only, and it will feature the two overseas visitors. It is an opportunity for our future pathologists to interact directly with two of the living pathology legends, and to be stimulated by this experience.
The weekend also gives you time to catch up with old friends, to make new ones and to enjoy Sydney. I hope you can take the time to attend.

John Pedersen


the Keynote Speakers

David John Grignon
Born in Canada on September 14th 1955. Married with 2 children. He retains his Canadian citizenship.
Current Position
Professor and Chairman, Department of Pathology, Wayne State University,
Adjunct Professor, School of Pharmacy and Allied Health
Specialist-in-Chief, Detroit Medical Center
Detroit, Michigan.
He graduated in Medicine from the University of Western Ontario, London, Ontario, Canada and did his postgraduate pathology training at the MD Anderson Hospital, Houston, Texas.
Other Professional Activities
Chairperson, Pathology Committee, Radiation Therapy Oncology Group (R.T.O.G.), Philadelphia, PA. (1992 - 2001);
Member, Pathology Committee (Central reviewer, prostate cancer protocols), Radiation Therapy Oncology Group (R.T.O.G.), Philadelphia, PA. (1989 - present).
He is a member of the Editorial boards of 9 journals. He has been a significant author of hundreds of papers, book chapters, books and scientific reports. Virtually all of these have been to do with Urological pathology particularly prostate pathology. He has been an invited lecturer, and has presented slide seminars and short courses more times than he would probably like to remember. Up to 1994 these lectures were in North America, but since then he has visited 9 countries outside North America.
A significant publication is
Murphy WM, Perlman E, Grignon DJ: Tumors of the Kidney, Bladder, and Related
Urinary Structures. Atlas of Tumor Pathology, 4th series Fascicle #1, Armed Forces Institute of Pathology, Washington D.C., 2004.

William Mont Murphy, M.D.
Independent consultant in Urologic Pathology, Leesburg, Florida, 2005-present
Professor (1994-2005) and Emeritus Professor from 2005, Department of Pathology and Laboratory Medicine, University of Florida College of Medicine, Gainesville, Florida.
He was born on October 5, 1942 in Des Moines, Iowa. He obtained his primary B.A. University degree from Drake University, Des Moines, Iowa, in 1963. He then worked in many parts of the United States, starting with Boston where he graduated M.D., from Harvard Medical School, in 1967.
He did his Residency in Pathology at Case-Western Reserve University Hospitals Institute of Pathology, Cleveland, Ohio, 1968-71.
He then had senior pathology positions in many different institutions.
He had specialist training in Immunology and Cytopathology as well as in Anatomic Pathology. In recent years he has become interested in Telepathology. He has had a career long connection with the navy.
He made significant contributions to Organised Pathology by being an active member in the organizing teams in many Pathology Societies. The most prestigious of these were the:
United States and Canadian Academy of Pathology
From 1987 to present Editorial Board - Modern Pathology
American Society of Cytopathology
1992-93 President
Association of Directors of Anatomic and Surgical Pathology
College of American Pathologists
1981-83 Alternate Delegate for Tennessee
1989 Panel of Referees for PIP - Surgical Pathology Committee
1993-94 Cancer Committee Task Force on Practice Protocols
He has written hundreds of papers, numerous books and book chapters and scientific reports. He has been on the editorial boards of 9 journals and Associate Editor, Acta Cytologica, 1992-present;
Reviewer, Archives of Pathology 1981-2005;
Section Editor, Urologic Oncology, 2000-present.
Two important publications are:
Murphy WM, Beckwith JB, Farrow GM: Tumors of the kidneys, bladder and related urinary structures. Atlas of Tumor Pathology. Rosai J (ed), 3rd series Fascicle, Armed Forces Institute of Pathology, Washington, D.C. 1994.
Murphy WM, Perlman E, Grignon DJ: Tumors of the Kidney, Bladder, and Related
Urinary Structures. Atlas of Tumor Pathology, 4th series Fascicle #1, Armed Forces Institute of Pathology, Washington D.C., 2004.
Throughout his career he has 'toured the world' as an invited speaker and visiting lecturer. He has already visited Australia twice. Once as Speaker at the 1991 meeting of the RCPA and the meeting of the Australian Society of Cytology. In 2000 he visited Victoria and Tasmania as a guest of Melbourne Pathology and the Australian Society of Cytology.


31st ASM Companion Club Programmes
Friday June 2, 2006

9:00 – 10:45
Sponsored by Symbion Health
Convenor: Dr Richard Jaworski, Symbion Health, North Ryde and ICPMR, Westmead Hospital, Westmead
Lecture: "Tumours with a haemangiopericytomatous growth pattern."
Dr. Richard Scolyer, Anatomical Pathology, Royal Prince Alfred Hospital, Camperdown. NSW.
Slide Seminar Case Presenters:
Dr. Sonja Klebe, Flinders Medical Centre, Adelaide, SA.
Dr. Phil Allen, Flinders Medical Centre, Adelaide, SA. (Case contributed by Dr Ralph Zito, Melbourne).
Dr. Victor Lee, KK Women's and Children's Hospital, Singapore.
Dr. Anita Muljono, ICPMR, Westmead Hospital, Westmead. NSW.
Dr. V. Thiruvilangam, ICPMR, Westmead Hospital, Westmead. NSW.
Dr. Caroline Fung, ICPMR, Westmead Hospital, Westmead. NSW.

Convenor: Dr Gelareh Farshid, IMVS, Adelaide, SA
Drs Jane Armes/Gelareh Farshid
Some feedback from the Breast QAP Module
Dr Jane Dahlstrom
The role of immunohistochemistry in lobular and papillary lesions
Dr Glenn Francis
Results of the QAP Program for Immunohistochemical determination of Hormone receptors
Dr Adrienne Morey
Update on FISH analysis for HER2

Convenor: Dr Andrew Clouston, Histopath Pathology, Strathfield, NSW
Peter Crowley (Melbourne)
A. Angiosarcoma mimicking peliosis
B. Liver failure caused by mastocytosis

Duncan McLeod (Sydney)
HCC- cholangiocarcinoma
Trent Davidson (Sydney)
Follicular dendritic cell tumour of liver
Tricia Saurine & Bob Eckstein (Sydney)
Histiocytic sarcoma - evolution from biopsy to autopsy
Leo Francis (Brisbane)
Focal nodular hyperplasia - adenoma overlap
James Kench (Sydney)
A. NK cell lymphoma of liver
B. Metastatic lobular carcinoma of breast (intrasinusoidal)

11:15 – 1:00
Convenor: Dr Jenny Ma Wyatt, PathWest QEII, Perth, WA
Slide Seminar Case presentations:
Dr Anthony Gill,
PaLMS, Royal North Shore Hospital, Sydney, NSW:
Carcinoma with t (15;19) translocation.
Drs Prudence Russell and Sarah Parsons,
St Vincent's Hospital, Melbourne, VICAcute eosinophilic pneumonia.
Dr Wendy Cooper,
Royal Prince Alfred Hospital, Sydney, NSW:
Mesenchymal cystic hamartoma.
Dr Sonja Klebe,
Flinders Medical Centre, Adelaide, SA:
Diffuse parenchymal amyloidosis.
Prof Doug Henderson,
Flinders Medical Centre, Adelaide, SA:
Pulmonary blastoma.
Dr Edwina Duhig,
Prince Charles Hospital, Brisbane, QLD:
Metapneumovirus infections.
Dr Jenny Ma Wyatt,
PathWest QEII, Perth, WA:
Granular cell tumour of lung.
David Godbolt,
Prince Charles Hospital, Brisbane, QLD:
Motrexate-related lymphoproliferative disease.

Convenor: Dr Jane Twin, Capital Pathology, Deakin, ACT
11:00 Lecture: "FNA of the kidney - an update"
Dr Elizabeth Salisbury
12:00 – 1:00 Case presentations:
Dr Cecily Metcalf,
Royal Perth Hospital
Dr Afaf Haddad,
Dorevitch Pathology, Melbourne
Dr Kirsten Hills,
ICPMR, Sydney

Convenor: Dr David Ellis, Flinders Medical Centre, Bedford Park
Theme: Pseudo- and quasi- lymphomatous predicaments
Tony Leong,
Hunter Area Pathology Service, Newcastle
Kirsten McIllroy, Royal North Shore Hospital, Sydney
Debra Norris, Queensland Medical Laboratories, Brisbane
Wendy Raymond, Drs King & Mower Pathologists, Adelaide
Sarah Swain, The Alfred Hospital, Melbourne
David Ellis, Flinders Medical Centre & Gribbles Pathology, Adelaide

Convenor: Dr Peter Robbins, PathWest, Nedlands, WA
11:00 Lecture: "Surgical Pathology of the Pituitary"
Professor Michael Gonzales, The Royal Melbourne Hospital, Melbourne
11:35 Lecture/Slide Seminar: "Glioneuronal Tumours of the CNSDr"
Peter Robbins, PathWest, Nedlands, WA
12:10 Slide Seminar
Dr Queenie Lau
, Princess Alexandra Hospital, Brisbane
Dr Ella Sugo, Prince of Wales Hospital, Sydney
A/Prof. Penny McKelvie, St Vincent's Hospital, Melbourne
Prof. Michael Gonzales , The Royal Melbourne Hospital

2:00 – 3:45
Convenor: Dr Richard Jaworski,
Symbion Health, North Ryde and ICPMR, Westmead Hospital, Westmead
Lecture: "Mesenchymal tumours of the vulva. A selective review."
Dr. Richard Jaworski, Symbion Health, North Ryde and ICPMR, Westmead Hospital, Westmead, NSW.
Slide Seminar Case Presenters
Dr Veli Marjoniemi
, SEALS, St. George Hospital, Kogarah. NSW.
Dr Victor Lee , KK Women's and Children's Hospital, Singapore.
Dr Lyndal Anderson, ICPMR, Westmead Hospital, Westmead. (Case courtesy of Dr. Raghwa Sharma).
Dr Inny Busmanis , Department of Pathology, Singapore General Hospital, Singapore.
Dr Richard Jaworski, Symbion Health, North Ryde and ICPMR, Westmead Hospital, Westmead.

Convenors: Dr Kim Tran, St George Hospital, Sydney. N.S.W and
Dr Vicky Howard, Douglass Hanly Moir Pathology, Sydney. N.S.W.
Dr. Nicole Graf,
Westmead Children's Hospital
Non-Langerhan cell histiocytic lesion.
Dr. Mark Wilsher,
Douglass Hanly Moir Pathology
WTI and Melanoma.
Dr. Maya Cherian,
The Canberra Hospital.
Subcutaneous Paniculitis-like T-cell lymphoma.
Dr. Phillip Woodford,
Hunter Area Pathology Service.
An unusual case of leg ulceration.
Dr. Richard Jin,
St. George Hospital, SEALS.
Cutaneous perivascular myoma.
Dr. Linda Martin,
St. George Hospital.
Podophyllin reaction presenting as factitial dermatosis.
Dr. Joanne Pang,
Symbion Health.
Myofibroblastic tumour with ganglion cells.

Convenor: Dr John Dowling, Alfred Hospital, Melbourne, Vic
Dr John Dowling, Monash Medical Centre, Melbourne
Dr Moira Finlay, Royal Melbourne Hospital
A/Professor Prue Hill, St Vincent's Pathology, Melbourne

Convenor: Dr Bob Eckstein, Royal North Shore Hospital, Sydney
Norman Carr
Update on pseudomyxoma peritonei (30 mins)
Andrew Clouston
Can focal active colitis be subtyped? (8 mins)
Anthony Watt
Pancreatic acinar cell carcinoma (8 mins)
Nicholas Musgrave
Gastric lymphocytic phlebitis (8 mins)
David Clouston
Invasive micropapillary carcinoma of the colon (8 mins)
Leon Vonthethoff
Apoptotic colitis (8 mins)
Steven Pieterse
PEComa of colon (8 mins)
Ian Brown
Diverticular disease with Crohn's-like inflammation
Robert Eckstein
Two unusual cases of amyloidosis (8 mins)

4.05 – 5.00
Keynote lecture
'Anatomic Pathology in the Information Age.'
Dr. William M. Murphy

5:15 – 7:00
Convenor: Dr John Pedersen, The Alfred Hospital, Melbourne
Exclusively for registrars.
Drs William Murphy and David Grignon presenting:
'Murphy and Grignon Master Class for Trainees.'

5:15 – 7:00
Convenor: Dr Susan Arbuckle, Westmead Children's Hospital, Westmead, NSW
(programme to be advised)


Asia-Pacific Society for Molecular Immuno-histologyy
APSMI Annual Scientific Meeting,
2-3 October 2006
Department of Pathology, Chulalornkorn University,
Rama IV Road, Bangkok

Monday, 2 October 2006:
9am – 4.45pm: Dry workshop - Newer Techniques in Immunohistology and Molecular Analyses
Convenor: Dr Soo-Yong Tan, Nuffield Depart of Laboratory Sciences, Oxford University, UK Faculty:
Professor Bharat Jasani, Welsh National University, Cardiff, UK
Dr Soo-yong Tan, Oxford University, Oxford, UK
Professor Anthony S-Y Leong, Hunter Area Pathology Service and University of Newcastle, Australia

Tuesday, 3 October 2006
8 - 9am: Registration
9 - 9.15am: Welcome
9.15 -10am: Keynote Lecture:
Professor Bharat Jasani (topic to be announced), Department of Pathology, University of Wales, Cardiff, UK
10am -1pm: Symposium: Immunohistology and Molecular Aspects of Breast Cancer Convenor: Dr Gary Tse, Dept of Pathology, Prince of Wales Hospital, Hong Kong, China
3 - 5pm: A Pot-pourri of Invited Presentations
5 - 5.45pm: Keynote Lecture: Professor Clive R Taylor (topic to be announced)Associate Dean, University of Southern California, Los Angeles, USA

4 - 6 October
Annual Scientific Meeting of the Royal College of Pathologists of Thailand
Anthony S-Y Leong, MD (Australia)
Robert Y Osamura, MD (Japan)
Pongsak Wannakrairot, MD (Thailand)
Secretariat: Department of Pathology, Chulalongkorn Hospital, Bangkok 10330, Thailand, Tel: 66-2256-4235 ext 309, Fax: 66-2652-4208.


Pathology at the Gold Coast, Queensland

In 2005, two new medical schools opened at the Gold Coast in Queensland. The first year intake in each school was about 80 students. The medical school in Griffith University is built in the grounds of the Gold Coast Hospital, a public hospital administered by the Health Department of the Queensland Government. It offers a 4 year graduate course after students have already gained a primary degree. It is subsidised by the Government.

The medical school in Bond University is an undergraduate course of an accelerated 4.6 years. Students join the first year after secondary school. Bond is a privately funded University and the medical students pay full fees.

Anatomy and Pathology are regarded as being important subjects and they are both being taught in what might be regarded as 'traditional courses.'
Active Clinical meetings in the Gold Coast Hospital – soon to be called the Gold Coast University Hospital – have been conducted for many years. During the past 10 years the medical staff numbers have steadily increased and the standard of these meetings has been rising steadily. Students coming into this teaching hospital environment will be exposed to the teaching and example of highly qualified and enthusiastic specialist staff.


The photograph shows an early morning (7am start) monthly meeting of the breast screen clinic in July 2005. It was attended by the full time and visiting staff of the Clinic, by the visiting radiologist, and by representatives of all the pathology providers at the Gold Coast – the staff pathologist from the Hospital, a pathologist from each of the three private practice groups and by the Professors of pathology from both medical schools.

The pathologists demonstrated their sections in two ways. Some were shown using a digital camera on the microscope which allowed them to demonstrate the 'real sections.' Other cases were shown using a lap top computer connected to a portable data projector to show microscopic images taken via a digital camera attached to the pathologist's diagnostic microscope. This was a wonderful example of pathologists in action. There was sincere and friendly co-operation, and they were confidently using the most modern equipment to demonstrate the pathology of the cases being discussed.


Vale Anda Leask


It is with great sadness that I record the death of Anda Leask who died from cancer in December, 2005. Anda and David attended the first meeting of the Australasian Division of the IAP. They displayed their books in the dining room of the Nurses' Quarters at the Royal Prince Alfred Hospital during the lunch breaks on Saturday and Sunday. They have attended all of the meetings of the Division since that time, and have contributed significantly to them. David and Anda had a stand at both International Congresses that the Division has conducted. We will miss Anda's smiling presence, and we grieve with David.

Robin Cooke

Editor's Choice Picture Gallery


The annual meeting of the United States and Canadian Academy of Pathology was held in February this year in Atlanta. It was scheduled to be held in New Orleans, but that was before cyclone Katrina destroyed New Orleans. The meeting was as good as ever. Some pathologists from Brisbane (David Godbolt Leo Francis, and Daniel James) are seen at the Dako stand.


Robin and Roma Cooke attending a special Banquet arranged by the organising committee during the Asia Pacific meeting in Beijing. The Banquet was held at the Baijia Dazhaimen Restaurant in central Beijing. This is a group of single storey buildings that was the private residence of a nobleman during Imperial times. The waitresses are dressed in very colourful Imperial period costumes.


Jennifer Hunt, one of our invited speakers last year gave a top quality lecture in the Head and Neck session at the USCAP meeting in Atlanta in February this year. She has just moved with her husband to the Cleveland Clinic. She ( and I ) was sorry that no-one asked her to have a game of badminton while she was in Australia.


Entrance to the Military Hospital 101 in Beijing. This is the premier hospital among the many that service the Military throughout China. One of the hospital minibuses that conveyed HK Ng and John Chan from Hong Kong (seen near the bus) and a few others to visit the Pathology Department which is headed by a General. This hospital has been designated as the one in which visitors to the Olympic Games will be treated.


A sizeable number of delegates from Australia and New Zealand attended and presented papers at the 4th Asia Pacific Meeting in Beijing in August 22-26, 2005. Here are some of them with pathologists from Thailand, Hong Kong and Singapore touring the Forbidden City.


Job Vacancy in Macau

Pathologists are required in the Government Hospital (Department of Health), Macau.
Interested pathologists should have at least five years experience and be fluent n English.
The Pay is between US$4,000 to US$5,500 per month.
The Package may include assistance with relocation, rent and 22-day annual leave.
Please apply with C.V. to Dr Sellma Batalha, Head Pathologist, at P.O. Box 1433, Macau.