DIVISION OF PATHOLOGY – Dr. Tony Magliocco, Acting Director The goals of the Division of Pathology are to provide high quality diagnostic pathology consultation services for all of the tumor groups and pathologists in Southern Alberta; education in medical sciences, medial undergraduate, graduate, postgraduate and continuing education programs; a primary research focus into the initiation and progression of cancer, translational research and collaborative research with Cancer Centre staff. EDUCATION Members of the Division are heavily engaged in teaching in medical sciences, biology and undergraduate medicine courses, fellows and technologists, pathology, gynecology and oncology residents and continuing education rounds. Supervision is provided for MSc. And Ph.D. students. CLINICAL SERVICES Accuracy of cancer diagnosis is assessed and prognostic and management indices are provided as requested by oncologists, to determine appropriate patient management. Pathology findings are routinely presented at Tumor Boards in a multidisciplinary patient management setting. The Director of the Division promoted and provided leadership at provincial and national levels for quality improvement in oncologic pathology through standardized reporting of cancer diagnoses and the consistent inclusion of the pathologic variables required for prognosis and patient management. This was achieved through the Alberta Cancer Surgery Working Group, Canadian Association of Pathologists, Canadian Cancer Surveillance Alliance, Laboratory Medicine Policy Advisory Committee to the Canadian Association of Provincial Cancer Agencies and the Staging Committee of the National Cancer Institute of Canada. National Guidelines for Reporting Breast Cancer were developed and disseminated to all pathologists in Canada and to other interested parties. The pathologic data elements in the Provincial and Territorial Registries, the Canadian Cancer Registry and the Organized Breast Cancer Screening Programs have been upgraded through service on the Data Quality Committee of CCR and the Working Group on the Quality Determinants Of Organized Breast Cancer Screening Programs. Input is provided as requested by the Alberta Cancer Registry. Service is also provided to numerous internal and external committees and organizations, e.g. C.I.H.R., Canadian Foundation for Innovation, CRHA/CLS, U of C Ethics and Biosafety Committees, CAP Section of Molecular Pathology, Royal College of Physicians & Surgeons of Canada (Examination Board). 2 ACADEMIC EVENTS: The Department Director Dr. F. Alexander retired June 30 after 22 years with TBCC, and Dr. T. Magliocco who joined the department in 1998 fills the position as Acting Director. RESEARCH PERSONNEL IN DEPARTMENT Dr. D. Demetrick's Lab Dr. Steve Loken, Resident Dr. Majid Akbari, Resident Adrian Box, Grad Student Laura Fursey, Grad Student Linda Ganley, Grad Student Natalie Rezansoff, Grad Student Carol Yuen, Grad Student Chris Meijndert, Grad Student Monica Nguyen, Grad Student Guido Gonzalez, Grad Student Mary Tretiak, Grad Student Sandy Eyton-Jones, Lab Technologist Peter Lewkonia, Undergrad Medical Student Dr. T. Magliocco's Lab: Cay Egan PhD, Senior Research Associate An-Dao Yang PhD, Senior Research Associate Kristin Hoffman, MD Post Doctoral fellow Martina Timm-McCann MSc. Senior Research Assistant Susan Lee, Laboratory Technologist Jesse McCaslin, Graduate Student , MSc Program, Medical Sciences Jason Morris, Graduate Student, MSc Program, Medical Sciences Anna Konscianski, Research Assistant Andrea Mosher, Undergraduate independent study student. PUBLICATIONS BY DEPARTMENT MEMBERS Demetrick DJ. Targeting Cancer Treatment: the challenge of anatomical pathology to the analytical chemist. Analyst. 2003 Aug; 128(8):995-7 Review. Magliocco AM, Commentary (on Phase III comparison of docetaxel (D) and paclitaxel (P) in patients with metastatic breast cancer (MBC): Notable reports from Nottingham and ECCO), In Press Innovations in Breast Cancer Care 1(2):2003 3 Cook LS, White JL, Stuart GCE, Magliocco AM. The Reliability of Telephone Interviews with In-person Interviews using Memory Aids. Annals of Epidemiology 2003 Aug;13(7):495-501 Magliocco AM. What does HER2 tell us in the adjuvant setting. Oncology Exchange 2003 Mar 2(2)suppl 1, 2003 20-24 Wang XD, Rosales JL, Magliocco AM, Gnanakumar R, Lee KY. Cyclin E in breast tumors is cleaved into its low molecular weight forms by calpain. Oncogene. 2003 Feb 6;22(5):769-74 Magliocco AM. Commentary (Heterotopic ossification in rectal cancer). J Surg Oncol. 2003 Feb;82(2):137 Kmet LM, Cook LS, Magliocco AM. A review of p53 expression and mutation in human benign, low malignant potential, and invasive epithelial ovarian tumors. Cancer. 2003 Jan 15;97(2):389-404 Scott S, Kimura T, Ichinohasama R, Bergen S, Magliocco AM, Reimer C, Kerviche A, Sheridan D, DeCoteau JF.Microsatellite mutations of transforming growth factor-beta receptor type II and caspase-5 occur in human precursor T-cell lymphoblastic lymphomas/leukemias in vivo but are not associated with hMSH2 or hMLH1 promoter methylation. Leuk Res. 2003 Jan;27(1):23-34 Bienert TN, Trotter MJ, Arlette JP. Treatment of cutaneous melanoma of the face by mohs micrographic surgery. J Cutan Med Surg 2003; 7:25-30. Trotter MJ, Colwell R, Tron VA. Thrombospondin-1 and cutaneous melanoma. J Cutan Med Surg 2003; 7:136-141. Bruecks AK, Medlicott SA, Trotter MJ. Atypical fibroxanthoma with prominent sclerosis. J Cutan Pathol. 2003;30:336-339. Prieto VG, Argenyi ZB, Barnhill RL, Duray PH, Elenitsas R, From L, Guitart J, Horenstein MG, Ming ME, Piepkorn MW, Rabkin MS, Reed JA, Selim AA, Trotter MJ, Johnson MM, Shea CR. Are en face frozen sections accurate for diagnosing margin status in melanocytic lesions? Am J Clin Pathol 2003; 120:203-208. Toth C, Trotter M, Clark AW, Zochodne D. Mononeuropathy multiplex in association with livedoid vasculitis. Muscle Nerve 2003; 28:634-639. Trotter MJ, Bruecks AK. Interpretation of skin biopsies by general pathologists. Diagnostic discrepancy rate measured by blinded review. Arch Pathol Lab Med 2003; 127:1489-92. 4 ABSTRACTS Loken S, Nodwell M, Lester W, and Demetrick DJ. Morbidity in Immunosuppressed Mice Treated with Reovirus (Dearing 3) as an Anti-Cancer Biotherapeutic. International Conference on Reovirus and Cancer, Banff Alberta, March 2003. Box A, Murthy S, Rezansoff N, and Demetrick DJ. Analysis of Cell Cycle Regulation in the Human Cellular Response to Hypoxia. CBCRA , "Reasons for Hope", Ottawa Ont. 2003. Box A and Demetrick DJ. Cell Cycle Gene Regulation in the Human Cellular Response to Hypoxia. Alberta Cancer Board Meeting, Banff, AB. Nov. 2003 Fursey L and Demetrick DJ. Comparison of INK4 family binding partners based on differences in C-terminal structure and sequence. ACB Meeting, Banff, 2003. Ganley L, Fursey L, Lewkonia P, Wong G, Rezansoff N, and Demetrick DJ. Human cytosine methyltransferase regulation in cancer. Alberta Cancer Board Meeting, Banff, AB. Nov. 2003 Loken S, Nodwell M, Lester W, and Demetrick DJ. Morbidity in Immunosuppressed Mice Treated with Reovirus (Dearing 3) as an Anti-Cancer Biotherapeutic. Canadian Congress of Laboratory Medicine, July 2003. Csizmadi I., Cook L., Friedenreich C., Bryant H, Magliocco AM., Pollak M., Stratagies to recruit women to the women’s health and hormone study (an HRT study), post Womens Health Initiative. Canadian Breast Cancer Research Initiative's Third National Scientific Conference, Reasons for Hope Ottawa May 2003, Egan C, Magliocco AM., Fujita D. AACR Special Conference on "Advances in Breast Cancer Research." San Diego, Sept 2003 J. McCaslin, H.Cheng, D. Fujita, A. Magliocco. Evaluation of PTEN Promoter Methylation in Breast Cancer. Poster presentation at The Alberta Cancer Board Annual Research Meeting, 2003 J.Morris, A.Koscianski, K.Advikolanu, M.Timm-McCann, B.Shin, L.Cook, A.Magliocco. Immunohistochemical Evaluation of WT-1 and Par-4 in Epithelial Ovarian Cancer Using Tissue Micro-arrays. Poster presentation at the Alberta Cancer Board, Annual Research Meeting, 2003 C. Beasley, S. Hagness, J. Booske, T. M. Breslin, F. Xu, M. J. Lindstrom, D. Popovic, M. Okoniewski, W. Temple, A. Magliocco, T. Ogilvie Ex-Vivo 5 Dielectric Characterization of Normal, Benign, and Malignant Breast Tissue At Microwave Frequencies: Preliminary Results from a Multi-Institution study. IEEE AP-S international symposium and USNC/CNC/URSI national radio science meeting 2003 A126 J Irving, L Brown, T Magliocco, T Longacre, B Gilks, C Caldas, D Huntsman. Amplification of a Novel BRCA2-Inactivating Gene, EMSY, in High Grade Ovarian Carcinomas, United States and Canadian Academy of Pathology 92nd Annual Meeting 2003 A879 RT Ogilvie, PS Craighead, P Ghatage, AM Magliocco, MA Duggan, JG Nation Assessment of Diagnostic Discrepancies Identified by Pathologic Review of Gynecologic Oncology Patients. United States and Canadian Academy of Pathology 92nd Annual Meeting A1452: 2003 Bruecks, A.K., Kalia, S., Trotter, M.J. Expression of the cyclin-dependent kinase inhibitors p16INK4A, p21WAF1, and p27KIP1 in seborrheic keratosis. American Society of Dermatopathology, 50th Annual Meeting, Chicago, IL. October 9-12, 2003. Trotter, M.J., Arlette, J.P., Kalia, S., Ciezar, S.D., Bruecks, A.K. Two distinct patterns of p27KIP1 expression in cutaneous squamous cell carcinoma in-situ. American Society of Dermatopathology, 50th Annual Meeting, Chicago, IL. October 9-12, 2003. Barber, D.F., Trotter, M.J. Pagetoid cells in palmoplantar warts. American Society of Dermatopathology, 50th Annual Meeting, Chicago, IL. October 9-12, 2003. GRANTS Demetrick, D. J. Alberta Cancer Board Histology Infrastructure Grant $40,000. 2002-2003 Demetrick, D. J. Cytosine Methyltransferase Regulation in Breast Cancer Ruth Barker Foundation $50,000. 2002-2003. Demetrick, DJ. Structure-Function Correlates of p16-related CDK Inhibitor proteins. 2003. Alberta Cancer Board. $50,000. Demetrick, DJ. A Novel Strategy to Evaluate the Regulation of the Hypoxic Response of Pediatric Solid Tumour Cells. $50,000 pa. 2003-2005. Kids Cancer Care Foundation. 6 Demetrick, DJ. Translational Proteomics. Calgary Laboratory Services/MDS. $240,000. ($80,000 pa; 2002-2005) Magliocco (PI), CLS health Services research funding competition, Evaluation of novel predictive factors of Tamoxifen Resistance in breast cancer patients. $25,000 Sep 2003-April 30, 2006 Magliocco (PI) and Fujita, Alberta Cancer Board, Research Initiatives Program, Role of c-Src in Breast Cancer $450,000 April 2003-March 2006 Duggan (PI), Magliocco and Brasher, Canadian Cancer Etiology Research Network, Atypical Immature Metaplasia (AIM) of the Uterine Cervix: HPV, p16, and Ki-67 Profiling $19, 856.20, 2003-2004. Cook (PI) Andrew, Duggan, Faught, Freidenreich, Magliocco. Risk factors for molecular subtypes of endometrial cancer $444,696 total 2003-2006 Award by Canadian Institutes of Health Research Magliocco (PI). Alberta Cancer Board, New Equipment award $8000 (gel documentation system) 2003 Hagness, (PI) Okinowkski, Temple, Magliocco, NIH/NCI R01 CA87007-01A2 “Dielectric Characterization of Human Breast Tissue” US$631,791 (total) 2/5/021/31/05 Magliocco (PI), Demetrick Evaluation of mechanisms and significance of PTEN loss in Human Breast Cancer. Canadian Breast Cancer Foundation, Alberta Chapter $92,000 2002-2004 Magliocco(PI) Duggan, Boras, Tabasari Evaluation of Value of PTEN loss in Endometrial Biopsies CLS Research Award $9800 April 2002-2004 Magliocco (PI) Demetrick Ogilvie, Assessment of BCl2 as a surrogate marker for Tamoxifen response in breast cancer. CLS research award $10,000 2001-2003 Cook LS (PI); Co-investigators: Csizmadi I, Pollak M, Magliocco AM, Friedenreich CM, Bryant HE, Fick GH. The effect of oral and transdermal hormone replacement therapy on mammographic density: The Women’s Health and Hormone Study. Canadian Breast Cancer Research Initiative, $588,649. 2002-2005 Friedenreich (PI), LS Cook KS Courneya A Magliocco L Honoré M Duggan Biologic determinants of the association between physical activity and endometrial cancer risk: The role for insulin-like growth factors National Cancer Institute of Canada $575,537.00 2002-2005 7 Demetrick (PI) Magliocco, Paterson, Translational Molecular Biology research in breast cancer. Alberta Science and Research Authority $525,000 Jun 2000-June 2003 Alberta Cancer Board translational Laboratories Establishment fund $250,000 Gluck PI, Magliocco and Morris Sep 2000-Aug 2003 CM Friedenreich (PI) LS Cook KS Courneya A Magliocco L Honoré M Duggan, NCIC, Case-control study of physical activity and endometrial cancer risk. factors NationalCancer Institute of Canada $416,619, 2001-2004