The majority of the eligible posters
for the society's 1999 Pathologist-In-Training Award were selected
from the group of posters that were submitted to the Ultrastructural
Pathology Section at the annual meeting of the USCAP (March 20-26,
1999, San Francisco). The Ultrastructural Pathology section is
a new section that has been added to the diverse groups of posters
that are exhibited at this annual meeting. The addition of the
Ultrastructural Pathology section underscores the continued role
or electron microscopy in the diagnosis and investigation of a
variety of pathologic conditions.
The winning poster, exhibited by Dr. D. Ferrer and her colleagues,
is an example of the role of electron microscopy in the prediction
of tumor behavior. The number of nucleoli and the attachment of
nucleoli to the nuclear membranes are ultrastructural features
that correlate with cellular replication and protein synthesis.
Dr. Ferrer and her colleagues examined the nucleolar morphology
of 43 node negative infiltrating breast carcinomas. Seventeen
of these 43 cases had recurrent tumors and the remainder had no
recurrent tumor. Both the number of nucleoli per cell and the
number of cells with nucleoli in contact with the nuclear membrane
were independent predictors from tumor recurrence in lymph node
negative, infiltrating ductal carcinoma of the breast.
Honorable mention must be made of two additional posters. Dr.
Antonescu and her colleagues performed a comparative ultrastructural
analysis of primary fibrosarcomas and malignant fibrous histiocytomas
of bone. Fibroblast differentiation and collagen were common to
both fibrosarcomas and malignant fibrous histiocytomas. The morphologic
features the hybrid, fibrohistiocytes suggest that they are modified
fibroblasts. The intruiging conclusion that the predominant cells
in these two types of tumors are fibroblasts and their variants
is supports the concept that malignant fibrous histiocytomas are
simply, high grade, pleomorphic fibrosarcomas.
Dr. Moinfar and his colleagues performed electron microscopy on
eight comedo carcinomas of the breast to determine the type cellular
necrosis that accounted for the intraluminal necrosis that is
a feature of this type of intraductal carcinoma. The interesting
finding was that the predominant type of necrosis was apoptosis.
Oncosis, passive cell death, also accounted for the intraluminal
necrosis.
PITA Committee
Karlene Hewan-Lowe, MB, BS
Atlanta, Georgia
Email: khewanl@emory.edu
Elba Turbat-Herrera, M.D.
Shreveport, Louisiana
Email: eturba@lsumc.edu