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Laboratory Report - The Methodist Hospital

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Summer 2012<br />

<strong>The</strong><br />

<strong>Laboratory</strong> <strong>Report</strong><br />

A Publication of the Department of Pathology and Genomic Medicine<br />

Dr. Geoffrey Land Receives Celebration of Life Award<br />

D<br />

r. Geoffrey Land was the recipient<br />

of the Celebration of Life<br />

Award at the <strong>Methodist</strong> J.C.<br />

Walter Jr. Transplant Center’s annual<br />

Celebration of Life event in Crain Garden<br />

on April 12th . Dr. A. Osama Gaber, medical<br />

director of transplantation for the<br />

Center, presented Dr. Land with the<br />

award in recognition of his leadership in<br />

the transplant program and for being a<br />

vital member of the transplant team.<br />

‚Geoff is essential to the success of our<br />

ever-growing Center,‛ said Dr. Gaber.<br />

‚He and his staff in the Histocompatibility<br />

and Transplant Immunology <strong>Laboratory</strong><br />

impart a fundamental service that<br />

allows us to provide excellent care to our<br />

patients. Transplant surgery wouldn’t<br />

Dr. Land with the Celebration of Life Award.<br />

CAP ‘12 THE Pathologists’ Meeting:<br />

<strong>The</strong> annual meeting of the College of<br />

American Pathologists will be held from<br />

September 9-12, 2012 at the Manchester<br />

Grand Hyatt in San Diego, California. Dr.<br />

Philip Cagle will moderate a Scientific<br />

Plenary Session and Drs. Geoffrey Land<br />

and Randall Olsen will present a short<br />

course. In addition, 14 Department trainees<br />

will present posters or abstracts. Registration<br />

is still open at cap.org/<br />

annual_meeting/2012.<br />

34th Conference on Pediatric Disease Young Pathologists’ Section Retreat<br />

July 30-August 2, 2012 August 18-19, 2012<br />

Viceroy Snowmass Hotel Hyatt Regency Hill Country<br />

Snowmass Village, Colorado San Antonio, Texas<br />

For more information on these upcoming events for the Texas Society of Pathology,<br />

visit texpath.org.<br />

be possible without them.‛<br />

Dr. Land is the medical director of Histocompatibility<br />

and Transplant<br />

Immunology (HLA) in the Department<br />

of Pathology and Genomic Medicine.<br />

<strong>The</strong> HLA <strong>Laboratory</strong> provides tissue<br />

typing, cross-matching, and antibody<br />

identification testing services for transplant<br />

patients in <strong>The</strong> <strong>Methodist</strong> <strong>Hospital</strong><br />

System and at institutions served by <strong>The</strong><br />

<strong>Methodist</strong> <strong>Hospital</strong> System Reference<br />

<strong>Laboratory</strong>.<br />

For more information on Dr. Land, visit<br />

methodisthealth.com/Land. For more information<br />

on the <strong>Methodist</strong> J.C. Walter Jr.<br />

Transplant Center, visit methodisthealth.com/transplantcenter.<br />

�<br />

2<br />

3<br />

4<br />

5<br />

6<br />

7<br />

8<br />

Table of Contents<br />

Breakthroughs in Molecular<br />

Testing of Lung Cancer<br />

Drs. Abdus Saleem and Donald<br />

Weilbaecher Retire After Decades<br />

of Service<br />

Department Ranks Among Best in<br />

World for Abstract Presentations<br />

New Diagnostic Test Offerings<br />

In Focus: <strong>The</strong> HLA Team<br />

Lab Stats: <strong>Methodist</strong> Sugar Land<br />

<strong>Hospital</strong><br />

Department Faculty Receive<br />

Teaching Awards<br />

New Trainees Start on July 1st<br />

<strong>Methodist</strong> <strong>Laboratory</strong> Science<br />

Students Win Bowl Competition<br />

Summer Students Start on<br />

June 4th<br />

Trainee Spotlight


<strong>The</strong><br />

LABORATORY REPORT<br />

Breakthroughs in Molecular Testing of Lung Cancer<br />

L<br />

ung cancer remains the leading<br />

cause of cancer deaths worldwide,<br />

but recent advances in diagnosis<br />

and treatment will likely improve<br />

these traditionally grim statistics.<br />

Genomic data and radiological studies<br />

continue to contribute novel information<br />

on disease histology and pathogenesis,<br />

allowing for the development and validation<br />

of new, targeted molecular therapies<br />

and the establishment of clearer correlations<br />

between specific types of lung cancer<br />

and responses to specific therapies.<br />

‚Genomic sequencing provides us with<br />

molecular biomarkers, usually oncogene<br />

mutations, that can have significant predictive<br />

value,‛ said Dr. Philip Cagle,<br />

medical director of pulmonary pathology<br />

for the Department. ‚Identifying these<br />

markers in patient samples allows pathologists<br />

to advise treating physicians<br />

on the selection of therapies that are<br />

Drs. Abdus Saleem and Donald Weilbaecher Retire After Decades of Service<br />

D r.<br />

Abdus<br />

Saleem, codirector<br />

of the<br />

Coagulation <strong>Laboratory</strong><br />

and associate medical<br />

director of hematopathology<br />

for the Department,<br />

and Dr. Donald Weilbaecher,<br />

medical director<br />

of autopsy pathology for<br />

the Department, have<br />

retired after a combined<br />

67 years of dedicated<br />

service to <strong>The</strong> <strong>Methodist</strong> <strong>Hospital</strong><br />

System.<br />

‚Abdus is the embodiment of collegiality,<br />

and it has been an honor to work with<br />

him,‛ said Dr. James Musser, chair of the<br />

Department. ‚He is a tremendous physician<br />

and has been an important mentor in<br />

our training programs. He will be missed,<br />

but we wish him well in this next chapter<br />

of his life.‛<br />

more ‘personalized’<br />

to specific targets in<br />

the patients’ lung<br />

cancer.‛<br />

Two predictive biomarkers<br />

for nonsmall-cell<br />

lung cancer<br />

(epidermal growth<br />

factor receptor [EGFR] and anaplastic<br />

lymphoma kinase [ALK]) have been clinically<br />

validated, and tests for them are<br />

now available at <strong>Methodist</strong>. Approximately<br />

12 other biomarkers are in various<br />

stages of investigation.<br />

Dr. Cagle will moderate a scientific plenary<br />

session on molecular testing of lung<br />

cancer at the annual meeting of the College<br />

of American Pathologists on September<br />

9 th in San Diego. <strong>The</strong> new testing<br />

guidelines for predictive biomarkers in<br />

lung cancer are expected to be unveiled<br />

at that meeting. <strong>The</strong>se guidelines are<br />

From left, Drs. Ethan Natelson, Abdus Saleem, James Musser, and James Davis<br />

at a retirement reception on June 22 nd .<br />

Dr. Saleem joined the medical staff at<br />

<strong>Methodist</strong> in July of 1976 when he was<br />

recruited from the Pennsylvania State<br />

University College of Medicine in Hershey.<br />

He has trained numerous local<br />

hematopathologists over the years, including<br />

Drs. Jacqueline O’Hare, Munir<br />

Shahjahan, Choladda Curry, Randall<br />

Olsen, Thu Ngo, and Christine Finch.<br />

Spectra from an EGFR test.<br />

established through a special committee<br />

of the College of American Pathologists,<br />

the Association for Molecular Pathology,<br />

and the International Association for the<br />

Study of Lung Cancer.<br />

For more information on molecular<br />

testing of lung cancer at <strong>Methodist</strong>,<br />

please contact Dr. Randall Olsen in the<br />

Molecular Diagnostics <strong>Laboratory</strong> at rjolsen@tmhs.org.<br />

For more information on<br />

Dr. Philip Cagle, visit methodisthealth.com/<br />

Cagle. ���<br />

<strong>The</strong> Department has established<br />

the Dr. Abdus Saleem<br />

Award. <strong>The</strong> award will be<br />

given annually to a member<br />

of the Department who<br />

most epitomizes Dr.<br />

Saleem’s outstanding professionalism<br />

and commitment<br />

to diversity.<br />

Dr. Weilbaecher joined the<br />

medical staff at <strong>Methodist</strong> in<br />

1981.<br />

‚During this time, he has<br />

served as Director, Autopsy<br />

Service, and has generously shared his<br />

expertise with residents, medical students,<br />

and other trainees,‛ said Dr.<br />

Musser. Dr. Weilbaecher also has been<br />

the Department’s leader in cardiovascular<br />

pathology for much of his career. �<br />

2


<strong>The</strong><br />

LABORATORY REPORT<br />

Department Ranks Among Best in World for Abstract Presentations<br />

T<br />

he <strong>Methodist</strong> Department of<br />

Pathology and Genomic Medicine<br />

is in the top 20 of all institutions<br />

worldwide for first-authored scientific<br />

abstracts accepted for presentation<br />

at the annual meeting of the<br />

United States & Canadian Academy of<br />

Pathology (USCAP). <strong>The</strong> Department<br />

also ranked in the top 5% of all medical<br />

institutions.<br />

‚Our faculty and trainees are very<br />

active academically,‛ said Dr. Alberto<br />

Ayala, deputy chief of pathology for the<br />

Department. ‚We expect to rank even<br />

higher next year.‛<br />

New Diagnostic Test Offerings:<br />

Lung Cancer and Glial Tumor<br />

Mutation Panels<br />

<strong>The</strong> Molecular Diagnostics <strong>Laboratory</strong> of<br />

<strong>The</strong> <strong>Methodist</strong> <strong>Hospital</strong> System has developed<br />

new gene mutation panels for<br />

lung and brain cancer. Somatic mutation<br />

profiling determines whether patients<br />

with non-small cell lung cancer or glial<br />

brain tumors could benefit from a targeted<br />

therapy. Non-small cell lung cancer<br />

accounts for approximately 85-90% of<br />

lung cancers, and includes squamous cell<br />

carcinoma, adenocarcinoma, and large<br />

cell carcinoma. Glial tumors are the most<br />

common form of central nervous system<br />

neoplasm, and include astrocytomas,<br />

ependymomas, oligodendrogliomas, and<br />

glioblastoma multiforme.<br />

<strong>The</strong> new lung cancer panel tests for<br />

mutations in the genes encoding<br />

epidermal growth factor receptor<br />

<strong>The</strong> ranking information was relayed to<br />

Department leadership in June in a letter<br />

from Dr. Bruce Smoller, Executive<br />

Vice-President and Secretary-Treasurer<br />

of USCAP. In 2012, there were over 3,000<br />

scientific abstracts submitted to USCAP<br />

from more than 400 medical school programs<br />

and academic institutions (over<br />

200 in the U.S. and Canada, and 200 from<br />

the rest of the world).<br />

For more information on the United<br />

States & Canadian Academy of Pathology,<br />

visit uscap.org. ��<br />

Hundreds Attend Houston Lung Symposium<br />

M<br />

ore than 250 physicians and scientists attended the Houston Lung<br />

Symposium on April 28th and 29th in <strong>The</strong> <strong>Methodist</strong> <strong>Hospital</strong> Research<br />

Institute auditorium. <strong>The</strong> event was a collaboration between<br />

the Houston Society of Clinical Pathologists and the <strong>Methodist</strong> Department<br />

of Pathology and Genomic Medicine. <strong>The</strong> two-day symposium featured<br />

renowned speakers from around the world.<br />

(EGFR) and V-Ki-ras2 Kirsten rat sarcoma<br />

viral oncogene homolog (KRAS).<br />

<strong>The</strong> new glial tumor panel genotypes the<br />

isocitrate dehydrogenase 1 (IDH1) and<br />

IDH2 genes. IDH1 and IDH2 gene mutations<br />

have also recently been associated<br />

with acute myeloid leukemia, myelodysplastic<br />

syndrome, and prostate cancer.<br />

<strong>The</strong>se assays are performed on the<br />

Sequenom MassARRAY analyzer that<br />

determines DNA sequences using PCR<br />

and MALDI-TOF mass spectrometry.<br />

EGFR, IDH1 and IDH2 testing<br />

was previously performed at a reference<br />

laboratory, and KRAS testing was previously<br />

performed using pyrosequencing.<br />

Validation studies for both panels<br />

were supported, in part, through departmental<br />

microgrants. <strong>The</strong> new molecular<br />

diagnostic panels will be introduced inhouse<br />

in August.<br />

H&E stain of glioblastoma multiforme.<br />

For more information on these panels<br />

or other tests offered by the Molecular<br />

Diagnostics <strong>Laboratory</strong>, please contact<br />

Dr. Randall Olsen at 713-441-6802 or Ms.<br />

Heather Hendrickson at 713-441-0504. �<br />

3


<strong>The</strong><br />

LABORATORY REPORT<br />

In Focus: <strong>The</strong> HLA Team<br />

T he<br />

Histocompatibility and Transplant<br />

Immunology <strong>Laboratory</strong><br />

provides tissue typing, crossmatching,<br />

and antibody identification<br />

testing services for solid organ and bone<br />

marrow transplant patients in <strong>The</strong> <strong>Methodist</strong><br />

<strong>Hospital</strong> System and at institutions<br />

served by <strong>The</strong> <strong>Methodist</strong> <strong>Hospital</strong> System<br />

Reference <strong>Laboratory</strong>.<br />

<strong>The</strong> HLA laboratory also performs<br />

microsatellite analysis for engraftment<br />

monitoring, assays for immune cell function<br />

monitoring, and human leukocyte<br />

antigen (HLA) typing for disease associations<br />

and pharmacogenomics.<br />

Geoffrey A. Land, Ph.D., D(ABB)<br />

Medical Director, Histocompatibility and<br />

Transplant Immunology<br />

Dr. Land received his Ph.D. in microbiology<br />

from the Tulane University Medical<br />

Center in New Orleans, Louisiana. He<br />

then completed an NIH-sponsored research<br />

fellowship in microbiology at the<br />

Duke University Medical Center in Durham,<br />

North Carolina.<br />

Dr. Land has been in the fields of histocompatibility<br />

and immunogenetics for<br />

over 30 years, and has been actively involved<br />

in quality assurance and the standardization<br />

of histocompatibility laboratory<br />

procedures and practices. He remains<br />

an active laboratory inspector for<br />

the College of American Pathologists and<br />

the American Society for Histocompatibility<br />

and Immunogenetics (ASHI). He is<br />

the immediate past-president of ASHI<br />

and is the president-elect of the Texas<br />

Transplantation Society.<br />

For more information on Dr. Land, visit<br />

methodisthealth.com/Land.<br />

Dr. Burns in the laboratory with HLA Medical Technologist<br />

Andreea Acevedo.<br />

<strong>The</strong> Department of<br />

Pathology and Genomic<br />

Medicine has<br />

a team of three fulltime<br />

faculty that<br />

continues to grow to<br />

keep pace with the<br />

J.C. Walter Jr. Transplant<br />

Center at<br />

<strong>Methodist</strong> that it<br />

serves, now the largest<br />

transplant center<br />

in Texas and the<br />

Southwest.<br />

Kevin Burns, M.D.<br />

Co-Medical Director, Histocompatibility and<br />

Transplant Immunology<br />

Dr. Burns received his M.D. degree in<br />

2006 from <strong>The</strong> University of Texas Health<br />

Science Center at San Antonio. He completed<br />

his clinical pathology residency in<br />

2009, his transfusion medicine/blood<br />

banking fellowship in 2010, and his HLA<br />

fellowship in June of this year, all here at<br />

<strong>Methodist</strong>. Dr. Burns joined the Department<br />

as faculty in July of this year and<br />

became co-director of the Histocompatibility<br />

and Transplant Immunology <strong>Laboratory</strong>.<br />

Dr. Burns is board certified in both<br />

clinical pathology and blood banking/<br />

transfusion medicine.<br />

For more information on Dr. Burns,<br />

visit methodisthealth.com/Burns.<br />

<strong>The</strong> HLA team: from left, Drs. Geoffrey Land, Kevin Burns, and<br />

Smaroula Dilioglou.<br />

Smaroula Dilioglou, Ph.D., D(ABHI)<br />

Associate Medical Director, Histocompatibility<br />

and Transplant Immunology<br />

Dr. Dilioglou received her Ph.D. in immunology<br />

from the University of Mississippi<br />

Medical Center in Jackson, Mississippi.<br />

She then completed her postdoctoral<br />

training at the St. Jude’s Children’s<br />

Research <strong>Hospital</strong> in Memphis, Tennessee.<br />

In addition to providing clinical services,<br />

Dr. Dilioglou is especially involved<br />

in HLA education of residents and fellows.<br />

For more information on Dr. Dilioglou,<br />

visit methodisthealth.com/Dilioglou.<br />

For more information on the Histocompatibility<br />

and Transplant Immunology<br />

<strong>Laboratory</strong> at <strong>Methodist</strong>, please contact<br />

Dr. Geoffrey Land at gland@tmhs.org. �<br />

Dr. Dilioglou mentoring trainee Dr. Susan Haley in the Flow<br />

Cytometry <strong>Laboratory</strong>.<br />

4


<strong>The</strong><br />

LABORATORY REPORT<br />

Lab Stats: <strong>Methodist</strong> Sugar Land <strong>Hospital</strong><br />

Medical Director: Seema Mullick, M.D.<br />

Dr. Mullick received her medical degree<br />

from the Christian Medical College<br />

in Ludhiana, India. She completed a pathology<br />

residency program and a cytopathology<br />

fellowship at the Baylor College<br />

of Medicine in Houston, Texas, followed<br />

by a surgical pathology fellowship at <strong>The</strong><br />

University of Texas M.D. Anderson Cancer<br />

Center.<br />

Faculty: Bisong Haupt, M.D.<br />

Dr. Haupt received her M.D. degree<br />

from the Southeast University School of<br />

Medicine in Nanjing, China. She is a<br />

graduate of the pathology training programs<br />

at <strong>Methodist</strong>, and a general surgical<br />

pathologist.<br />

Ognjen Kosarac, M.D.<br />

Dr. Kosarac received his medical degree<br />

from the University of Sarajevo in<br />

Bosnia and Herzegovina. Like Dr. Haupt,<br />

he is also a graduate of the pathology<br />

training programs at <strong>Methodist</strong>. He has<br />

subspecialty certification in cytopathology.<br />

Director: Donna Hermis, M.H.A.<br />

Ms. Hermis received her Master of<br />

Healthcare Administration from Texas<br />

Woman’s University. In addition to being<br />

the director of the laboratory at<br />

<strong>Methodist</strong> Sugar Land <strong>Hospital</strong>, she is<br />

“We have an incredible group here in<br />

the Sugar Land laboratory. We all really<br />

love what we do, and we love Fort Bend<br />

County; it’s a great place to work and<br />

serve our patients.”<br />

Seema Mullick, M.D.<br />

“Dr. Mullick is a remarkable medical<br />

director. I have enjoyed working with her<br />

and the rest of the faculty and staff here.”<br />

Bisong Haupt, M.D.<br />

“I was pleased to be able to remain at<br />

<strong>Methodist</strong> after my training; it is an impressive<br />

hospital system, and I enjoy<br />

working at both the main hospital in the<br />

Texas Medical Center and at Sugar<br />

Land.”<br />

Ognjen Kosarac, M.D.<br />

also the hospital safety officer. “This is a busy laboratory, especially<br />

Manager: Rosalie Thornblom<br />

Ms. Thornblom received her Bachelor<br />

of Science in Medical Technology from<br />

the University of Mary Hardin-Baylor.<br />

She has been with the Sugar Land laboratory<br />

since 2004, and became the manager<br />

in 2007.<br />

Staff:<br />

<strong>The</strong> laboratory currently employs 42<br />

staff members that include shift coordinators,<br />

technologists, histologists, processors,<br />

and technicians. <strong>The</strong>se employees<br />

demonstrate their ICARE values every<br />

day to ensure that the laboratory is efficient<br />

and that the patients and medical<br />

staff at <strong>Methodist</strong> Sugar Land <strong>Hospital</strong><br />

are well served by their efforts. �<br />

with the recent growth at the hospital and<br />

the expansion of the Breast Center. We<br />

all work together to make accuracy and<br />

safety our main priorities, and we do it<br />

well.”<br />

Donna Hermis, M.H.A.<br />

“Getting tests completed right and<br />

quickly is very important. It takes a good<br />

team to do that, and that’s what we have<br />

here.”<br />

Jennifer Selvidge, MLT Specialist<br />

“Our laboratory continues to evolve<br />

and expand. Like the hospital and the<br />

community it serves, it just keeps getting<br />

better.”<br />

Rosalie Thornblom<br />

Pictures from top: Dr. Mullick at the microscope; Dr. Haupt at the chemistry analyzer; Dr. Kosarac in the Histology <strong>Laboratory</strong>; Ms. Hermis in her office; and Ms.<br />

Thornblom (right) with MLT Specialist Jennifer Selvidge.<br />

5


<strong>The</strong><br />

LABORATORY REPORT<br />

T<br />

wo faculty members in the Department<br />

received teaching<br />

awards from the Graduate Medical<br />

Education (GME) Department. Dr. Jae<br />

Ro, medical director of surgical pathology,<br />

and Dr. Arthur Zieske, co-director<br />

of hematopathology, received the GME<br />

Faculty Teaching Award on July 2nd,<br />

from Dr. Judy Paukert, the GME Designated<br />

Institutional Official for <strong>The</strong> <strong>Methodist</strong><br />

<strong>Hospital</strong>.<br />

‚<strong>The</strong> success of our many programs<br />

relies heavily on the contributions of<br />

T<br />

he Department welcomed 4 new<br />

residents and 12 new fellows on<br />

July 2nd during a half-day trainee<br />

orientation session led by Dr. Suzanne<br />

Powell, vice-chair of education for the<br />

Department. <strong>The</strong> session followed a fourday<br />

orientation provided by the hospital’s<br />

GME office. Dr. Powell and the education<br />

manager and coordinators greeted<br />

the incoming trainees and apprised them<br />

of the various support services in the<br />

Department, including the training program<br />

coordinators, a poster printing service,<br />

and the Office of Academic Development.<br />

‚Our department is large and busy; we<br />

service a multi-site hospital system as<br />

well as our reference laboratory clients.<br />

We want to make sure our new trainees<br />

transition into their programs quickly<br />

and relatively seamlessly,‛ said Dr. Powell.<br />

‚We are preparing the next generation<br />

of practicing pathologists and investigative<br />

pathologists, and we want to<br />

ensure they have an outstanding training<br />

experience.‛<br />

<strong>The</strong> Department currently has 40 existing<br />

trainees, with 21 of them having completed<br />

their residency or fellowship program<br />

and graduated as of June 30th. With<br />

the 16 new trainees, the Department will<br />

have a total of 38 residents and fellows<br />

for the academic year 2012-13. <strong>The</strong> Department<br />

of Pathology and Genomic<br />

Medicine has a residency program, a resident<br />

research program, and 11 fellowship<br />

programs – the most training programs<br />

of any department at <strong>Methodist</strong>.<br />

Department Faculty Receive Teaching Award<br />

great teachers and mentors like<br />

Dr. Ro and Dr. Zieske,‛ said Dr.<br />

Paukert. ‚We truly appreciate<br />

their efforts with our trainees.‛<br />

<strong>The</strong> awards are given annually<br />

for exemplary teaching and are<br />

voted on by the residents in their<br />

respective programs.<br />

For more information on<br />

Department training programs,<br />

visit methodisthealth.com/<br />

pathologytraining. ���<br />

New Trainees Start on July 1 st<br />

PGY1 Residents<br />

Miguelina De la Garza, M.D.<br />

Escuela de Medicina Ignacio A. Santos,<br />

Monterrey, Mexico<br />

Maren Y. Fuller, M.D.<br />

<strong>The</strong> University of Texas Medical School,<br />

Houston<br />

Jordan A. Roberts, M.D.<br />

Louisiana State University School of<br />

Medicine, New Orleans<br />

Eric Salazar, M.D., Ph.D.<br />

Weill Cornell Medical College, New<br />

York<br />

Incoming Fellows<br />

Blood Bank/Transfusion Medicine<br />

Miho Teruya, M.D.<br />

Internal Medicine<br />

Baylor College of Medicine<br />

Cytopathology<br />

Lindsay Waters, M.D.<br />

AP/CP Residency<br />

<strong>The</strong> <strong>Methodist</strong> <strong>Hospital</strong><br />

Bryan Janssen, M.D.<br />

AP/CP Residency<br />

<strong>The</strong> <strong>Methodist</strong> <strong>Hospital</strong><br />

Hematopathology<br />

Adeel Muhammad Raza, M.D.<br />

AP/CP Residency<br />

St. John <strong>Hospital</strong> and Medical Center,<br />

Detroit<br />

Ramesh Bhagat, M.D.<br />

AP/CP Residency<br />

<strong>The</strong> University of Texas Southwestern<br />

Medical Center, Dallas<br />

Jae Ro, M.D., Ph.D. Arthur Zieske, M.D.<br />

Molecular Genetic Pathology<br />

Elizabeth McQuitty, M.D.<br />

AP/CP Residency<br />

<strong>The</strong> <strong>Methodist</strong> <strong>Hospital</strong><br />

Neuropathology<br />

Jo Elle Peterson, M.D.<br />

AP/CP Residency<br />

<strong>The</strong> <strong>Methodist</strong> <strong>Hospital</strong><br />

Surgical Pathology<br />

Laura Kidd, M.D.<br />

AP/CP Residency<br />

<strong>The</strong> University of Texas Medical School,<br />

Houston<br />

Crystal Trujillo, M.D.<br />

AP/CP Residency<br />

<strong>The</strong> University of Texas Medical School,<br />

Houston<br />

Sadhna Dhingra, M.D.<br />

AP/CP Residency<br />

<strong>The</strong> University of Texas Medical School,<br />

Houston<br />

Cecilia Clement, M.D.<br />

AP/CP Residency<br />

<strong>The</strong> University of Texas Medical<br />

Branch, Galveston<br />

Andrea Haws, M.D.<br />

AP/CP Residency<br />

Baylor College of Medicine<br />

For more information on Department<br />

training programs, visit methodisthealth.com/pathologytraining.<br />

��<br />

6


<strong>The</strong><br />

LABORATORY REPORT<br />

<strong>Methodist</strong> <strong>Laboratory</strong> Science Students Win Bowl Competition<br />

T<br />

he team of four students<br />

currently enrolled<br />

in <strong>The</strong> <strong>Methodist</strong><br />

<strong>Hospital</strong> Medical <strong>Laboratory</strong><br />

Science (MLS) Program<br />

won first place at the Texas<br />

Association for Clinical <strong>Laboratory</strong><br />

Science (TACLS) Student<br />

Bowl competition on<br />

March 29th as part of the<br />

TACLS Annual Meeting in<br />

Fort Worth, Texas. A <strong>Methodist</strong><br />

team has won the competition<br />

12 times in the past 24 years.<br />

‚Winning the TACLS Bowl is testament<br />

to the strength of our program,‛<br />

said Tatia Feltman, program director for<br />

the <strong>Methodist</strong> MLS Program. ‚We are<br />

always proud of our students, and especially<br />

so for taking first prize at a state-<br />

T<br />

welve summer students recently<br />

began their three-month program<br />

in the laboratories of some<br />

of the Department’s faculty.<br />

‚We have several impressive research<br />

programs in our Department,‛ said Dr.<br />

Patricia Chevez-Barrios, founder and<br />

director of the Research Institute Summer<br />

Student Program and director of<br />

the Ocular Pathology Research <strong>Laboratory</strong>.<br />

‚Our faculty are particularly committed<br />

to developing the next generation<br />

of physician scientists, and the<br />

Summer Student Program is a great<br />

opportunity to do that.‛<br />

First established in 2005, the Summer<br />

Student Program matches students with<br />

faculty mentors in Research Institute<br />

laboratories from June to August (10<br />

weeks) and centers on a single research<br />

project. During this time, the students<br />

also attend required weekly didactic<br />

lectures given by the mentors and invited<br />

speakers. Students present their<br />

work at the end of the program at a<br />

student retreat.<br />

Center for Molecular and Translational<br />

Human Infectious Diseases Research<br />

<strong>Laboratory</strong> of Dr. Edward Graviss<br />

Valerie Brooker – Texas Tech<br />

<strong>Methodist</strong> MLS Program students from left: Xinh Nguyen,<br />

Bianca Natividad, Margaret Renfro, and Morgan Kilty.<br />

wide competition such as this.‛<br />

<strong>The</strong> <strong>Methodist</strong> MLS Program is a<br />

twelve-month professional course of<br />

study that is fully accredited by the National<br />

Accrediting Agency for Clinical<br />

Summer Students Start on June 4 th<br />

<strong>Laboratory</strong> of Dr. Wesley Long<br />

Alan Hsieh, Rice University<br />

<strong>Laboratory</strong> of Dr. James M. Musser<br />

Meredith Harrell – Paul Foster School<br />

of Medicine<br />

Gabriela Hinojosa-Garza – Tecnolόgico<br />

de Monterrey<br />

Oanh Truong – Rice University<br />

Erika Versalovic – Colorado College<br />

<strong>Laboratory</strong> of Dr. Randall Olsen<br />

Deborah Saddington – Southwestern<br />

University<br />

<strong>Laboratory</strong> of Dr. Paul Sumby<br />

Michael Au – Southwestern University<br />

<strong>Laboratory</strong> Sciences<br />

(NAACLS). Upon successful<br />

completion of the program,<br />

students will qualify for the<br />

examination and certification<br />

by the Board of Certification<br />

of the American Society of<br />

Clinical Pathology (ASCP).<br />

Many of the graduates of the<br />

program go on to work at<br />

<strong>Methodist</strong> in one of our many<br />

pathology laboratories. <strong>The</strong><br />

<strong>Methodist</strong> MLS Program has<br />

been in existence since 1947.<br />

For more information on the <strong>Methodist</strong><br />

MLS Program, visit methodisthealth.com/mlsprogram.<br />

��<br />

Dr. Paul Sumby (right) with Summer Student Michael Au.<br />

Ocular Pathology <strong>Laboratory</strong><br />

Director, Dr. Patricia Chevez-Barrios<br />

Maria Ethel Aguirre-Flores –<br />

Tecnolόgico de Monterrey<br />

Aravindh Ganapathy – Texas A&M<br />

University<br />

Cancer Pathology <strong>Laboratory</strong><br />

Director, Dr. Youli Zu<br />

Eduardo Camacho-Martinez –<br />

Tecnolόgico de Monterrey<br />

Lucia Wang – Washington<br />

University, St. Louis<br />

For more information on the<br />

Research Institute Summer Student<br />

Program, visit methodisthealth.com/<br />

SummerStudentProgram.�<br />

7


<strong>The</strong><br />

LABORATORY REPORT<br />

Trainee Spotlight:<br />

Byron Moore, M.D.<br />

Surgical Pathology Fellow<br />

D r.<br />

Byron Moore, a surgical pathology fellow, is the recipient of the Graduate Medical<br />

Education (GME) Resident Leadership Award for the 2011-2012 academic year.<br />

Dr. Moore received the award specifically for his exemplary leadership and service<br />

to GRE. This is a special award bestowed annually upon residents, as determined by<br />

the GME Designated Institutional Official, who have shown great leadership and commitment<br />

with their participation in extracurricular responsibilities in GME.<br />

Dr. Moore received his medical degree from <strong>The</strong> University of Texas Southwestern Medical<br />

School in Dallas and completed all of his postdoctoral training at <strong>Methodist</strong>, which included<br />

an AP/CP residency and fellowships in blood banking/transfusion medicine and<br />

surgical pathology.<br />

RECENT PUBLICATIONS<br />

Dr. Moore (right) receiving his award from<br />

Dr. Judy Paukert, GME Designated Institutional<br />

Official for <strong>The</strong> <strong>Methodist</strong> <strong>Hospital</strong>.<br />

Abdelraouf K, Braggs KH, Yin T, Truong LD, Hu M, Tam VH. Characterization of Polymyxin B-induced Nephrotoxicity: Implications<br />

for Dosing Regimen Design. Antimicrob Agents Chemother. 2012 Jun 11. [Epub ahead of print]<br />

Avecilla ST, Ferrell C, Chandler WL, Reyes M. Plasma-diluted thrombin time to measure dabigatran concentrations during dabigatran<br />

etexilate therapy. Am J Clin Pathol. 2012 Apr;137(4):572-4.<br />

Bae YS, Ro JY, Shim HS, Hong SW, Yoon SO. Pulmonary sclerosing haemangioma with metastatic spread to stomach. Histopathology.<br />

2012 Jun;60(7):1162-4.<br />

Cagle PT, Chirieac LR. Advances in treatment of lung cancer with targeted therapy. Arch Pathol Lab Med. 2012 May;136(5):504-9.<br />

Crombet O, Lastrapes K, Zieske A, Morales-Arias J. Complete morphologic and molecular remission after introduction of dasatinib in<br />

the treatment of a pediatric patient with T-cell acute lymphoblastic leukemia and ABL1 amplification. Pediatr Blood Cancer. 2012<br />

Aug;59(2):333-4.<br />

Devos JM, Gaber AO, Knight RJ, Land GA, Suki WN, Gaber LW, Patel SJ. Donor-specific HLA-DQ antibodies may contribute to poor<br />

graft outcome after renal transplantation. Kidney Int. 2012 May 23. [Epub ahead of print]<br />

Fittipaldi N, Olsen RJ, Beres SB, Van Beneden C, Musser JM. Genomic analysis of emm59 group A Streptococcus invasive strains,<br />

United States. Emerg Infect Dis. 2012 Apr;18(4):650-2.<br />

Geyer FC, Lacroix-Triki M, Colombo PE, Patani N, Gauthier A, Natrajan R, Lambros MB, Khalifeh I, Albarracin C, Orru S, Marchiò C,<br />

Sapino A, Mackay A, Weigelt B, Schmitt FC, Wesseling J, Sneige N, Reis-Filho JS. Molecular evidence in support of the neoplastic and<br />

precursor nature of microglandular adenosis. Histopathology. 2012 May;60(6B):E115-30.<br />

Gorman BK, Kosarac O, Chakraborty S, Schwartz MR, Mody DR. Comparison of breast carcinoma prognostic/predictive biomarkers<br />

on cell blocks obtained by various methods: cellient, formalin and thrombin. Acta Cytol. 2012;56(3):289-96.<br />

Grilley-Olson JE, Hayes DN, Moore DT, Leslie KO, Wilkerson MD, Qaqish BF, Hayward MC, Cabanski CR, Yin X, Socinski MA,<br />

Stinchcombe TE, Thorne LB, Allen TC, Banks PM, Beasley MB, Borczuk AC, Cagle PT, Christensen R, Colby TV, Deblois GG, Elmberger<br />

G, Graziano P, Hart CF, Jones KD, Maia DM, Miller CR, Nance KV, Travis WD, Funkhouser WK. Validation of Interobserver<br />

Agreement in Lung Cancer Assessment Hematoxylin-Eosin Diagnostic Reproducibility for Non-Small Cell Lung Cancer-<strong>The</strong> 2004<br />

World Health Organization Classification and <strong>The</strong>rapeutically Relevant Subsets. Arch Pathol Lab Med. 2012 May 14. [Epub ahead of<br />

print]<br />

Hu Y, Zhao Q, Graviss EA, Jiang W, Yuan Z, Xu B. Use of the T-SPOT.TB assay to screen latent tuberculosis infection among the TB<br />

contacts in Shanghai, China. J Infect. 2012 Jul;65(1):39-48.<br />

Jian PY, Godoy G, Coburn M, Lynch G, Ro JY, Zhai QJ, Nishino M, Lerner SP. Adenocarcinoma following urinary diversion. Can Urol<br />

Assoc J. 2012 Apr;6(2):E77-80.<br />

Continued page 9<br />

8


<strong>The</strong><br />

LABORATORY REPORT<br />

RECENT PUBLICATIONS continued<br />

Ko K, Ro JY, Hong EK, Lee S. Micropapillary lung cancer with breast metastasis simulating primary breast cancer due to architectural<br />

distortion on images. Korean J Radiol. 2012 Mar;13(2):249-53.<br />

Kundu UR, Guo M, Landon G, Wu Y, Sneige N, Gong Y. Fine-needle aspiration cytology of sclerosing adenosis of the breast: a retrospective<br />

review of cytologic features in conjunction with corresponding histologic features and radiologic findings. Am J Clin Pathol.<br />

2012 Jul;138(1):96-102.<br />

Lassman AB, Iwamoto FM, Cloughesy TF, Aldape KD, Rivera AL, Eichler AF, Louis DN, Paleologos NA, Fisher BJ, Ashby LS, Cairncross<br />

JG, Roldán Urgoiti GB, Wen PY, Ligon KL, Schiff D, Robins HI, Rocque BG, Chamberlain MC, Mason WP, Weaver SA, Green<br />

RM, Kamar FG, Abrey LE, Deangelis LM, Jhanwar SC, Rosenblum MK, Panageas KS. Response to Weltman and Fleury Malheiros, re<br />

Lassman et al. Neuro Oncol. 2012 Jun;14(6):677-678.<br />

Lee H, Jung SY, Ro JY, Kwon Y, Sohn JH, Park IH, Lee KS, Lee S, Kim SW, Kang HS, Ko KL, Ro J. Metaplastic breast cancer: clinicopathological<br />

features and its prognosis. J Clin Pathol. 2012 May;65(5):441-6.<br />

Lee SY, Kim KR, Park JY, Ro JY. Wilms' Tumor with Long-delayed Recurrence: 25 Years after Initial Treatment. Korean J Urol. 2012<br />

Apr;53(4):288-92.<br />

Marconescu P, Graviss EA, Musher DM. Rates of killing of methicillin-resistant Staphylococcus aureus by ceftaroline, daptomycin, and<br />

telavancin compared to that of vancomycin. Scand J Infect Dis. 2012 Jun 5. [Epub ahead of print]<br />

McGowan P, Nelles N, Wimmer J, Williams D, Wen J, Li M, Ewton A, Curry C, Zu Y, Sheehan A, Chang CC. Differentiating between<br />

Burkitt lymphoma and CD10+ diffuse large B-cell lymphoma: the role of commonly used flow cytometry cell markers and the application<br />

of a multiparameter scoring system. Am J Clin Pathol. 2012 Apr;137(4):665-70.<br />

McQuitty E, Ro JY, Truong LD, Shen SS, Zhai Q, Ayala AG. Lymphovascular invasion in micropapillary urothelial carcinoma: a<br />

study of 22 cases. Arch Pathol Lab Med. 2012 Jun;136(6):635-9.<br />

Ozcan A, Truong LD. PAX2 and PAX8 Expression in the Ovarian Surface Epithelium and Inclusion Cysts. Am J Surg Pathol. 2012 Mar<br />

31. [Epub ahead of print]<br />

Shen SS, Truong LD, Scarpelli M, Lopez-Beltran A. Role of immunohistochemistry in diagnosing renal neoplasms: when is it really<br />

useful? Arch Pathol Lab Med. 2012 Apr;136(4):410-7.<br />

Shinder R, Ramirez SA, Chévez-Barrios P, Gombos DS. Re: "retinoblastoma associated orbital cellulitis". Ophthal Plast Reconstr Surg.<br />

2012 May;28(3):235-7.<br />

Shu I, Devaraj S, Hanson SE, Little RR, Wang P. Comparison of hemoglobin A1c measurements of samples with elevated fetal hemoglobin<br />

by three commercial assays. Clin Chim Acta. 2012 May 26. [Epub ahead of print]<br />

Wadhwa L, Bond WS, Perlaky L, Overbeek PA, Hurwitz MY, Chévez-Barrios P, Hurwitz RL. Embryonic Retinal Tumors in SV40 T-<br />

Ag Transgenic Mice Contain CD133+ Tumor-Initiating Cells. Invest Ophthalmol Vis Sci. 2012 Jun 8;53(7):3454-62.<br />

Wimmer JL, Long SW, Cernoch P, Land GA, Davis JR, Musser JM, Olsen RJ. A Strategy for Rapid Identification and Antibiotic Susceptibility<br />

Testing of Gram-Negative Bacteria Directly Recovered from Positive Blood Cultures using the Bruker MALDI Biotyper and<br />

BD Phoenix. J Clin Microbiol. 2012 Apr 18. [Epub ahead of print]<br />

Yaziji H, Eisen R, Wick M, Swanson P, Badve S, Cartun R, Haas T, Marolt M, Hicks D, Martin A, Barry T, Alsabeh R, Taylor J, Fulton<br />

R, Goldsmith J, Shen S, Taylor C. Immunohistochemistry Cocktails Are Here to Stay: Center of Medicare and Medicaid Services<br />

Should Revise Its New Reimbursement Policy. Appl Immunohistochem Mol Morphol. 2012 Jul;20(4):331-333.<br />

Zhou H, Schwartz MR, Coffey D, Smith D, Mody DR, Ge Y. Should LSIL-H be a distinct cytology category?: A study on the frequency<br />

and distribution of 40 human papillomavirus genotypes in 808 women. Cancer Cytopathol. 2012 May 30. [Epub ahead of print] ��<br />

<strong>The</strong> <strong>Laboratory</strong> <strong>Report</strong><br />

<strong>The</strong> <strong>Laboratory</strong> <strong>Report</strong> is a publication<br />

of <strong>The</strong> <strong>Methodist</strong> <strong>Hospital</strong> System<br />

Department of Pathology and<br />

Genomic Medicine.<br />

Editor-in-Chief<br />

April A. Ewton, M.D.<br />

Editorial Committee<br />

Hazel L. Awalt, M.D.<br />

Christopher Leveque, M.D.<br />

Claudia P. Molina, M.D.<br />

Seema Mullick, M.D.<br />

Thu Ngo, M.D.<br />

Steven Shen, M.D., Ph.D.<br />

Paul Sumby, Ph.D.<br />

Ping Wang, Ph.D.<br />

Editorial Coordinator<br />

Philip Randall<br />

Department Chair<br />

James M. Musser, M.D., Ph.D.<br />

9<br />

<strong>The</strong> <strong>Methodist</strong> <strong>Hospital</strong><br />

Clare Rose, M.B.A.<br />

Manuel Hinojosa, M.H.A.

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