Laboratory Report - The Methodist Hospital
Laboratory Report - The Methodist Hospital
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 />
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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.