Messages to Young Pathologists contin-

ries to be thus inspected and licensed. Pathologists must become skilled administrators to ensure that laboratories run smoothly and efficiently and produce timely and accurate results.
To go with the licensing of laboratories, governments (representing the taxpayers) are demanding that medical practitioners, including pathologists, should demonstrate that they are participating in regular continuing education programs. They are being forced to undergo re-accreditation at regular intervals. This regulatory
requirement poses problems for pathologists
and for the various pathology organisations.
Pathologists acquire continuing education byattending meetings, both local, national andinternational, by reading medical literature, andby participating in educational slide exchange
programs etc. The challenge is to provide educational activities that are acceptable to the licensing bodies and also to the participating pathologist. This cannot be done entirely by meetings
because the funds for such travel are becoming
more difficult to obtain. It is therefore necessary
to transport the educational material to thedoctors at their place of work. The obvious way
to do this is by either CD rom technology or bytransmission via the Internet. A computer has
become almost as necessary for a pathologist as
is a microscope and increasingly pathologists
have a computer on their desk next to theirmicroscope and often they have another computer at home. This means that web-based education programs, delivered either by CD rom orby the Internet are now the obvious way forward in providing educational material. This

This is the second volume in the new
WHO Classification of Tumours. It
was launched at the recent I.A.P.
meeting in Nagoya and can be obtained from:IARC Press
International Agency for
Research on Cancer (IARC)
Lyon France
Tel + 33 4 7273 8515 / Fax +33 4 7273 8302
World Health Organisation
Marketing and Dissemination
Geneva Switzerland
Tel + 41 22 791 24 76 / Fax +41 22 791 48
57
WHO Publications Centre, Albany, NY (USA)Tel +1 518 436 9686 / Fax + 1 518 436 7433
qcorp@compuserve.cpm
Oxford University Press (OUP)OUP Oxford (UK)Tel +44 1536 741 727
24 Hours Hotline:
Tel +44 1536 454534 / Fax +44 1865 267 782
book.orders@oup.co.uk
OUP Cary, NC (USA)5

could also help to deliver teaching material topathologists in isolated areas, or in countries
where there is not enough money to provide
continuing education courses such as have become familiar in Western countries. A CD
rom-based continuing education program simulating a glass slide seminar was demonstrated
at the workshop. At other sessions during theconference many other methods of presenting
material by web-based or telepathology media
were demonstrated. To be acceptable to pathologists, such programs must have good quality
images that simulate what is seen with a microscope, and be very easy to access and to use.
A member of the audience mentioned one ofthe problems for pathology in some Eastern
European countries is that pathology is held in
fairly low esteem, and is mainly post mortem-based. In this region there is a great needto educate pathologists in surgical pathology,
and perhaps equally importantly, to educate
surgeons and internists in the value to them of
having the input of well trained pathologists.
In summary, it was agreed that while there aremany problems in the recruiting of young
doctors into the specialty of pathology, current
practitioners are optimistic for the future ofpathology and excited about the possibilities
for embracing the new technologies that continue to become available. Some of the younger pathologists also mentioned that organisations such as the I.A.P. were fostering communication and understanding between pathologists in different countries. Such collaboration
will continue to be extremely beneficial to all
who participate in it.
Robin Cooke, Editor.

IAP IN ACTIONHUNGARIAN DIVISION
The Hungarian Division of IAP promotes
and facilitates the attendance of theirmembers at designated scientific meetings. The preferred events this year werethe 1st Intercontinental Congress of Pathology (Funchal, Madeira, Portugal), the
USCAP Annual
Meeting in New
Orleans, the 16th Congress of the European Association for Cancer Research(EACR) and most importantly, the XXIIIInternational Congress of IAP in Nagoya.
As a rule, the prerequisite for any financial support (which covers the registration
fee and travel expenses) is an abstract accepted by the Congress which the member wishes to attend. For young members, the annual postgraduate training
course organized by the German Division
in Bonn has long been a very fruitful
event. At this course the accommodation
too is paid by the Hungarian Division.
This year the Annual Congress of Hungarian Pathologists was hosted in Eger, atown famous for its historical heritage andfine wines. This very successful Congress
was organized under the joint sponsorshipof the Hungarian Division and the Societyof Hungarian Pathologists. Traditionally,
these Congresses invite recognized experts
from all over the world. This year the invited speaker was Dr. Rosemary Walker
from Liecester, England.
In recent years the Division supported
many of the Pathological Departments in
Hungary in obtaining pathology textbooks. This year we are undertaking aneven bigger task: the Division aims tobecome the flagship of telepathology inthe country. The first steps were taken in
Eger: there was a face-to-face discussion
meeting about this issue, where the strategies were outlined, interactive software
was developed and presented, and now
the feasibility program is underway.
The Division is active in maintaining
contact with pathologists from neighbouring countries. A successful slide seminar was held in the lecture hall of the
2nd Department of Pathology of theSemmelweis University in Budapest on
24th November, 2000. The organizer of
the Slide Seminar was Dr. Juan Piri from
Edinburgh (Scotland) upon the invita-

FRENCH DIVISIONThe June edition of the Bulletin of theFrench Division was published in aslightly different format from previous
editions. It is now in full colour. The reports of cases presented at the various
seminars sponsored by the Division are
now published with colour illustrationsof the cases.
The Division conducts a very active continuing education program consisting of
lectures and slide seminars for pathologists in training as well as for practising
pathologists.
The Division has two major meetingseach year, one in October and the otherin May. At the meeting in October 2000
the two invited speakers were Dr David
Bostwick from Richmond, Virginia, USA
who spoke on Prostate Pathology, and Dr
John Eble from Indianapolis, Indiana,
USA. His theme was Renal Pathology.
The 2001 Spring meeting of the Division
will be held at Amiens on May 17 and 18.
Thursday 17th will be taken up withmeetings of specialty clubs. The theme
for the Friday meeting will be Inflammatory Disease of the Gastro-Intestinal
Tract. Anyone wishing to attend thismeeting should contact the Secretariat,
32, Cours Albert Thomas, 69008, Lyon,
France. Fax 04 78 75 4311. Email academie.pathology@wanadoo.fr
Congratulations to Francis Jaubert andhis team who ran the Nice Congress in
1998. It was the most successful Congress
yet in terms of numbers of delegates andprofitability.

Francis Jaubert

BOLIVIAN DIVISION
The Division held its Annual Meetingin Sucre from September 28 - 30, 2000.
Day 1 was devoted to Sexually Transmitted Infectious Diseases. Day 2 had amixture of papers covering Breast, Liverand Bone Pathology. The third day was
devoted mainly to Paediatric Pathology.
IAP IN ACTION continued Pg 6

INTERNATIONAL PATHOLOGY (ISSN 0020-8205)
is published quarterly by International Academy of
Pathology, AFIP, Washington, D.C. 20306.
Periodicals postage at Washington, D.C. andadditional mailing offices.

POSTMASTER:
Send address changes to:Administrative Officer
International Academy of Pathology
3643 Walton Way Extension
Augusta, Georgia 30909-7550

6tion of the Division. The subject was liver
tumors, with more than 100 participantsfrom all over Hungary and 8 colleagues
from Romania as well.
My term as president of IAP expired on
30th November, 2000. I was deeply honoured to have been given this prestigious
position. It was a challenge and I hope I
have fulfilled the requirements set for the
President.
I wish to express my sincere thanks to all
those who have supported the President’s
work during these past two years. I think
my main achievement has been the facilitation of a future cooperation between IAP
and ESP (European Society of Pathology).
IAP will officially participate at the coming
ESP (European Society of Pathology) Congress in Berlin in 2001. To reciprocate,
there will be an official ESP representation
at the International Congress of the IAP in
Amsterdam in 2002.

Anna Kadar, Retiring President of The IAP.

MEETINGS
18th European Congress of
Pathology - European Society of
Pathology.
Berlin, Germany
September 8 - 13, 2001
Organiser: Professor Manfred Dietel
manfred.dietel@charite.deFor further information please contact:
CTW - Congress Organisation Thomas
Wiese GmbH GoBlerstr 30 D-12161 Berlin
Ph: +49 030 8599620 Fax: +85 079826
www.ctw-congress.de/pathology

Challenges and Opportunities in Pathology
October 4 - 7, 2001
International Joint Congress
Royal College of Pathologists of Australasia, Hong Kong College of Pathologists,
Hong Kong Division of the International
Academy of Pathology
Secretariat: COP 2001.
Ph: 852 2871 8878 ; Fax: 852 2871 8898;
Email: confdept@hkam.org.hk ;Website http://www.hkcpath.org

Annual USCAP Meeting
Atlanta Georgia, March 3-9, 2001
For Further Information
Contact : Ms JoAnne Johnson.
Fax: +1 706 733 8033 /Email: johnson@uscap.usa.com
Website: http://www.uscap.org

Tutorial on Neoplastic Hematopathology
February 5-February 9, 2001
Sheraton Biscayne Bay Hotel, Miami, Fa.
The Tutorial, sponsored by The Department of Pathology, Weill Medical Collegeof Cornell University, will be under the
direction of Dr. Daniel M. Knowles. The
program will consist of lectures and workshops. The registration fee (excluding microscope rental, meals and lodging) is$1,125.
For further information, please contact:
Ms. Gina L. Imperato, Tutorial Administrator, Department of Pathology, CUMC Room
302, 1300 York Avenue, New York, N.Y.,
10021
Telephone: (212) 746-6464;
Fax: (212) 746-8192;
E-mail: glimpera@mail.med.cornell.edu

BRITISH DIVISION
Joint Meeting with the PathologicalSociety of Great Britain
Liverpool, July 3 - 6, 2001

Published four times a year by theInternational Academy of Pathology.

IAP WEBSITE
http://www.afip.org/iap
PRESIDENT
Stephen Vogel,
Emeritus Professor,
Duke University, Durham, USA
SECRETARY
Florabel G. Mullick
Armed Forces Institute of Pathology
Washington, DC 20306-6000 USA
Fax: 1-202-782-7166
Email: mullick@email.afip.osd.mil
AFIP Website: http://www.afip.org
TREASURER
Jack P. Strong
Louisiana State University Medical Center
New Orleans, USA
EDITOR
Robin Cooke
Wesley Medical Centre
Brisbane, Australia
Fax: +61 7 3870 4710
Email: cooker@ozemail.com.au
Home Page: http://www.anatpath.com

Contact: Administrative Secretary of the British
Division, Carol Harris, P.O. Box 73, Westbury
on Trym, Bristol BS9 1RY, UK. Ph: 0117 907
7940 / Fax: 0117 907 7941 / Email: bdiap@
cableinet.co.uk
British Division Website:
http://www.le.ac.uk/pa/pnfL/IAP/iaphome.htm
Periodicals postage paid at
Washington, D.C. and additional
mailing office.

The New IAP Executive
Jack Strong (Treasurer),
Anna Kadar (Past President),
Florabel Mullick (Secretary),
Stephen Vogel (President).

Vol 41 No 4 2000

Sayonara
NagoyaP

rofessor Rikuo Machinami (Presidentof the Congress), Professor Shinichiro Ushigome (President of the Japanese
Division of the I.A.P.), their Organising
Committee and all of the Japanese pathologists who contributed to the meeting are to be congratulated for its successful outcome. The sponsors and thecompanies that had displays at the Congress also contributed to its successthrough the money they provided. Mr
Masumi Arakawa, an Assistant Managerof the Convention Centre was one ofthose who co-ordinated the facilities of
the centre. The young ladies of the congress organisation company and Professor Shigeo Mori’s secretary were unobtrusive as far as the delegates were concerned, but they worked busily to keep
the functions running according to theprogram.
A review of any Congress includes thestatistics - how many delegates ; which
sessions were well attended ; whichwere not ; did it cover its expenses.
But the real essence is did it havea positive and useful influence on
the delegates who attended ;were they stimulated and inspired. This is more difficult
to assess but its crudest assessment is whether the delegates will attend “the nextone”.
What can delegates expect
to gain from a conferencesuch as this - new information, new insights, re-inforcement of existingknowledge, inspiration (anurge to learn something new,an urge to do something differently
from before), a stimulating speaker who
uses a way of presenting data (tellingstories, capturing an audience) that is
worth copying, an insight into a way of

Top: The chief representatives of the Japanese Division of the IAP, L-R Rear; Osamu Matsubara (Secretary-Treasurer), Robert Osamura (President Elect).
Seated: Shinichiro Ushigome (President), Rikuo
Machinami (President of the Congress), Minoru Suzuki (Past President). Middle from left: Jun-Ichi
Hata (Treasurer of the Congress), Atsuhiko Sakamoto, (Secretary General of the Congress). Bottom fromleft: Tomoyuki Shirai (Chairman of the Nagoya Task
Comittee), Shigeo Mori (Chairman of the Scientific
Program Committee).

solving a problem of your own (administrative, technical, research).
For those presenting papers, posters,
workshops etc. the stimulation, thefrustration, the agony, the tedium, thelong hours of work that are rewarded by
the joy of having “created” something.
continued page 3

Report on a workshop

Virchow, Koch andKitasato

entitled “TALK IN :Messages to Young
Pathologists”

T2

his workshop was organised by Professor
Shigeo Mori, the Chairman of the Scientific Program for the Congress. It was held on
the morning of the last day of the Conference.
The speakers were eminent pathologists intheir own countries, and the audience included
pathologist. This large knowledge base is nota large number of similarity eminent pathololikely to change significantly in the foreseeable
gists from all over the world. Young patholofuture. However, rapid advances are occurring
gists were well represented. Presentations werein pathology in the form of molecular biology,
kept short, which allowed adequate time for
immunohistochemistry, genetics and informadiscussion.
tion technology. These, and many other areas
From the point of view of young pathologists
which are presently either in their infancy, or as
looking towards a career in this specialty, it was
yet unimagined, will provide interest, stimulapleasing to see the enthusiasm with whichtion and challenge to the young pathologists
senior pathologists were still pursuing theirentering the specialty. New diagnostic tools
chosen specialty. It is well known that doctors
and new methods for determining prognosis
in many specialties become rather bored withand management of disease are being constantthe practice of medicine as they reach their lately added to the armamentarium of patholo50’s, and begin to look forward to retirement.
gists. Academic pathologists see these changes
One of the themes of the workshop was thatas giving future specialists a pivotal position
anatomical pathology over the past 150 or
between the development of basic research andmore years, has contributed greatly to an units application to solve practical clinical probderstanding of medical problems.
lems. At first it was post
Traditionally the study ofmortem examinations that
“With the introduction pathology has provided
demonstrated the structural
medical students with theof new information
features of disease entities delanguage of medicine andfined by clinical history andtechnology,
pathology
an understanding of theexamination. Since the latecauses and manifestations
1940’s there has been a rapid
departments haveof disease processes. With
growth in surgical pathology
becomeprominent
the introduction of new
with new classifications of
information technology,
tumour and non-tumorous
conduits for both
pathology departments
conditions which have assisthave become prominenttransmitting
thenewed in the diagnosis, prognosis
conduits for both transand continuing management
information in
mitting the new informaof many clinical problems.
tion in medicine, and the
medicine,
andthe
The introduction of new
results of modern testing
techniques such as liver, kidresults of modern
to general practitioners
ney, brain, lung and endoand specialist medical
testingtogeneralscopic biopsies, and then finepractitioners alike. Paneedle aspiration biopsy andpractitioners andthologists need to be partcytology, have revealed newof the IT revolution.
specialist
medicalvistas in the histological apNow, pathologists must
pearances of early disease.
practitioners alike.”have a computer as well as
This has meant that anatoma microscope on theirical pathologists have had todesks.
continually update their
Present
membersofthe pathology fraternity
knowledge to stay abreast of these advances.
regard their subject as being interesting andPathologists have helped to unravel “new”
exciting. It is however necessary to impart thisproblems induced by the introduction of prosmessage to medical graduates who may wish totheses such as heart valves and joint replaceembark on a career in pathology. In manyments, the toxicity of new therapies, and thecountries there is a severe shortage of trained
monitoring of rejection of organ transplants.
pathologists. There are many reasons for thisIt was generally agreed that a thorough knowland the exact details vary from country toedge and understanding of the macroscopic
country. Some of the perceived problems areand microscopic appearances of disease willthat pathology has a poor image in the minds
continue to be the backbone of the work of a

L-R. Shigeo Mori (University of Tokyo, Japan), Makoto Kuroda (Fujita Health University, Toyota City,
Japan), Guillermo Herrera (Louisiana State University, Shreveport, USA), James Underwood (Sheffield,UK), Anna Kadar (President IAP. Budapest, Hungary), Konradin Metze (Sao Paulo, Brazil), Thiti
Kuakpaetoon (Bangkok, Thailand), Antonio-Llombart Bosch (Former President IAP. Valencia, Spain),
Tseng-tong Kuo (Taipei, Taiwan), David Davies(Sydney, Australia), Alex Chang (from Dunedin, New
Zealand. Now at Chinese University, Hong Kong,
China), Jun-ichi Hata (Keio University, Tokyo, Japan), Jagdish Butany (Toronto, Canada), Robinof undergraduate and postgraduate students.
This image is being made even worse by thecurrent trend in undergraduate training todowngrade the teaching of pathology to makeit a subsidiary and relatively unimportant partof the general curricula in medicine and surgery. In some undergraduate courses students
no longer see and handle three dimensional
pathology specimens such as those preserved inglass or perspex. The closest they get to grossspecimens is digitised images or a few surgical
specimens retrieved from the department ofsurgical pathology or some post mortem specimens saved from autopsies. Because of medico-legal requirements, surgical specimens are
now heavily sampled so that once the samplinghas occurred they are not suitable for demonstration to students. In many countries post
mortems are becoming a rarity, and students
can easily graduate without ever having seen apost mortem examination. As well as this,
there is a media-driven push to prevent specimens being retained by the laboratory. Modern
students may never experience examining microscopic sections with a microscope. This
adds further to the difficulty in recruiting specialist pathologists because they have not had
any experience of “real” pathology during theirstudent days. It also means that postgraduate
students are less prepared than before when
they embark on their training in pathology.
With the present range of sophisticated pathology testing it is important that there be a properly conducted scheme for the accreditation ofpathology laboratories. In many countries such
schemes are in operation. Laboratories cannot
legally charge fees for their tests unless they holda current licence. However, in some countries of
the world it is still not mandatory for laboratocontinued page 5

Sayonara Nagoya continued

The European Society of Pathology meetingin September 2001 will be held in the Virchow Institute of Pathology in the Charite
Hospital in Berlin. At the same time as Virchow was working in this hospital anothermedical great, Robert Koch was working
there too. There is a large monument toRobert Koch at the entrance to the Hospital.
In the Microbiology Department there is asmall Museum which contains a number of
his memorabilia.
One of the interesting exhibits is the journal
article reporting his finding of acid fast bacilli. In the Pathology Museum there are somespecimens of Pulmonary Tuberculosis whichwere preserved at about the time Koch was
making his observations. Robert Koch was agreat traveller. He travelled to Africa where
he investigated Cholera, to the Solomon Islands in the South West Pacific where heinvestigated Malaria and he paid a visit toJapan to see one of his former postgraduate
students, Shibasaburo Kitasato. Kitasato
found the Cholera vibrio and developed thediphtheria toxoid.
Top right: Robert Koch memorial at Charite Hospital
Right: Pulmonary Tuberculosis in the Virchow museum

USCAP Journals are going
FULL-TEXT ONLINE in 2001
Modern Pathology and Laboratory Investigation, the official journals of theUnited States and Canadian Academy of Pathology, Inc. will be available
online in 2001. Features will include fulltext and graphics of the Journals, user-friendly keyword searching, PDF files
for viewing and printing articles in all
2001 and future issues, as well as advanced cross-referencing and hyperlinking to various related scientific jour-nals such as Cell and Science.
A FREE preview of all features will
be available in February andMarch 2001. Full access for subscribers only will start April 1, 2001,
in which non-subscribers will only
have access to the table of contents and abstracts.
Visit www.uscapjournals.org in February 2001 to experience the Journals online and to discover theconvenience of electronic accessto Modern Pathology and Laboratory Investigation.

The pleasure of “feeling” an audience, knowing they are “with you” and they are appreciating the effort you have put into it. The
word of praise or appreciation, particularly if
it comes at an unexpected time or from an
unexpected source.
For the organisers there is the challenge oftackling a complex logistic exercise with thepleasure that comes from working with otherpeople towards the accomplishment of a common goal. There is the pride in showing yourcountry, your city, and the scientific achievements of your colleagues (both present andpast) to pathologists from all parts of theworld.
For all concerned there is the pleasure ofinteracting with one’s peers. You meet
people from your own country, from thehost country, from countries from allaround the world. The tea/coffee andlunch breaks and all the social activities of a conference are at least as important as the scientific sessions. This
is when “networking” is done. Experts
are available without the questioner
having to go to the trouble of travelling to wherever they work and thentrying to find time to arrange a shortappointment. The experts are relaxed and free from their daily responsibilities.
Jobs are arranged. Research projects andfuture collaborations are initiated. Invitations to visit, to study, to travel, to work
are extended. Speakers for future conferences are identified by the officials of thevarious countries and appropriate contacts
are made.
Young, and not so young pathologists canpresent their ideas to a world audience for
critical comment and assessment. The hostcountry can display its talent.
The host country can benefit from the large
number of international experts visiting for
the Congress by inviting speakers to theirdepartments before or after the Congress.
Delegates come not only for the scientificcontent of the conference, but also to experience the sights, the sounds, the culture, thecuisine of the host country. The pre and post
conference tours are an important part of any
Congress. Often, the tours are not strictly theusual ones that travel agents promote. They
may be specially arranged to suit the tastes ofthe delegates, and specialists in the particularsubject can be recruited as tour guides.
The “members of the trade” are an importantcomponent of any Congress. They pay money for the privilege of showing their products
to the delegates. Without them, the financial
arrangements would be very difficult. They
also allow delegates to view their products ina leisurely manner, to talk to the technicalexperts, to look at books and to buy anything
they fancy - all in a congenial atmospherewhen the delegates are free from the bustle

Imagesfrom
NagoyaAbove: A grandfather presenting his grandson at
the temple on a feast day
Trade Displays
Left and below: Dako with
Karina Hjort, Sakura with
Shinichiro Ushigome in thecentre. On his right his P.E.
Visser (Product Development Manager for Europe based in Leiden). On his
left Kazuo Okubo (Managing Director for Europe).
This column from top: Mt Fuji; Robert Osamura
with the key members of the Congress Organisers;
Posters on the Pathology Reported by Japanese
Pathologjsts; K.R. Harilal, Kottyam, India (President of the Indian Division of IAP), Anita Borges(Tata Memorial Hospital, India), Robin Cooke(Editor of the News Bulletin). The Editor enteredinto the spirit of Nagoya by wearing a jacket
whose design is an official Japanese Scottish tartan. The fabric was woven in Nagoya by the Miyuki House Clothing Company. The design wasendorsed by the Scottish Tartans Society of Pittlochry, Perthshire, Scotland as the Miyuki Tartan.

This column from top: Prince Hitachi and Princess Hanako
mingling with the delegates. Robin Cooke and Shinichiro
Ushigome happen to be in this picture; A young lady being
presented at the temple on a feast day; A craft room provided
accompanying persons an opportunity to learn origami (paper folding) and to be fitted with a kimono.

4

Report on a workshop

Virchow, Koch andKitasato

entitled “TALK IN :Messages to Young
Pathologists”

T2

his workshop was organised by Professor
Shigeo Mori, the Chairman of the Scientific Program for the Congress. It was held on
the morning of the last day of the Conference.
The speakers were eminent pathologists intheir own countries, and the audience included
pathologist. This large knowledge base is nota large number of similarity eminent pathololikely to change significantly in the foreseeable
gists from all over the world. Young patholofuture. However, rapid advances are occurring
gists were well represented. Presentations werein pathology in the form of molecular biology,
kept short, which allowed adequate time for
immunohistochemistry, genetics and informadiscussion.
tion technology. These, and many other areas
From the point of view of young pathologists
which are presently either in their infancy, or as
looking towards a career in this specialty, it was
yet unimagined, will provide interest, stimulapleasing to see the enthusiasm with whichtion and challenge to the young pathologists
senior pathologists were still pursuing theirentering the specialty. New diagnostic tools
chosen specialty. It is well known that doctors
and new methods for determining prognosis
in many specialties become rather bored withand management of disease are being constantthe practice of medicine as they reach their lately added to the armamentarium of patholo50’s, and begin to look forward to retirement.
gists. Academic pathologists see these changes
One of the themes of the workshop was thatas giving future specialists a pivotal position
anatomical pathology over the past 150 or
between the development of basic research andmore years, has contributed greatly to an units application to solve practical clinical probderstanding of medical problems.
lems. At first it was post
Traditionally the study ofmortem examinations that
“With the introduction pathology has provided
demonstrated the structural
medical students with theof new information
features of disease entities delanguage of medicine andfined by clinical history andtechnology,
pathology
an understanding of theexamination. Since the latecauses and manifestations
1940’s there has been a rapid
departments haveof disease processes. With
growth in surgical pathology
becomeprominent
the introduction of new
with new classifications of
information technology,
tumour and non-tumorous
conduits for both
pathology departments
conditions which have assisthave become prominenttransmitting
thenewed in the diagnosis, prognosis
conduits for both transand continuing management
information in
mitting the new informaof many clinical problems.
tion in medicine, and the
medicine,
andthe
The introduction of new
results of modern testing
techniques such as liver, kidresults of modern
to general practitioners
ney, brain, lung and endoand specialist medical
testingtogeneralscopic biopsies, and then finepractitioners alike. Paneedle aspiration biopsy andpractitioners andthologists need to be partcytology, have revealed newof the IT revolution.
specialist
medicalvistas in the histological apNow, pathologists must
pearances of early disease.
practitioners alike.”have a computer as well as
This has meant that anatoma microscope on theirical pathologists have had todesks.
continually update their
Present
membersofthe pathology fraternity
knowledge to stay abreast of these advances.
regard their subject as being interesting andPathologists have helped to unravel “new”
exciting. It is however necessary to impart thisproblems induced by the introduction of prosmessage to medical graduates who may wish totheses such as heart valves and joint replaceembark on a career in pathology. In manyments, the toxicity of new therapies, and thecountries there is a severe shortage of trained
monitoring of rejection of organ transplants.
pathologists. There are many reasons for thisIt was generally agreed that a thorough knowland the exact details vary from country toedge and understanding of the macroscopic
country. Some of the perceived problems areand microscopic appearances of disease willthat pathology has a poor image in the minds
continue to be the backbone of the work of a

L-R. Shigeo Mori (University of Tokyo, Japan), Makoto Kuroda (Fujita Health University, Toyota City,
Japan), Guillermo Herrera (Louisiana State University, Shreveport, USA), James Underwood (Sheffield,UK), Anna Kadar (President IAP. Budapest, Hungary), Konradin Metze (Sao Paulo, Brazil), Thiti
Kuakpaetoon (Bangkok, Thailand), Antonio-Llombart Bosch (Former President IAP. Valencia, Spain),
Tseng-tong Kuo (Taipei, Taiwan), David Davies(Sydney, Australia), Alex Chang (from Dunedin, New
Zealand. Now at Chinese University, Hong Kong,
China), Jun-ichi Hata (Keio University, Tokyo, Japan), Jagdish Butany (Toronto, Canada), Robinof undergraduate and postgraduate students.
This image is being made even worse by thecurrent trend in undergraduate training todowngrade the teaching of pathology to makeit a subsidiary and relatively unimportant partof the general curricula in medicine and surgery. In some undergraduate courses students
no longer see and handle three dimensional
pathology specimens such as those preserved inglass or perspex. The closest they get to grossspecimens is digitised images or a few surgical
specimens retrieved from the department ofsurgical pathology or some post mortem specimens saved from autopsies. Because of medico-legal requirements, surgical specimens are
now heavily sampled so that once the samplinghas occurred they are not suitable for demonstration to students. In many countries post
mortems are becoming a rarity, and students
can easily graduate without ever having seen apost mortem examination. As well as this,
there is a media-driven push to prevent specimens being retained by the laboratory. Modern
students may never experience examining microscopic sections with a microscope. This
adds further to the difficulty in recruiting specialist pathologists because they have not had
any experience of “real” pathology during theirstudent days. It also means that postgraduate
students are less prepared than before when
they embark on their training in pathology.
With the present range of sophisticated pathology testing it is important that there be a properly conducted scheme for the accreditation ofpathology laboratories. In many countries such
schemes are in operation. Laboratories cannot
legally charge fees for their tests unless they holda current licence. However, in some countries of
the world it is still not mandatory for laboratocontinued page 5

Sayonara Nagoya continued

The European Society of Pathology meetingin September 2001 will be held in the Virchow Institute of Pathology in the Charite
Hospital in Berlin. At the same time as Virchow was working in this hospital anothermedical great, Robert Koch was working
there too. There is a large monument toRobert Koch at the entrance to the Hospital.
In the Microbiology Department there is asmall Museum which contains a number of
his memorabilia.
One of the interesting exhibits is the journal
article reporting his finding of acid fast bacilli. In the Pathology Museum there are somespecimens of Pulmonary Tuberculosis whichwere preserved at about the time Koch was
making his observations. Robert Koch was agreat traveller. He travelled to Africa where
he investigated Cholera, to the Solomon Islands in the South West Pacific where heinvestigated Malaria and he paid a visit toJapan to see one of his former postgraduate
students, Shibasaburo Kitasato. Kitasato
found the Cholera vibrio and developed thediphtheria toxoid.
Top right: Robert Koch memorial at Charite Hospital
Right: Pulmonary Tuberculosis in the Virchow museum

USCAP Journals are going
FULL-TEXT ONLINE in 2001
Modern Pathology and Laboratory Investigation, the official journals of theUnited States and Canadian Academy of Pathology, Inc. will be available
online in 2001. Features will include fulltext and graphics of the Journals, user-friendly keyword searching, PDF files
for viewing and printing articles in all
2001 and future issues, as well as advanced cross-referencing and hyperlinking to various related scientific jour-nals such as Cell and Science.
A FREE preview of all features will
be available in February andMarch 2001. Full access for subscribers only will start April 1, 2001,
in which non-subscribers will only
have access to the table of contents and abstracts.
Visit www.uscapjournals.org in February 2001 to experience the Journals online and to discover theconvenience of electronic accessto Modern Pathology and Laboratory Investigation.

The pleasure of “feeling” an audience, knowing they are “with you” and they are appreciating the effort you have put into it. The
word of praise or appreciation, particularly if
it comes at an unexpected time or from an
unexpected source.
For the organisers there is the challenge oftackling a complex logistic exercise with thepleasure that comes from working with otherpeople towards the accomplishment of a common goal. There is the pride in showing yourcountry, your city, and the scientific achievements of your colleagues (both present andpast) to pathologists from all parts of theworld.
For all concerned there is the pleasure ofinteracting with one’s peers. You meet
people from your own country, from thehost country, from countries from allaround the world. The tea/coffee andlunch breaks and all the social activities of a conference are at least as important as the scientific sessions. This
is when “networking” is done. Experts
are available without the questioner
having to go to the trouble of travelling to wherever they work and thentrying to find time to arrange a shortappointment. The experts are relaxed and free from their daily responsibilities.
Jobs are arranged. Research projects andfuture collaborations are initiated. Invitations to visit, to study, to travel, to work
are extended. Speakers for future conferences are identified by the officials of thevarious countries and appropriate contacts
are made.
Young, and not so young pathologists canpresent their ideas to a world audience for
critical comment and assessment. The hostcountry can display its talent.
The host country can benefit from the large
number of international experts visiting for
the Congress by inviting speakers to theirdepartments before or after the Congress.
Delegates come not only for the scientificcontent of the conference, but also to experience the sights, the sounds, the culture, thecuisine of the host country. The pre and post
conference tours are an important part of any
Congress. Often, the tours are not strictly theusual ones that travel agents promote. They
may be specially arranged to suit the tastes ofthe delegates, and specialists in the particularsubject can be recruited as tour guides.
The “members of the trade” are an importantcomponent of any Congress. They pay money for the privilege of showing their products
to the delegates. Without them, the financial
arrangements would be very difficult. They
also allow delegates to view their products ina leisurely manner, to talk to the technicalexperts, to look at books and to buy anything
they fancy - all in a congenial atmospherewhen the delegates are free from the bustle

Imagesfrom
NagoyaAbove: A grandfather presenting his grandson at
the temple on a feast day
Trade Displays
Left and below: Dako with
Karina Hjort, Sakura with
Shinichiro Ushigome in thecentre. On his right his P.E.
Visser (Product Development Manager for Europe based in Leiden). On his
left Kazuo Okubo (Managing Director for Europe).
This column from top: Mt Fuji; Robert Osamura
with the key members of the Congress Organisers;
Posters on the Pathology Reported by Japanese
Pathologjsts; K.R. Harilal, Kottyam, India (President of the Indian Division of IAP), Anita Borges(Tata Memorial Hospital, India), Robin Cooke(Editor of the News Bulletin). The Editor enteredinto the spirit of Nagoya by wearing a jacket
whose design is an official Japanese Scottish tartan. The fabric was woven in Nagoya by the Miyuki House Clothing Company. The design wasendorsed by the Scottish Tartans Society of Pittlochry, Perthshire, Scotland as the Miyuki Tartan.

This column from top: Prince Hitachi and Princess Hanako
mingling with the delegates. Robin Cooke and Shinichiro
Ushigome happen to be in this picture; A young lady being
presented at the temple on a feast day; A craft room provided
accompanying persons an opportunity to learn origami (paper folding) and to be fitted with a kimono.

4

Report on a workshop

Virchow, Koch andKitasato

entitled “TALK IN :Messages to Young
Pathologists”

T2

his workshop was organised by Professor
Shigeo Mori, the Chairman of the Scientific Program for the Congress. It was held on
the morning of the last day of the Conference.
The speakers were eminent pathologists intheir own countries, and the audience included
pathologist. This large knowledge base is nota large number of similarity eminent pathololikely to change significantly in the foreseeable
gists from all over the world. Young patholofuture. However, rapid advances are occurring
gists were well represented. Presentations werein pathology in the form of molecular biology,
kept short, which allowed adequate time for
immunohistochemistry, genetics and informadiscussion.
tion technology. These, and many other areas
From the point of view of young pathologists
which are presently either in their infancy, or as
looking towards a career in this specialty, it was
yet unimagined, will provide interest, stimulapleasing to see the enthusiasm with whichtion and challenge to the young pathologists
senior pathologists were still pursuing theirentering the specialty. New diagnostic tools
chosen specialty. It is well known that doctors
and new methods for determining prognosis
in many specialties become rather bored withand management of disease are being constantthe practice of medicine as they reach their lately added to the armamentarium of patholo50’s, and begin to look forward to retirement.
gists. Academic pathologists see these changes
One of the themes of the workshop was thatas giving future specialists a pivotal position
anatomical pathology over the past 150 or
between the development of basic research andmore years, has contributed greatly to an units application to solve practical clinical probderstanding of medical problems.
lems. At first it was post
Traditionally the study ofmortem examinations that
“With the introduction pathology has provided
demonstrated the structural
medical students with theof new information
features of disease entities delanguage of medicine andfined by clinical history andtechnology,
pathology
an understanding of theexamination. Since the latecauses and manifestations
1940’s there has been a rapid
departments haveof disease processes. With
growth in surgical pathology
becomeprominent
the introduction of new
with new classifications of
information technology,
tumour and non-tumorous
conduits for both
pathology departments
conditions which have assisthave become prominenttransmitting
thenewed in the diagnosis, prognosis
conduits for both transand continuing management
information in
mitting the new informaof many clinical problems.
tion in medicine, and the
medicine,
andthe
The introduction of new
results of modern testing
techniques such as liver, kidresults of modern
to general practitioners
ney, brain, lung and endoand specialist medical
testingtogeneralscopic biopsies, and then finepractitioners alike. Paneedle aspiration biopsy andpractitioners andthologists need to be partcytology, have revealed newof the IT revolution.
specialist
medicalvistas in the histological apNow, pathologists must
pearances of early disease.
practitioners alike.”have a computer as well as
This has meant that anatoma microscope on theirical pathologists have had todesks.
continually update their
Present
membersofthe pathology fraternity
knowledge to stay abreast of these advances.
regard their subject as being interesting andPathologists have helped to unravel “new”
exciting. It is however necessary to impart thisproblems induced by the introduction of prosmessage to medical graduates who may wish totheses such as heart valves and joint replaceembark on a career in pathology. In manyments, the toxicity of new therapies, and thecountries there is a severe shortage of trained
monitoring of rejection of organ transplants.
pathologists. There are many reasons for thisIt was generally agreed that a thorough knowland the exact details vary from country toedge and understanding of the macroscopic
country. Some of the perceived problems areand microscopic appearances of disease willthat pathology has a poor image in the minds
continue to be the backbone of the work of a

L-R. Shigeo Mori (University of Tokyo, Japan), Makoto Kuroda (Fujita Health University, Toyota City,
Japan), Guillermo Herrera (Louisiana State University, Shreveport, USA), James Underwood (Sheffield,UK), Anna Kadar (President IAP. Budapest, Hungary), Konradin Metze (Sao Paulo, Brazil), Thiti
Kuakpaetoon (Bangkok, Thailand), Antonio-Llombart Bosch (Former President IAP. Valencia, Spain),
Tseng-tong Kuo (Taipei, Taiwan), David Davies(Sydney, Australia), Alex Chang (from Dunedin, New
Zealand. Now at Chinese University, Hong Kong,
China), Jun-ichi Hata (Keio University, Tokyo, Japan), Jagdish Butany (Toronto, Canada), Robinof undergraduate and postgraduate students.
This image is being made even worse by thecurrent trend in undergraduate training todowngrade the teaching of pathology to makeit a subsidiary and relatively unimportant partof the general curricula in medicine and surgery. In some undergraduate courses students
no longer see and handle three dimensional
pathology specimens such as those preserved inglass or perspex. The closest they get to grossspecimens is digitised images or a few surgical
specimens retrieved from the department ofsurgical pathology or some post mortem specimens saved from autopsies. Because of medico-legal requirements, surgical specimens are
now heavily sampled so that once the samplinghas occurred they are not suitable for demonstration to students. In many countries post
mortems are becoming a rarity, and students
can easily graduate without ever having seen apost mortem examination. As well as this,
there is a media-driven push to prevent specimens being retained by the laboratory. Modern
students may never experience examining microscopic sections with a microscope. This
adds further to the difficulty in recruiting specialist pathologists because they have not had
any experience of “real” pathology during theirstudent days. It also means that postgraduate
students are less prepared than before when
they embark on their training in pathology.
With the present range of sophisticated pathology testing it is important that there be a properly conducted scheme for the accreditation ofpathology laboratories. In many countries such
schemes are in operation. Laboratories cannot
legally charge fees for their tests unless they holda current licence. However, in some countries of
the world it is still not mandatory for laboratocontinued page 5

Sayonara Nagoya continued

The European Society of Pathology meetingin September 2001 will be held in the Virchow Institute of Pathology in the Charite
Hospital in Berlin. At the same time as Virchow was working in this hospital anothermedical great, Robert Koch was working
there too. There is a large monument toRobert Koch at the entrance to the Hospital.
In the Microbiology Department there is asmall Museum which contains a number of
his memorabilia.
One of the interesting exhibits is the journal
article reporting his finding of acid fast bacilli. In the Pathology Museum there are somespecimens of Pulmonary Tuberculosis whichwere preserved at about the time Koch was
making his observations. Robert Koch was agreat traveller. He travelled to Africa where
he investigated Cholera, to the Solomon Islands in the South West Pacific where heinvestigated Malaria and he paid a visit toJapan to see one of his former postgraduate
students, Shibasaburo Kitasato. Kitasato
found the Cholera vibrio and developed thediphtheria toxoid.
Top right: Robert Koch memorial at Charite Hospital
Right: Pulmonary Tuberculosis in the Virchow museum

USCAP Journals are going
FULL-TEXT ONLINE in 2001
Modern Pathology and Laboratory Investigation, the official journals of theUnited States and Canadian Academy of Pathology, Inc. will be available
online in 2001. Features will include fulltext and graphics of the Journals, user-friendly keyword searching, PDF files
for viewing and printing articles in all
2001 and future issues, as well as advanced cross-referencing and hyperlinking to various related scientific jour-nals such as Cell and Science.
A FREE preview of all features will
be available in February andMarch 2001. Full access for subscribers only will start April 1, 2001,
in which non-subscribers will only
have access to the table of contents and abstracts.
Visit www.uscapjournals.org in February 2001 to experience the Journals online and to discover theconvenience of electronic accessto Modern Pathology and Laboratory Investigation.

The pleasure of “feeling” an audience, knowing they are “with you” and they are appreciating the effort you have put into it. The
word of praise or appreciation, particularly if
it comes at an unexpected time or from an
unexpected source.
For the organisers there is the challenge oftackling a complex logistic exercise with thepleasure that comes from working with otherpeople towards the accomplishment of a common goal. There is the pride in showing yourcountry, your city, and the scientific achievements of your colleagues (both present andpast) to pathologists from all parts of theworld.
For all concerned there is the pleasure ofinteracting with one’s peers. You meet
people from your own country, from thehost country, from countries from allaround the world. The tea/coffee andlunch breaks and all the social activities of a conference are at least as important as the scientific sessions. This
is when “networking” is done. Experts
are available without the questioner
having to go to the trouble of travelling to wherever they work and thentrying to find time to arrange a shortappointment. The experts are relaxed and free from their daily responsibilities.
Jobs are arranged. Research projects andfuture collaborations are initiated. Invitations to visit, to study, to travel, to work
are extended. Speakers for future conferences are identified by the officials of thevarious countries and appropriate contacts
are made.
Young, and not so young pathologists canpresent their ideas to a world audience for
critical comment and assessment. The hostcountry can display its talent.
The host country can benefit from the large
number of international experts visiting for
the Congress by inviting speakers to theirdepartments before or after the Congress.
Delegates come not only for the scientificcontent of the conference, but also to experience the sights, the sounds, the culture, thecuisine of the host country. The pre and post
conference tours are an important part of any
Congress. Often, the tours are not strictly theusual ones that travel agents promote. They
may be specially arranged to suit the tastes ofthe delegates, and specialists in the particularsubject can be recruited as tour guides.
The “members of the trade” are an importantcomponent of any Congress. They pay money for the privilege of showing their products
to the delegates. Without them, the financial
arrangements would be very difficult. They
also allow delegates to view their products ina leisurely manner, to talk to the technicalexperts, to look at books and to buy anything
they fancy - all in a congenial atmospherewhen the delegates are free from the bustle

Imagesfrom
NagoyaAbove: A grandfather presenting his grandson at
the temple on a feast day
Trade Displays
Left and below: Dako with
Karina Hjort, Sakura with
Shinichiro Ushigome in thecentre. On his right his P.E.
Visser (Product Development Manager for Europe based in Leiden). On his
left Kazuo Okubo (Managing Director for Europe).
This column from top: Mt Fuji; Robert Osamura
with the key members of the Congress Organisers;
Posters on the Pathology Reported by Japanese
Pathologjsts; K.R. Harilal, Kottyam, India (President of the Indian Division of IAP), Anita Borges(Tata Memorial Hospital, India), Robin Cooke(Editor of the News Bulletin). The Editor enteredinto the spirit of Nagoya by wearing a jacket
whose design is an official Japanese Scottish tartan. The fabric was woven in Nagoya by the Miyuki House Clothing Company. The design wasendorsed by the Scottish Tartans Society of Pittlochry, Perthshire, Scotland as the Miyuki Tartan.

This column from top: Prince Hitachi and Princess Hanako
mingling with the delegates. Robin Cooke and Shinichiro
Ushigome happen to be in this picture; A young lady being
presented at the temple on a feast day; A craft room provided
accompanying persons an opportunity to learn origami (paper folding) and to be fitted with a kimono.

4Messages to Young Pathologists contin-

ries to be thus inspected and licensed. Pathologists must become skilled administrators to ensure that laboratories run smoothly and efficiently and produce timely and accurate results.
To go with the licensing of laboratories, governments (representing the taxpayers) are demanding that medical practitioners, including pathologists, should demonstrate that they are participating in regular continuing education programs. They are being forced to undergo re-accreditation at regular intervals. This regulatory
requirement poses problems for pathologists
and for the various pathology organisations.
Pathologists acquire continuing education byattending meetings, both local, national andinternational, by reading medical literature, andby participating in educational slide exchange
programs etc. The challenge is to provide educational activities that are acceptable to the licensing bodies and also to the participating pathologist. This cannot be done entirely by meetings
because the funds for such travel are becoming
more difficult to obtain. It is therefore necessary
to transport the educational material to thedoctors at their place of work. The obvious way
to do this is by either CD rom technology or bytransmission via the Internet. A computer has
become almost as necessary for a pathologist as
is a microscope and increasingly pathologists
have a computer on their desk next to theirmicroscope and often they have another computer at home. This means that web-based education programs, delivered either by CD rom orby the Internet are now the obvious way forward in providing educational material. This

This is the second volume in the new
WHO Classification of Tumours. It
was launched at the recent I.A.P.
meeting in Nagoya and can be obtained from:IARC Press
International Agency for
Research on Cancer (IARC)
Lyon France
Tel + 33 4 7273 8515 / Fax +33 4 7273 8302
World Health Organisation
Marketing and Dissemination
Geneva Switzerland
Tel + 41 22 791 24 76 / Fax +41 22 791 48
57
WHO Publications Centre, Albany, NY (USA)Tel +1 518 436 9686 / Fax + 1 518 436 7433
qcorp@compuserve.cpm
Oxford University Press (OUP)OUP Oxford (UK)Tel +44 1536 741 727
24 Hours Hotline:
Tel +44 1536 454534 / Fax +44 1865 267 782
book.orders@oup.co.uk
OUP Cary, NC (USA)5

could also help to deliver teaching material topathologists in isolated areas, or in countries
where there is not enough money to provide
continuing education courses such as have become familiar in Western countries. A CD
rom-based continuing education program simulating a glass slide seminar was demonstrated
at the workshop. At other sessions during theconference many other methods of presenting
material by web-based or telepathology media
were demonstrated. To be acceptable to pathologists, such programs must have good quality
images that simulate what is seen with a microscope, and be very easy to access and to use.
A member of the audience mentioned one ofthe problems for pathology in some Eastern
European countries is that pathology is held in
fairly low esteem, and is mainly post mortem-based. In this region there is a great needto educate pathologists in surgical pathology,
and perhaps equally importantly, to educate
surgeons and internists in the value to them of
having the input of well trained pathologists.
In summary, it was agreed that while there aremany problems in the recruiting of young
doctors into the specialty of pathology, current
practitioners are optimistic for the future ofpathology and excited about the possibilities
for embracing the new technologies that continue to become available. Some of the younger pathologists also mentioned that organisations such as the I.A.P. were fostering communication and understanding between pathologists in different countries. Such collaboration
will continue to be extremely beneficial to all
who participate in it.
Robin Cooke, Editor.

IAP IN ACTIONHUNGARIAN DIVISION
The Hungarian Division of IAP promotes
and facilitates the attendance of theirmembers at designated scientific meetings. The preferred events this year werethe 1st Intercontinental Congress of Pathology (Funchal, Madeira, Portugal), the
USCAP Annual
Meeting in New
Orleans, the 16th Congress of the European Association for Cancer Research(EACR) and most importantly, the XXIIIInternational Congress of IAP in Nagoya.
As a rule, the prerequisite for any financial support (which covers the registration
fee and travel expenses) is an abstract accepted by the Congress which the member wishes to attend. For young members, the annual postgraduate training
course organized by the German Division
in Bonn has long been a very fruitful
event. At this course the accommodation
too is paid by the Hungarian Division.
This year the Annual Congress of Hungarian Pathologists was hosted in Eger, atown famous for its historical heritage andfine wines. This very successful Congress
was organized under the joint sponsorshipof the Hungarian Division and the Societyof Hungarian Pathologists. Traditionally,
these Congresses invite recognized experts
from all over the world. This year the invited speaker was Dr. Rosemary Walker
from Liecester, England.
In recent years the Division supported
many of the Pathological Departments in
Hungary in obtaining pathology textbooks. This year we are undertaking aneven bigger task: the Division aims tobecome the flagship of telepathology inthe country. The first steps were taken in
Eger: there was a face-to-face discussion
meeting about this issue, where the strategies were outlined, interactive software
was developed and presented, and now
the feasibility program is underway.
The Division is active in maintaining
contact with pathologists from neighbouring countries. A successful slide seminar was held in the lecture hall of the
2nd Department of Pathology of theSemmelweis University in Budapest on
24th November, 2000. The organizer of
the Slide Seminar was Dr. Juan Piri from
Edinburgh (Scotland) upon the invita-

FRENCH DIVISIONThe June edition of the Bulletin of theFrench Division was published in aslightly different format from previous
editions. It is now in full colour. The reports of cases presented at the various
seminars sponsored by the Division are
now published with colour illustrationsof the cases.
The Division conducts a very active continuing education program consisting of
lectures and slide seminars for pathologists in training as well as for practising
pathologists.
The Division has two major meetingseach year, one in October and the otherin May. At the meeting in October 2000
the two invited speakers were Dr David
Bostwick from Richmond, Virginia, USA
who spoke on Prostate Pathology, and Dr
John Eble from Indianapolis, Indiana,
USA. His theme was Renal Pathology.
The 2001 Spring meeting of the Division
will be held at Amiens on May 17 and 18.
Thursday 17th will be taken up withmeetings of specialty clubs. The theme
for the Friday meeting will be Inflammatory Disease of the Gastro-Intestinal
Tract. Anyone wishing to attend thismeeting should contact the Secretariat,
32, Cours Albert Thomas, 69008, Lyon,
France. Fax 04 78 75 4311. Email academie.pathology@wanadoo.fr
Congratulations to Francis Jaubert andhis team who ran the Nice Congress in
1998. It was the most successful Congress
yet in terms of numbers of delegates andprofitability.

Francis Jaubert

BOLIVIAN DIVISION
The Division held its Annual Meetingin Sucre from September 28 - 30, 2000.
Day 1 was devoted to Sexually Transmitted Infectious Diseases. Day 2 had amixture of papers covering Breast, Liverand Bone Pathology. The third day was
devoted mainly to Paediatric Pathology.
IAP IN ACTION continued Pg 6

INTERNATIONAL PATHOLOGY (ISSN 0020-8205)
is published quarterly by International Academy of
Pathology, AFIP, Washington, D.C. 20306.
Periodicals postage at Washington, D.C. andadditional mailing offices.

POSTMASTER:
Send address changes to:Administrative Officer
International Academy of Pathology
3643 Walton Way Extension
Augusta, Georgia 30909-7550

6tion of the Division. The subject was liver
tumors, with more than 100 participantsfrom all over Hungary and 8 colleagues
from Romania as well.
My term as president of IAP expired on
30th November, 2000. I was deeply honoured to have been given this prestigious
position. It was a challenge and I hope I
have fulfilled the requirements set for the
President.
I wish to express my sincere thanks to all
those who have supported the President’s
work during these past two years. I think
my main achievement has been the facilitation of a future cooperation between IAP
and ESP (European Society of Pathology).
IAP will officially participate at the coming
ESP (European Society of Pathology) Congress in Berlin in 2001. To reciprocate,
there will be an official ESP representation
at the International Congress of the IAP in
Amsterdam in 2002.

Anna Kadar, Retiring President of The IAP.

MEETINGS
18th European Congress of
Pathology - European Society of
Pathology.
Berlin, Germany
September 8 - 13, 2001
Organiser: Professor Manfred Dietel
manfred.dietel@charite.deFor further information please contact:
CTW - Congress Organisation Thomas
Wiese GmbH GoBlerstr 30 D-12161 Berlin
Ph: +49 030 8599620 Fax: +85 079826
www.ctw-congress.de/pathology

Challenges and Opportunities in Pathology
October 4 - 7, 2001
International Joint Congress
Royal College of Pathologists of Australasia, Hong Kong College of Pathologists,
Hong Kong Division of the International
Academy of Pathology
Secretariat: COP 2001.
Ph: 852 2871 8878 ; Fax: 852 2871 8898;
Email: confdept@hkam.org.hk ;Website http://www.hkcpath.org

Annual USCAP Meeting
Atlanta Georgia, March 3-9, 2001
For Further Information
Contact : Ms JoAnne Johnson.
Fax: +1 706 733 8033 /Email: johnson@uscap.usa.com
Website: http://www.uscap.org

Tutorial on Neoplastic Hematopathology
February 5-February 9, 2001
Sheraton Biscayne Bay Hotel, Miami, Fa.
The Tutorial, sponsored by The Department of Pathology, Weill Medical Collegeof Cornell University, will be under the
direction of Dr. Daniel M. Knowles. The
program will consist of lectures and workshops. The registration fee (excluding microscope rental, meals and lodging) is$1,125.
For further information, please contact:
Ms. Gina L. Imperato, Tutorial Administrator, Department of Pathology, CUMC Room
302, 1300 York Avenue, New York, N.Y.,
10021
Telephone: (212) 746-6464;
Fax: (212) 746-8192;
E-mail: glimpera@mail.med.cornell.edu

BRITISH DIVISION
Joint Meeting with the PathologicalSociety of Great Britain
Liverpool, July 3 - 6, 2001

Published four times a year by theInternational Academy of Pathology.

IAP WEBSITE
http://www.afip.org/iap
PRESIDENT
Stephen Vogel,
Emeritus Professor,
Duke University, Durham, USA
SECRETARY
Florabel G. Mullick
Armed Forces Institute of Pathology
Washington, DC 20306-6000 USA
Fax: 1-202-782-7166
Email: mullick@email.afip.osd.mil
AFIP Website: http://www.afip.org
TREASURER
Jack P. Strong
Louisiana State University Medical Center
New Orleans, USA
EDITOR
Robin Cooke
Wesley Medical Centre
Brisbane, Australia
Fax: +61 7 3870 4710
Email: cooker@ozemail.com.au
Home Page: http://www.anatpath.com

Contact: Administrative Secretary of the British
Division, Carol Harris, P.O. Box 73, Westbury
on Trym, Bristol BS9 1RY, UK. Ph: 0117 907
7940 / Fax: 0117 907 7941 / Email: bdiap@
cableinet.co.uk
British Division Website:
http://www.le.ac.uk/pa/pnfL/IAP/iaphome.htm
Periodicals postage paid at
Washington, D.C. and additional
mailing office.

The New IAP Executive
Jack Strong (Treasurer),
Anna Kadar (Past President),
Florabel Mullick (Secretary),
Stephen Vogel (President).

Vol 41 No 4 2000

Sayonara
NagoyaP

rofessor Rikuo Machinami (Presidentof the Congress), Professor Shinichiro Ushigome (President of the Japanese
Division of the I.A.P.), their Organising
Committee and all of the Japanese pathologists who contributed to the meeting are to be congratulated for its successful outcome. The sponsors and thecompanies that had displays at the Congress also contributed to its successthrough the money they provided. Mr
Masumi Arakawa, an Assistant Managerof the Convention Centre was one ofthose who co-ordinated the facilities of
the centre. The young ladies of the congress organisation company and Professor Shigeo Mori’s secretary were unobtrusive as far as the delegates were concerned, but they worked busily to keep
the functions running according to theprogram.
A review of any Congress includes thestatistics - how many delegates ; which
sessions were well attended ; whichwere not ; did it cover its expenses.
But the real essence is did it havea positive and useful influence on
the delegates who attended ;were they stimulated and inspired. This is more difficult
to assess but its crudest assessment is whether the delegates will attend “the nextone”.
What can delegates expect
to gain from a conferencesuch as this - new information, new insights, re-inforcement of existingknowledge, inspiration (anurge to learn something new,an urge to do something differently
from before), a stimulating speaker who
uses a way of presenting data (tellingstories, capturing an audience) that is
worth copying, an insight into a way of

Top: The chief representatives of the Japanese Division of the IAP, L-R Rear; Osamu Matsubara (Secretary-Treasurer), Robert Osamura (President Elect).
Seated: Shinichiro Ushigome (President), Rikuo
Machinami (President of the Congress), Minoru Suzuki (Past President). Middle from left: Jun-Ichi
Hata (Treasurer of the Congress), Atsuhiko Sakamoto, (Secretary General of the Congress). Bottom fromleft: Tomoyuki Shirai (Chairman of the Nagoya Task
Comittee), Shigeo Mori (Chairman of the Scientific
Program Committee).

solving a problem of your own (administrative, technical, research).
For those presenting papers, posters,
workshops etc. the stimulation, thefrustration, the agony, the tedium, thelong hours of work that are rewarded by
the joy of having “created” something.
continued page 3

Messages to Young Pathologists contin-

ries to be thus inspected and licensed. Pathologists must become skilled administrators to ensure that laboratories run smoothly and efficiently and produce timely and accurate results.
To go with the licensing of laboratories, governments (representing the taxpayers) are demanding that medical practitioners, including pathologists, should demonstrate that they are participating in regular continuing education programs. They are being forced to undergo re-accreditation at regular intervals. This regulatory
requirement poses problems for pathologists
and for the various pathology organisations.
Pathologists acquire continuing education byattending meetings, both local, national andinternational, by reading medical literature, andby participating in educational slide exchange
programs etc. The challenge is to provide educational activities that are acceptable to the licensing bodies and also to the participating pathologist. This cannot be done entirely by meetings
because the funds for such travel are becoming
more difficult to obtain. It is therefore necessary
to transport the educational material to thedoctors at their place of work. The obvious way
to do this is by either CD rom technology or bytransmission via the Internet. A computer has
become almost as necessary for a pathologist as
is a microscope and increasingly pathologists
have a computer on their desk next to theirmicroscope and often they have another computer at home. This means that web-based education programs, delivered either by CD rom orby the Internet are now the obvious way forward in providing educational material. This

This is the second volume in the new
WHO Classification of Tumours. It
was launched at the recent I.A.P.
meeting in Nagoya and can be obtained from:IARC Press
International Agency for
Research on Cancer (IARC)
Lyon France
Tel + 33 4 7273 8515 / Fax +33 4 7273 8302
World Health Organisation
Marketing and Dissemination
Geneva Switzerland
Tel + 41 22 791 24 76 / Fax +41 22 791 48
57
WHO Publications Centre, Albany, NY (USA)Tel +1 518 436 9686 / Fax + 1 518 436 7433
qcorp@compuserve.cpm
Oxford University Press (OUP)OUP Oxford (UK)Tel +44 1536 741 727
24 Hours Hotline:
Tel +44 1536 454534 / Fax +44 1865 267 782
book.orders@oup.co.uk
OUP Cary, NC (USA)5

could also help to deliver teaching material topathologists in isolated areas, or in countries
where there is not enough money to provide
continuing education courses such as have become familiar in Western countries. A CD
rom-based continuing education program simulating a glass slide seminar was demonstrated
at the workshop. At other sessions during theconference many other methods of presenting
material by web-based or telepathology media
were demonstrated. To be acceptable to pathologists, such programs must have good quality
images that simulate what is seen with a microscope, and be very easy to access and to use.
A member of the audience mentioned one ofthe problems for pathology in some Eastern
European countries is that pathology is held in
fairly low esteem, and is mainly post mortem-based. In this region there is a great needto educate pathologists in surgical pathology,
and perhaps equally importantly, to educate
surgeons and internists in the value to them of
having the input of well trained pathologists.
In summary, it was agreed that while there aremany problems in the recruiting of young
doctors into the specialty of pathology, current
practitioners are optimistic for the future ofpathology and excited about the possibilities
for embracing the new technologies that continue to become available. Some of the younger pathologists also mentioned that organisations such as the I.A.P. were fostering communication and understanding between pathologists in different countries. Such collaboration
will continue to be extremely beneficial to all
who participate in it.
Robin Cooke, Editor.

IAP IN ACTIONHUNGARIAN DIVISION
The Hungarian Division of IAP promotes
and facilitates the attendance of theirmembers at designated scientific meetings. The preferred events this year werethe 1st Intercontinental Congress of Pathology (Funchal, Madeira, Portugal), the
USCAP Annual
Meeting in New
Orleans, the 16th Congress of the European Association for Cancer Research(EACR) and most importantly, the XXIIIInternational Congress of IAP in Nagoya.
As a rule, the prerequisite for any financial support (which covers the registration
fee and travel expenses) is an abstract accepted by the Congress which the member wishes to attend. For young members, the annual postgraduate training
course organized by the German Division
in Bonn has long been a very fruitful
event. At this course the accommodation
too is paid by the Hungarian Division.
This year the Annual Congress of Hungarian Pathologists was hosted in Eger, atown famous for its historical heritage andfine wines. This very successful Congress
was organized under the joint sponsorshipof the Hungarian Division and the Societyof Hungarian Pathologists. Traditionally,
these Congresses invite recognized experts
from all over the world. This year the invited speaker was Dr. Rosemary Walker
from Liecester, England.
In recent years the Division supported
many of the Pathological Departments in
Hungary in obtaining pathology textbooks. This year we are undertaking aneven bigger task: the Division aims tobecome the flagship of telepathology inthe country. The first steps were taken in
Eger: there was a face-to-face discussion
meeting about this issue, where the strategies were outlined, interactive software
was developed and presented, and now
the feasibility program is underway.
The Division is active in maintaining
contact with pathologists from neighbouring countries. A successful slide seminar was held in the lecture hall of the
2nd Department of Pathology of theSemmelweis University in Budapest on
24th November, 2000. The organizer of
the Slide Seminar was Dr. Juan Piri from
Edinburgh (Scotland) upon the invita-

FRENCH DIVISIONThe June edition of the Bulletin of theFrench Division was published in aslightly different format from previous
editions. It is now in full colour. The reports of cases presented at the various
seminars sponsored by the Division are
now published with colour illustrationsof the cases.
The Division conducts a very active continuing education program consisting of
lectures and slide seminars for pathologists in training as well as for practising
pathologists.
The Division has two major meetingseach year, one in October and the otherin May. At the meeting in October 2000
the two invited speakers were Dr David
Bostwick from Richmond, Virginia, USA
who spoke on Prostate Pathology, and Dr
John Eble from Indianapolis, Indiana,
USA. His theme was Renal Pathology.
The 2001 Spring meeting of the Division
will be held at Amiens on May 17 and 18.
Thursday 17th will be taken up withmeetings of specialty clubs. The theme
for the Friday meeting will be Inflammatory Disease of the Gastro-Intestinal
Tract. Anyone wishing to attend thismeeting should contact the Secretariat,
32, Cours Albert Thomas, 69008, Lyon,
France. Fax 04 78 75 4311. Email academie.pathology@wanadoo.fr
Congratulations to Francis Jaubert andhis team who ran the Nice Congress in
1998. It was the most successful Congress
yet in terms of numbers of delegates andprofitability.

Francis Jaubert

BOLIVIAN DIVISION
The Division held its Annual Meetingin Sucre from September 28 - 30, 2000.
Day 1 was devoted to Sexually Transmitted Infectious Diseases. Day 2 had amixture of papers covering Breast, Liverand Bone Pathology. The third day was
devoted mainly to Paediatric Pathology.
IAP IN ACTION continued Pg 6

INTERNATIONAL PATHOLOGY (ISSN 0020-8205)
is published quarterly by International Academy of
Pathology, AFIP, Washington, D.C. 20306.
Periodicals postage at Washington, D.C. andadditional mailing offices.

POSTMASTER:
Send address changes to:Administrative Officer
International Academy of Pathology
3643 Walton Way Extension
Augusta, Georgia 30909-7550

6tion of the Division. The subject was liver
tumors, with more than 100 participantsfrom all over Hungary and 8 colleagues
from Romania as well.
My term as president of IAP expired on
30th November, 2000. I was deeply honoured to have been given this prestigious
position. It was a challenge and I hope I
have fulfilled the requirements set for the
President.
I wish to express my sincere thanks to all
those who have supported the President’s
work during these past two years. I think
my main achievement has been the facilitation of a future cooperation between IAP
and ESP (European Society of Pathology).
IAP will officially participate at the coming
ESP (European Society of Pathology) Congress in Berlin in 2001. To reciprocate,
there will be an official ESP representation
at the International Congress of the IAP in
Amsterdam in 2002.

Anna Kadar, Retiring President of The IAP.

MEETINGS
18th European Congress of
Pathology - European Society of
Pathology.
Berlin, Germany
September 8 - 13, 2001
Organiser: Professor Manfred Dietel
manfred.dietel@charite.deFor further information please contact:
CTW - Congress Organisation Thomas
Wiese GmbH GoBlerstr 30 D-12161 Berlin
Ph: +49 030 8599620 Fax: +85 079826
www.ctw-congress.de/pathology

Challenges and Opportunities in Pathology
October 4 - 7, 2001
International Joint Congress
Royal College of Pathologists of Australasia, Hong Kong College of Pathologists,
Hong Kong Division of the International
Academy of Pathology
Secretariat: COP 2001.
Ph: 852 2871 8878 ; Fax: 852 2871 8898;
Email: confdept@hkam.org.hk ;Website http://www.hkcpath.org

Annual USCAP Meeting
Atlanta Georgia, March 3-9, 2001
For Further Information
Contact : Ms JoAnne Johnson.
Fax: +1 706 733 8033 /Email: johnson@uscap.usa.com
Website: http://www.uscap.org

Tutorial on Neoplastic Hematopathology
February 5-February 9, 2001
Sheraton Biscayne Bay Hotel, Miami, Fa.
The Tutorial, sponsored by The Department of Pathology, Weill Medical Collegeof Cornell University, will be under the
direction of Dr. Daniel M. Knowles. The
program will consist of lectures and workshops. The registration fee (excluding microscope rental, meals and lodging) is$1,125.
For further information, please contact:
Ms. Gina L. Imperato, Tutorial Administrator, Department of Pathology, CUMC Room
302, 1300 York Avenue, New York, N.Y.,
10021
Telephone: (212) 746-6464;
Fax: (212) 746-8192;
E-mail: glimpera@mail.med.cornell.edu

BRITISH DIVISION
Joint Meeting with the PathologicalSociety of Great Britain
Liverpool, July 3 - 6, 2001

Published four times a year by theInternational Academy of Pathology.

IAP WEBSITE
http://www.afip.org/iap
PRESIDENT
Stephen Vogel,
Emeritus Professor,
Duke University, Durham, USA
SECRETARY
Florabel G. Mullick
Armed Forces Institute of Pathology
Washington, DC 20306-6000 USA
Fax: 1-202-782-7166
Email: mullick@email.afip.osd.mil
AFIP Website: http://www.afip.org
TREASURER
Jack P. Strong
Louisiana State University Medical Center
New Orleans, USA
EDITOR
Robin Cooke
Wesley Medical Centre
Brisbane, Australia
Fax: +61 7 3870 4710
Email: cooker@ozemail.com.au
Home Page: http://www.anatpath.com

Contact: Administrative Secretary of the British
Division, Carol Harris, P.O. Box 73, Westbury
on Trym, Bristol BS9 1RY, UK. Ph: 0117 907
7940 / Fax: 0117 907 7941 / Email: bdiap@
cableinet.co.uk
British Division Website:
http://www.le.ac.uk/pa/pnfL/IAP/iaphome.htm
Periodicals postage paid at
Washington, D.C. and additional
mailing office.

The New IAP Executive
Jack Strong (Treasurer),
Anna Kadar (Past President),
Florabel Mullick (Secretary),
Stephen Vogel (President).

Vol 41 No 4 2000

Sayonara
NagoyaP

rofessor Rikuo Machinami (Presidentof the Congress), Professor Shinichiro Ushigome (President of the Japanese
Division of the I.A.P.), their Organising
Committee and all of the Japanese pathologists who contributed to the meeting are to be congratulated for its successful outcome. The sponsors and thecompanies that had displays at the Congress also contributed to its successthrough the money they provided. Mr
Masumi Arakawa, an Assistant Managerof the Convention Centre was one ofthose who co-ordinated the facilities of
the centre. The young ladies of the congress organisation company and Professor Shigeo Mori’s secretary were unobtrusive as far as the delegates were concerned, but they worked busily to keep
the functions running according to theprogram.
A review of any Congress includes thestatistics - how many delegates ; which
sessions were well attended ; whichwere not ; did it cover its expenses.
But the real essence is did it havea positive and useful influence on
the delegates who attended ;were they stimulated and inspired. This is more difficult
to assess but its crudest assessment is whether the delegates will attend “the nextone”.
What can delegates expect
to gain from a conferencesuch as this - new information, new insights, re-inforcement of existingknowledge, inspiration (anurge to learn something new,an urge to do something differently
from before), a stimulating speaker who
uses a way of presenting data (tellingstories, capturing an audience) that is
worth copying, an insight into a way of

Top: The chief representatives of the Japanese Division of the IAP, L-R Rear; Osamu Matsubara (Secretary-Treasurer), Robert Osamura (President Elect).
Seated: Shinichiro Ushigome (President), Rikuo
Machinami (President of the Congress), Minoru Suzuki (Past President). Middle from left: Jun-Ichi
Hata (Treasurer of the Congress), Atsuhiko Sakamoto, (Secretary General of the Congress). Bottom fromleft: Tomoyuki Shirai (Chairman of the Nagoya Task
Comittee), Shigeo Mori (Chairman of the Scientific
Program Committee).

solving a problem of your own (administrative, technical, research).
For those presenting papers, posters,
workshops etc. the stimulation, thefrustration, the agony, the tedium, thelong hours of work that are rewarded by
the joy of having “created” something.
continued page 3