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Quintyn-Ranty ML, Gordien K, Caveriviere P, Mery É, Jamme-Lallemand M, Wuithier P, Palasse J, Reyre J, Laborie V, Despax B, Rolland V, Thibaut I, Maissongrosse V, Escourrou G, Duprez-Paumier R, Bauvin É, Jacob M, Lacroix-Triki M. [Improving practice in breast pathology: 34-months experience of the regional SENOPATH network and webinars as a tool for diagnosis of difficult lesions of the breast]. Bull Cancer 2015; 102:823-33. [PMID: 26384691 DOI: 10.1016/j.bulcan.2015.07.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2015] [Revised: 07/09/2015] [Accepted: 07/13/2015] [Indexed: 10/23/2022]
Abstract
Pathologists commonly face breast lesions that are difficult to diagnose. To reduce second opinion delay, erase geographical barrier and provide continuing education, we aimed to develop a telepathology-based regional network of pathologists. With the support of ONCOMIP network, we founded a peer-group named SENOPATH, composed of experienced breast pathologists practising in private laboratories, university hospitals or comprehensive cancer center in the region of Midi-Pyrénées in France. Submitted cases are digitalized at the University Hospital, stored in a shared space with a possible access via Internet prior to the SENOPATH sessions. The group meets monthly, via a synchronized webinar and multihead microscope session. A consensual diagnosis and final pathology report is issued for each case, and sent to the referring clinician via the patient medical file securely hosted by ONCOMIP. Between 2012 and 2014, 142 cases were reviewed, for either diagnostic 'routine' difficulty or rare histological type. The SENOPATH group, also regularly called by oncologists to solve difficult cases, has considerably improved the pathologist network in Southern France. Supported by the webinar tool, its educational impact is prominent, with a considerable progress in the region with regards to standardization of pathology processes, literature review and knowledge sharing.
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Affiliation(s)
- Marie-Laure Quintyn-Ranty
- CHU de Toulouse, service d'anatomie et de cytologie pathologiques, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France
| | - Karine Gordien
- Réseau de cancérologie de Midi-Pyrénées ONCOMIP, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France
| | - Paul Caveriviere
- Laboratoire d'anatomie et de cytologie pathologiques des feuillants, 116, route d'Espagne, 31000 Toulouse, France
| | - Éliane Mery
- Institut Claudius-Regaud, service d'anatomie et de cytologie pathologiques, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France
| | - Muriel Jamme-Lallemand
- Clinique Claude-Bernard, service d'anatomie et de cytologie pathologiques, 1, rue Père-Colombier, 81030 Albi cedex 09, France
| | - Pascal Wuithier
- Laboratoire d'anatomie et de cytologie pathologiques, 13, rue Carnot, 65000 Tarbes, France
| | - Julien Palasse
- Laboratoire d'anatomie et de cytologie pathologiques, 9, rue Viscose, 31100 Toulouse, France
| | - Joelle Reyre
- Laboratoire d'anatomie et de cytologie pathologiques des feuillants, 116, route d'Espagne, 31000 Toulouse, France
| | - Vincent Laborie
- Laboratoire d'anatomie et de cytologie pathologiques de Montauban, 43, avenue Charles-de-Gaulle, 82000 Montauban, France
| | - Brigitte Despax
- Laboratoire d'anatomie et de cytologie pathologiques, 62, boulevard des récollets, 31400 Toulouse, France
| | - Véronique Rolland
- Laboratoire d'anatomie et de cytologie pathologiques, 62, boulevard des récollets, 31400 Toulouse, France
| | - Isabelle Thibaut
- Centre de pathologie des coteaux, 5, rue Boyssonne, BP 14001, 31078 Toulouse cedex 4, France
| | - Véronique Maissongrosse
- Institut Claudius-Regaud, service d'anatomie et de cytologie pathologiques, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France
| | - Ghislaine Escourrou
- CHU de Toulouse, service d'anatomie et de cytologie pathologiques, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France
| | - Raphaëlle Duprez-Paumier
- CHU de Toulouse, service d'anatomie et de cytologie pathologiques, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France
| | - Éric Bauvin
- Réseau de cancérologie de Midi-Pyrénées ONCOMIP, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France
| | - Michel Jacob
- Université Paul-Sabatier, département TIC/TICE et multimédia (DTSI), 118, route de Narbonne, 31062 Toulouse cedex 9, France
| | - Magali Lacroix-Triki
- Institut Claudius-Regaud, service d'anatomie et de cytologie pathologiques, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France.
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Dartigues P, Isaac S, Villeneuve L, Glehen O, Capovilla M, Chevallier A, Croce S, Kaci R, Lang-Averous G, Laverriere MH, Leroux-Broussier A, Mery É, Poizat F, Valmary-Degano S, Verriele-Beurrier V, Gilly FN, Bibeau F. [Peritoneal pseudomyxoma: an overview emphasizing pathological assessment and therapeutic strategies]. Ann Pathol 2014; 34:14-25. [PMID: 24630633 DOI: 10.1016/j.annpat.2014.01.012] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2014] [Accepted: 01/17/2014] [Indexed: 02/01/2023]
Abstract
Pseudomyxoma peritonei is a clinical entity characterized by a gelatinous ascite associated with mucinous tumor deposits spreading on peritoneal surface and potentially invading abdominal organs. It is considered as a tumor process linked, in most of cases, to a mucinous appendiceal neoplasm. Pseudomyxoma peritonei may benefit from a therapeutic strategy combining cytoreductive surgery and intra-peritoneal chemotherapy, which has led to a major prognosis improvement. Different classifications are available and the last one corresponds to the WHO 2010 version, which individualizes pseudomyxoma peritonei in two classes: low grade and high grade mucinous carcinoma. The very low frequency of this entity and its specific therapeutic strategy need specific health care centres, as well as physicians and pathologists collaborating through dedicated networks. The aim of this article is to summarize the pathology, causes, mechanisms and therapeutic approaches of pseudomyxoma peritonei, as well as their interfaces with dedicated networks.
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Affiliation(s)
- Peggy Dartigues
- Département d'anatomie pathologique, institut Gustave-Roussy, 94805 Villejuif, France
| | - Sylvie Isaac
- Service d'anatomie pathologique, centre hospitalier Lyon-Sud, hospices civils de Lyon, 69495 Pierre-Bénite, France
| | - Laurent Villeneuve
- Pôle information médicale, unité de recherche clinique, hospices civils de Lyon, 69495 Lyon, France
| | - Olivier Glehen
- Service de chirurgie générale et digestive, centre hospitalier Lyon-Sud, hospices civils de Lyon, 69495 Pierre-Bénite, France
| | - Mathieu Capovilla
- Département d'anatomie pathologique, centre François-Baclesse, 14076 Caen, France
| | - Anne Chevallier
- Service d'anatomie pathologique, CHU l'Archet II, 06200 Nice, France
| | - Sabrina Croce
- Département d'anatomie pathologique, institut Bergonié, 33076 Bordeaux, France
| | - Rachid Kaci
- Service d'anatomie pathologique, CHU Lariboisière, 75010 Paris, France
| | | | | | - Agnès Leroux-Broussier
- Département d'anatomie pathologique, institut de cancérologie de Lorraine, 54519 Vandœuvre-lès-Nancy, France
| | - Éliane Mery
- Département d'anatomie pathologique, institut Claudius-Regaud, 31052 Toulouse, France
| | - Flora Poizat
- Département d'anatomie pathologique, institut Paoli-Calmettes, 13273 Marseille, France
| | | | | | - François-Noël Gilly
- Service de chirurgie générale et digestive, centre hospitalier Lyon-Sud, hospices civils de Lyon, 69495 Pierre-Bénite, France
| | - Frédéric Bibeau
- Service d'anatomie pathologique, Institut Régional du Cancer de Montpellier-Val d'Aurelle, 34298 Montpellier, France.
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Mery É, Hommell-Fontaine J, Capovilla M, Chevallier A, Bibeau F, Croce S, Dartigues P, Kaci R, Lang-Averous G, Laverriere MH, Leroux-Broussier A, Poizat F, Robin N, Valmary-Degano S, Verriele-Beurrier V, Villeneuve L, Isaac S. Mésothéliome malin péritonéal : mise au point et données actuelles. Ann Pathol 2014; 34:26-33. [DOI: 10.1016/j.annpat.2014.01.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2014] [Accepted: 01/10/2014] [Indexed: 01/29/2023]
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