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Review
. 2022 Oct:178:103776.
doi: 10.1016/j.critrevonc.2022.103776. Epub 2022 Aug 5.

The evolving landscape of anatomic pathology

Pasquale Pisapia  1 , Vincenzo L'Imperio  2 , Francesca Galuppini  3 , Elham Sajjadi  4 , Alessandro Russo  5 , Bruna Cerbelli  6 , Filippo Fraggetta  7 , Giulia d'Amati  6 , Giancarlo Troncone  1 , Matteo Fassan  8 , Nicola Fusco  4 , Fabio Pagni  2 , Umberto Malapelle  1
Affiliations
Review

The evolving landscape of anatomic pathology

Pasquale Pisapia et al. Crit Rev Oncol Hematol. 2022 Oct.

Abstract

Anatomic pathology has changed dramatically in recent years. Although the microscopic assessment of tissues and cells is and will remain the mainstay of cancer diagnosis molecular profiling has become equally relevant. Thus, to stay abreast of the evolving landscape of today's anatomic pathology, modern pathologists must be able to master the intricate world of predictive molecular pathology. To this aim, pathologists have had to acquire additional knowledge to bridge the gap between clinicians and molecular biologists. This new role is particularly important, as cases are now collegially discussed in molecular tumor boards (MTBs). Moreover, as opposed to traditional pathologists, modern pathologists have also adamantly embraced innovation while keeping a constant eye on tradition. In this article, we depict the highlights and shadows of the upcoming "Anatomic Pathology 2.0" by placing particular emphasis on the pathologist's growing role in the management of cancer patients.

Keywords: Anatomic pathology, molecular pathology; Digital pathology; Next generation sequencing; Predictive pathology; Social media.

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Conflict of interest statement

Conflict of Interest Pasquale Pisapia has received personal fees as speaker bureau from Novartis, for work performed outside of the current study. Alessandro Russo reports advisory board role/consultancy for AstraZeneca, Novartis, Pfizer and MSD,unrelated to the current work. Giancarlo Troncone reports personal fees (as speaker bureau or advisor) from Roche, MSD, Pfizer, Boehringer Ingelheim, Eli Lilly, BMS, GSK, Menarini, AstraZeneca, Amgen and Bayer, unrelated to the current work. Matteo Fassan has received personal fees (as consultant and/or speaker bureau) from Astellas Pharma, Tesaro, GlaxoSmithKline, Diaceutics, MSD and Roche; he also received research fundings from Astellas Pharma, QED Therapeutics and Macrophage Pharma, for work performed outside of the current study. Nicola Fusco has received honoraria for consulting, advisory role, honoraria, travel, accommodation, and/or speaker bureau from Merck Sharp & Dohme (MSD), Boehringer Ingelheim, and Novartis, AstraZeneca, Daiichi Sankyo, GlaxoSmithKline (GSK), and Gilead for work performed outside of the current study. Fabio Pagni has received personal fees (as consultant and/or speaker bureau) from Novartis, Roche, MSD, Amgen, GSK and AstraZeneca, for work performed outside of the current study. Umberto Malapelle has received personal fees (as consultant and/or speaker bureau) from Boehringer Ingelheim, Roche, MSD, Amgen, Thermo Fisher Scientifics, Eli Lilly, Diaceutics, GSK, Merck and AstraZeneca, Janssen, Diatech, Novartis and Hedera unrelated to the current work. The other Authors have nothing to disclose.

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