title: [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].
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.
authors.affiliation: CHU de Toulouse, service d'anatomie et de cytologie pathologiques, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France.
authors.forename: Marie-Laure
authors.initials: ML
authors.lastname: Quintyn-Ranty
authors.affiliation: Réseau de cancérologie de Midi-Pyrénées ONCOMIP, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France.
authors.forename: Karine
authors.initials: K
authors.lastname: Gordien
authors.affiliation: Laboratoire d'anatomie et de cytologie pathologiques des feuillants, 116, route d'Espagne, 31000 Toulouse, France.
authors.forename: Paul
authors.initials: P
authors.lastname: Caveriviere
authors.affiliation: Institut Claudius-Regaud, service d'anatomie et de cytologie pathologiques, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France.
authors.forename: Éliane
authors.initials: É
authors.lastname: Mery
authors.affiliation: Clinique Claude-Bernard, service d'anatomie et de cytologie pathologiques, 1, rue Père-Colombier, 81030 Albi cedex 09, France.
authors.forename: Muriel
authors.initials: M
authors.lastname: Jamme-Lallemand
authors.affiliation: Laboratoire d'anatomie et de cytologie pathologiques, 13, rue Carnot, 65000 Tarbes, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Wuithier
authors.affiliation: Laboratoire d'anatomie et de cytologie pathologiques, 9, rue Viscose, 31100 Toulouse, France.
authors.forename: Julien
authors.initials: J
authors.lastname: Palasse
authors.affiliation: Laboratoire d'anatomie et de cytologie pathologiques des feuillants, 116, route d'Espagne, 31000 Toulouse, France.
authors.forename: Joelle
authors.initials: J
authors.lastname: Reyre
authors.affiliation: Laboratoire d'anatomie et de cytologie pathologiques de Montauban, 43, avenue Charles-de-Gaulle, 82000 Montauban, France.
authors.forename: Vincent
authors.initials: V
authors.lastname: Laborie
authors.affiliation: Laboratoire d'anatomie et de cytologie pathologiques, 62, boulevard des récollets, 31400 Toulouse, France.
authors.forename: Brigitte
authors.initials: B
authors.lastname: Despax
authors.affiliation: Laboratoire d'anatomie et de cytologie pathologiques, 62, boulevard des récollets, 31400 Toulouse, France.
authors.forename: Véronique
authors.initials: V
authors.lastname: Rolland
authors.affiliation: Centre de pathologie des coteaux, 5, rue Boyssonne, BP 14001, 31078 Toulouse cedex 4, France.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Thibaut
authors.affiliation: Institut Claudius-Regaud, service d'anatomie et de cytologie pathologiques, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France.
authors.forename: Véronique
authors.initials: V
authors.lastname: Maissongrosse
authors.affiliation: CHU de Toulouse, service d'anatomie et de cytologie pathologiques, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France.
authors.forename: Ghislaine
authors.initials: G
authors.lastname: Escourrou
authors.affiliation: CHU de Toulouse, service d'anatomie et de cytologie pathologiques, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France.
authors.forename: Raphaëlle
authors.initials: R
authors.lastname: Duprez-Paumier
authors.affiliation: Réseau de cancérologie de Midi-Pyrénées ONCOMIP, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France.
authors.forename: Éric
authors.initials: É
authors.lastname: Bauvin
authors.affiliation: Université Paul-Sabatier, département TIC/TICE et multimédia (DTSI), 118, route de Narbonne, 31062 Toulouse cedex 9, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Jacob
authors.affiliation: Institut Claudius-Regaud, service d'anatomie et de cytologie pathologiques, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France. Electronic address: lacroix.magali@iuct-oncopole.fr.
authors.forename: Magali
authors.initials: M
authors.lastname: Lacroix-Triki
mesh_terms: D001943:Breast Neoplasms / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D005602:France; D006801:Humans; D010338:Pathology, Clinical / Q000458:organization & administration*; D015397:Program Evaluation; D035583:Rare Diseases / Q000473:pathology; D019113:Telepathology / Q000458:organization & administration*
keywords: Breast cancer; Cancer du sein; Lames virtuelles; Lésion rare; Network; Rare tumor; Recours; Réseau; Second opinion; Telepathology; Télépathologie; Virtual slide