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: AR226-1919 H18636: Slide Reviewofpancreas lesions fram DuPont APFO Study DateofReview: 28 November 2001-11-29 Reviewing Pathologists: Dr EE McConnell and DrIR Foster Study No: HN-18636 SWyt1u4d,y6T4i3tl.e: Combined Chronic Toxicity/Oneogenicity Study with Linuron, C8 end Conclusionofthe review: th"eThierfoivnerdailnlgsc.onTclhuesiroenvoifewthceonrfeivrimeewod fthtehcetarwcoinsotguedniiecs ewfafesctthoaftAtPheFyOweirnethneotDiunPcoonnstisstteundty in awnads tchoensmiodsetreHdike0lbyeeaxdpelacnraetaisonedforstehensJiactkioffvointthyaencdoegveenleotpimceneftfoefctpofaAnPFcO raacietnhaaere3tfMfeiscttcsu,dy sctoumdbyisnheodwweidtthhaenfuulnldesrp-ercetprourmotnfgoAfPFthOe-iancdinuacrehdypaecripnlaarspiraotlhiafterwaatisonpsrefsrenotm. hyTpheerpDluasPioant tahsroaurgefhlteoctciaonrocfinionmaad.eqIutsahcoyuilndtbheenoorgtiendatlhtinttehrepcroetmamtieonnotfotnuesntuddyeburtrmeerepilsyonroretfiltenctitesnntdheged. . yefaacrtsthsatiknnotwhlcee3deMge,santdwdaiusscrriedmpionratytedi.onAoffhienaslecsuobtlne pfanciroerafttimicsalcesotinocnilsu,sohiaonsnadavwaanictesdaimnotrhee exteasive reviewofthe pancreas slides from the 3M study to be carried out by Dr McComnell. Sum1m. aArlyloofftthhee nreeovpileaws:tic findings originally diagnosed on the DuPont stady were 2. Ecloenvfeirnmoefdt.he hyperplasiesoriginallydiagnosedin group IIontheDuPstoudynwetre 3. `Tdwoowongfrtahedehdyp5e0rp8lapsoitastoobreigrienpaolrlyteddiaagsnhoyspeedrpilnagsirao.u I on the DuPont stdy were 4. Adn ado ditiow nalston w2osnacog inarbhr eypreerpa polratseidd aaswheyre peerdpilad agnsoisaed in group II Gig the review 5. I`nprsopcietsesowfhithcehsewcehraenngoetsotrhiegionvaelrlyaldlicaognncolsuesdioansfosrukt.heDuPstadoyrenmaitned that 6. AFPolFlOowiinngthalisismtiutdeydhcaodmsbhionwend raecvaizecwinboygeDnrisceFfofsetecrt afordthFreammael,eorftathepanpcarnecarse.as slides fwreorme ecpopnrfoixrimmeadtienlyth3e03aMnsitmuadlsya(snedlecatletdhobuyghDralFroaftmhe)e,asneivmearlals awceirnearnohtypreervpileawsieadsthe i`npdreulciemdinianrcyrceoansceliunsaicoinnoefrthhyepleirmpiltaesidareovnitehwwea3sMtshtautdyt.heDedriMd capCpeaorntohnbaeesabnleeAlnPFOrequestedtoreviewallofthepancreas"fomthe 3M study. 1 70 Introduction: ``oTnheAPpaFtOholwoagsyirneitviiaetewodbfecthaeuspeaincnretahse'3rMostmutdhye,wthwoicohncwoagsecnaircrtiyedsotuudtifeisrscto,tnhduecctoemdpion uthnedrat tahesmanoltecraart,csihnoogweendic&0ctlheaeproannccorgeeansiwcehfifleecitaotnhtehDeupPaonncrtesattuidcys,cwihniecrchavlise.s oTnhleyscloinddeircetveidewin wasrequestedtoconfirm orrefutethefindingsinthe pancreas'fromthe twostudies. S`TihteeroefvRieevwi1e0w0:k place at DuPont Haskell Laboratories, New rk, Delewaorne 28% November 2001 Those Present: DDrrJRoahnndyHFarnsaemne~--HSetauddyofPPaathtohloolgoigsyt,, DDuuPPoonntt HHaasskkeellll LLaabboorraattoorriieess,, DDeellaawwaarree,, UUSSAA DDrrCG RKeEnlcnoemdbey~,HBeiaodchoefmTiocxailcoTlaxoigcyo,loDguiPsto,ntDuHnadskeeellUnLiavbeorrsaittoyr,ieUsK,.Delaware, USA. DDrr JJoohhnn RBuFtoesntheorf,f,ReTvoixeicwoilnoggPiast,ho3lMog,isMti,nnAesstortaaZ,enUeScAa Pharmaceuticals, Cheshire, UK DrE E McConnell,ReviewingPathologist, Pata.abs, NorthCaroling, USA Conductof Review: 1. The STP Pancreas (G1u9i9de5l)winaesstfhoerbthaesdiiafgonrotshiesdoiafgPnorstoiclcriitfereLiearusieaodntsioinftvthheereeEvxioecwrpirnoecess. 2. Tpaongcertehaesr'wirtohmDrapFprraoxmiem,aotnel&yt3w0oahneiamdaelds rmiocmrotshceop3eM,DArPFFoOstesrtruedvyiwehwiecdhthinecluded 3. DwroMacnCiomnanlesflrlwomasthnoctoanbtlreolg0rreouvpieawntdhtehe3rMesmtauignydoenrthriosmoctchaestiopondboustehGaosupbe.en givente slides from (report pending). al ofthe animalsonthisstudytoreview in thenearfuture. 4 4. F'oErEMtheeC)rweevireewgoifvtehnesDuuPmonmt aAtParbFlyeOs Sotftuhyeotrhigrienvailedwiianggnpoestehso.logists (IRFand . 5. D`r MwctChohenpnreeelsiernntcieaeollfyerietvhiereawceidntahrehpyapnecrrpelaassssl,idaedsefnroommaoonrlcyatrhcoisneogmraohuapdIbleaennimals arneicmoardlesdf.roInmagdrdoiutipoInIh. eParnecvrieeaswesdlitdheesfparnocmrteahsegslrioduespf|coomnatloolafntihmeaplasifr-rfoemdtchoentrol 6. D"rDuFPoosnttesrrtahdeyn werenoreviewed. indepreevienweddtheesnametanlimaylsasDr McConnell from group IMcbCountnienllthheiandtecroensstisdoefretdisohno,owneldyprreovliifeewreadttivheosleesiaonnismaalnds/forrotmhogsreoudpeeImtehdatbDyrthe 7. sTthueddyipaagtnhoosliosgfisotmtobohatvheDsrhsoMwncCleosinonnsefalrnoldmFotsheteorrwigeirnaelirenpodrteofptheensrtdeudceyo.rndetdalnyd - 8. t`hAennywdeisraegrceoemmpeanrtesd.betweenthereviewing pathologists were then reviewed together oanddi2ttiwoon-alheraedvieedwmoifcrthoescsolpiedeas,ntdogeectohnesrewnistuhsargefreereednicentcoontshiedoerriagtiinoanodfiabgonotshitsh.e i // "5. DrervsieMwcaCnodmweelrle, Fjoositneerd,lHataenrsbeynaDardsFErlacmomebteh,eaBumetsetnohdoiasfncfdusKstehnenfeidnyfdionrgasfoifnathle 10.1dewbraiseas.greedthatDr Framewoulddeaf asinglepagereportoftheproceedingsand cpiartchuolloagtiesitst,otahdeDatrtscFordianmgemaemnbdeHrasnsfeo ncwoomumldenstigsnethrewfhiniac!hvtehresiroenviaseawinnagccarsze represcationof heprocesdings. 3 /2 : "Table 1: SummoafJrRFy 's reviewofthe DuPont pancreas slides. v L am|r Di SE Consensus Disagree | Poat | "=| Diagnosis eT) [Rooms [|TXX ] ow|]Toeisoose c|iKEereelmess| [ To | 7|i on] i e ee eneeemtetn y[oAdeamm]] . byperplasia);| hyperplasia _|Hyperplasia (4) I I--Ia J P 7 illPI E =To [NADTX |Rava | Hyperplasia |Hyperplasia()] Te 7 RaSHT62 "Adenoma Hypperlpleas(i3)a Te) | E-- [ --TE en1n s eeens es ]he aawemen] I=Bevr] llI a) I = a reviewed Somp0n) |[ereviemwed [Rese em eno) I = pe ls hn) ] . /3 } [ees [[een m[rFewese[n Pee] d] [1 J [ravasos| NAD |Hypemplsia(D)| focus [1 J T"Raoasis| 3 Basophiliciocus |Hyperplasia(1)| a I [TRemsi i focus Ew] [ [RT 4o6IL2| Hypeply sia |Hyperplasia(D)| [ TrT eas [Naby| Hyperplasia? [ Twm1 aotese| Nab7 | | -- TT 7"1 `Table 2: Comparison ofincidencesofproliferativelesionsintheacinarpancreasbetween Grwp2 | Grows [OrigimalDiaguoss| | 1 [Acmerhyperplasia | 8 | 2% | [Acnaradenoms | 1 |6 | . [Acmarcarcinoma | 0 1] [Tow -------- T-- 0-- 13 | rr 1 [Acinaradenome | T 1 g1] [(Totar 7 11] | Ire 1* December 2001 5 3