Dr IP Pun Ching, Philip

Dr IP Pun Ching, Philip

Clinical Associate Professor (Gynecologic Pathology)

  • MBChB (Glasgow); FRCPath; FHKCPath; FHKAM (Pathology)
Research Area
Gynecologic pathology
Research Description

One of the daily challenges of a pathologist is to correctly classify tumors into biological categories so that patients are managed appropriately. However, many lesions are not classifiable as either benign or malignant. These problematic or atypical lesions, even if managed conservatively, often require long follow-ups, which can lead to anxiety in the patient. To supplement his years of experience in diagnostic gynecologic pathology, Dr. Ip endeavors to gain a greater understanding of gynecological malignancies, especially those with ambiguous morphology and uncertain biological behavior. His research mission is to elucidate the mechanisms of development and progression of some of these malignancies, in search of biomarkers to aid diagnosis and explore new treatment options in rare malignancies in order to improve patients’ outcomes. This valuable information has a direct impact on patient management, and will serve as a foundation for the development of targeted therapy and personalized medicine.

Global Professional Roles (By Invitation)
  • International Collaboration in Cancer Reporting (ICCR) Expert Panel member for Endometrial Cancer
  • International Collaboration in Cancer Reporting (ICCR) Expert Panel member for Uterine Malignant and Potentially Malignant Mesenchymal Tumours
  • The International Society of Gynecological Pathologists Global Advisory Network (Asia-East)
  • Asian Gynecologic Oncology Group Board
  • International Gynecological Cancer Society Project ECHO International Mentor
  • International Academy of Pathology, Hong Kong Division, Council
  • The Hong Kong College of Pathologists, Anatomical Pathology Examiner (former Chief Examiner, and Genetic and Genomic Pathology First Fellowship Assessor), and Laboratory Inspector for Training.
  • Modern Pathology Editorial Board
  • International Journal of Gynecological Pathology Editorial Board
  • Acta Cytologica Editorial Board

Biography

Dr. Ip was a medical graduate of The University of Glasgow, Scotland, United Kingdom, and completed his pathology training at The University of Hong Kong. Dr. Ip was a gynecologic pathology fellow of Dr. Philip B Clement at The Vancouver General Hospital, The University of British Columbia, Vancouver, Canada, and of Dr. Robert H Young at The Massachusetts General Hospital, Harvard Medical School, Boston, USA. Dr. Ip has presented widely and internationally, and authored papers, book chapters and management guidelines in the field of Gynecological Pathology, including multiple chapters in the 4th Edition of World Health Organization Classification of Tumours of Female Reproductive Organs (2014) and 5th Edition of World Health Organization Classification of Female Genital Tumours (2020).


Selected Publications

ORCID: https://orcid.org/0000-0002-0493-9838

MOST RECENT

  • Lok J, Tse KY, Lee EYP, Wong RWC, Cheng ISY, Chan ANH, Leung CKL, Cheung ANY, Ip PPC. Intraoperative frozen section biopsy of uterine smooth muscle tumors: A clinicopathologic analysis of 112 cases with emphasis on potential diagnostic pitfalls. Am J Surg Pathol. 2021 (In press).
  • Perucho JAU, Wang M, Tse KY, Ip PPC, Siu SWK, Ngan HYS, Khong PL, Lee EYP. Association between MRI histogram features and treatment response in locally advanced cervical cancer treated by chemoradiotherapy. Eur Radio. 2021;31(3):1727-1735.
  • Wong RWC, Ng JHY, Han KC, Leung YP, Shek CM, Cheung KN, Choi CKM, Tse KY, Ip PPC. Cervical carcinomas with serous-like papillary and micropapillary components: illustrating the heterogeneity of primary cervical carcinomas. Mod Pathol. 2021;34(1):207-221.
  • Levine AB, Peng J, Farnell D, Nursey M, Wang Y, Naso JR, Ren HZ, Farahani H, Chen C, Chiu D, Talhouk A, Sheffield B, Riazy M, Ip PP, Parra-Herran C, Mills A, Singh N, Tessier-Cloutier B, Salisbury T, Lee J, Salcudean T, Jones SJM, Huntsman DJ, Gilks CB, Yip S, Bashashati A.Synthesis of diagnostic quality cancer pathology images. J Pathol. 2020;252(2):178-188.
  • Kan T, Wang W, Ip PP, Zhou S, Wong AS, Wang X, Yang M. Single-cell EMT-related transcriptional analysis revealed intra-cluster heterogeneity of tumor cell clusters in epithelial ovarian cancer ascites. Oncogene. 2020;39(21):4227-4240.
  • Perucho JAU, Tse KY, Chu MMY, Ip PP; Lee EYP. MRI texture features differentiate clinicopathological characteristics of cervical carcinoma. Wang M, Eur Radiol. 2020;30(10):5384-5391.
  • Yu Y, Tse KY, Lee HHY, Chow KL, Tsang HW, Wong RWC, Cheung ETY, Cheuk W, Lee VWK, Chan WK, Wong AST, Loong HHF, Chan KKL, Ngan HYS, Cheung ANY, Ip PPC. Predictive biomarkers and tumor microenvironment in female genital melanomas: a multi-institutional study of 55 cases. Mod Pathol. 2020;33(1):138-152.
  • Li SS, Ip C, Tang YH, Tang M, Tong Y, Zhang JW, Hassan A, Mak ASC, Yung S, Chan TM, Ip PP, Lee CL, Chiu P, Lee L, Lai HC, Zeng JZ, Shum H. Wong, AST. Sialyl LewisX-P-selectin cascade mediates tumor-mesothelial adhesion in ascitic fluid shear flow. Nat Commun. 2019;10:2406
  • Tang MKS, Yue PYK, Ip PP, Huang RL, Lai HC, Cheung ANY, Tse KY, Ngan HYS, Wong AST. Soluble E-cadherin promotes tumor angiogenesis and localizes to exosome surface. Nat Commun. 2018;9:2270


UTERINE SMOOTH MUSCLE TUMORS

  • Ip PP, Cheung AN, Clement PB. Uterine smooth muscle tumor of uncertain malignant potential. A clinicopathologic study of 16 cases. Am J Surg Pathol. 2009;33:992-1005.
  • Ip PP, Tse KY, Tam KF. Uterine smooth muscle tumors other than the ordinary leiomyomas and leiomyosarcomas: a review of selected variants with emphasis on recent advances and unusual morphology that may cause concern for malignancy. Adv Anat Pathol. 2010;17:91-112
  • Ip PP, Lim D, Cheung ANY, Oliva E. Immunoexpression of p16 in uterine leiomyomas with infarct-type necrosis: an analysis of 35 cases. Histopathology. 2017;71:743-750
  • Chow KL, Tse KY, Cheung CL, Wong KW, Cheung AN, Wong RW, Chan AN, Yuen NW, Ngan HY, Ip PP. The mitosis-specific marker phosphohistone-H3 (PHH3) is an independent prognosticator in uterine smooth muscle tumours: an outcome-based study. Histopathology. 2017;70:746-755
  • Ip PP, Cheung AN. Pathology of uterine leiomyosarcomas and smooth muscle tumours of uncertain malignant potential. Best Pract Res Clin Obstet Gynaecol. 2011;25:691-704
  • Slatter TL, Hsia H, Samaranayaka A, Sykes P, Clow WB, Devenish CJ, Sutton T, Royds JA, Ip PP, Cheung AN, Hung NA. Loss of ATRX and DAXX expression identifies poor prognosis for smooth muscle tumours of uncertain malignant potential and early stage uterine leiomyosarcoma. J Pathol Clin Res. 2015;1:95-105
  • Ip PP, Lam KW, Cheung CL, Yeung MC, Pun TC, Chan QK, Cheung AN. Tranexamic acid-associated necrosis and intralesional thrombosis of uterine leiomyomas: a clinicopathologic study of 147 cases emphasizing the importance of drug-induced necrosis and early infarcts in leiomyomas. Am J Surg Pathol. 2007;31:1215-24


ENDOMETRIUM

  • Ip PP. Benign endometrial proliferations mimicking malignancies: a review of problematic entities in small biopsy specimens. Virchows Arch. 2018;472:907-917
  • Ip PP, Wang SY, Wong OGW, Chow KL, Lee HHY, Cheung ANY, Tse KY. Napsin A, hepatocyte nuclear factor-1-beta (HNF-1β), estrogen and progesterone receptors expression in Arias-Stella reaction. Am J Surg Pathol. 2019;43:325-333
  • Ip PP, Irving JA, McCluggage WG, Clement PB, Young RH. Papillary proliferation of the endometrium: a clinicopathologic study of 59 cases of simple and complex papillae without cytologic atypia. Am J Surg Pathol. 2013;37:167-77
  • Lim D, Ip PP, Cheung AN, Kiyokawa T, Oliva E. Immunohistochemical Comparison of Ovarian and Uterine Endometrioid Carcinoma, Endometrioid Carcinoma With Clear Cell Change, and Clear Cell Carcinoma. Am J Surg Pathol. 2015;39:1061-9
  • Fadare O, Shaker N, Alghamdi A, Ganesan R, Hanley KZ, Hoang LN, Hecht JL, Ip PP, Shaker N, Roma AA, Parkash V, Abubakr H. Endometrial tumors with yolk sac tumor-like morphologic patterns or immunophenotypes: an expanded appraisal. Mod Pathol. 2019 Dec;32(12):1847-1860. 
  • Cho KR, Cooper K, Croce S, Djordevic B, Herrington S, Howitt B, Hui P, Ip P, Koebel M, Lax S, Quade BJ, Shaw P, Vidal A, Yemelyanova A, Clarke B, Hedrick Ellenson L, Longacre TA, Shih IM, McCluggage WG, Malpica A, Oliva E, Parkash V, Matias-Guiu X. International Society of Gynecological Pathologists (ISGyP) Endometrial Cancer Project: Guidelines From the Special Techniques and Ancillary Studies Group. Int J Gynecol Pathol. 2019;38 Suppl 1:S114-S122
  • Chu MM, Liu SS, Tam KF, Ip PP, Cheung AN, Ngan HY. The significance of mismatch repair deficiency in young patients with endometrial cancer. Int J Gynecol Pathol. 2015;34:403-10
  • Seto MT, Ip PP, Ngu SF, Cheung AN, Pun TC. Positive predictive value of endometrial polyps in Pipelle aspiration sampling: a histopathological study of 195 cases. Eur J Obstet Gynecol Reprod Biol. 2016;203:12-5
  • Chan QK, Khoo US, Chan KY, Ngan HY, Li SS, Chiu PM, Man LS, Ip PP, Xue WC, Cheung AN. Promoter methylation and differential expression of pi-class glutathione S-transferase in endometrial carcinoma. J Mol Diagn. 2005;7:8-16
  • Liao X, Siu MK, Au CW, Chan QK, Chan HY, Wong ES, Ip PP, Ngan HY, Cheung AN. Aberrant activation of hedgehog signaling pathway contributes to endometrial carcinogenesis through beta-catenin. Mod Pathol. 2009;22:839-47
  • Chan QK, Khoo US, Ngan HY, Yang CQ, Xue WC, Chan KY, Chiu PM, Ip PP, Cheung AN. Single nucleotide polymorphism of pi-class glutathione s-transferase and susceptibility to endometrial carcinoma. Clin Cancer Res. 2005;11:2981-5
  • Li SS, Xue WC, Khoo US, Ngan HY, Chan KY, Tam IY, Chiu PM, Ip PP, Tam KF, Cheung AN. Replicative MCM7 protein as a proliferation marker in endometrial carcinoma: a tissue microarray and clinicopathological analysis. Histopathology. 2005;46:307-13


OVARIES

  • Tang MKS, Ip PP, Wong AST. New insights into the role of soluble E-cadherin in tumor angiogenesis. Cell Stress. 2018;2:236-238
  • Chan KK, Wong OG, Wong ES, Chan KK, Ip PP, Tse KY, Cheung AN. Impact of iASPP on chemoresistance through PLK1 and autophagy in ovarian clear cell carcinoma. Int J Cancer. 2018;143:1456-1469
  • Siu MK, Kong DS, Chan HY, Wong ES, Ip PP, Jiang L, Ngan HY, Le XF, Cheung AN. Paradoxical impact of two folate receptors, FRα and RFC, in ovarian cancer: effect on cell proliferation, invasion and clinical outcome. PLoS One. 2012;7:e47201
  • Ho RS, Chan GC, Ha SY, Ip PP. Endometriosis-associated serous borderline tumor and endometrial stromal sarcoma of the ovary: a report of a rare lesion in an infant. Int J Gynecol Pathol. 2012;31:98-102
  • Hu YJ, Ip PP, Chan KK, Tam KF, Ngan HY. Ovarian clear cell carcinoma with choriocarcinomatous differentiation: report of a rare and aggressive tumor. Int J Gynecol Pathol. 2010;29:539-45
  • Liao X, Siu MK, Au CW, Wong ES, Chan HY, Ip PP, Ngan HY, Cheung AN. Aberrant activation of hedgehog signaling pathway in ovarian cancers: effect on prognosis, cell invasion and differentiation. Carcinogenesis. 2009;30:131-40
  • Chan QK, Ngan HY, Ip PP, Liu VW, Xue WC, Cheung AN. Tumor suppressor effect of follistatin-like 1 in ovarian and endometrial carcinogenesis: a differential expression and functional analysis. Carcinogenesis. 2009;30:114-21
  • Shen DH, Chan KY, Khoo US, Ngan HY, Xue WC, Chiu PM, Ip P, Cheung AN. Epigenetic and genetic alterations of p33ING1b in ovarian cancer. Carcinogenesis. 2005;26:855-63
  • Khoo US, Ozcelik H, Cheung AN, Chow LW, Ngan HY, Done SJ, Liang AC, Chan VW,  Au GK, Ng WF, Poon CS, Leung YF, Loong F, Ip P, Chan GS, Andrulis IL, Lu J, Ho FC. Somatic mutations in the BRCA1 gene in Chinese sporadic breast and ovarian cancer. Oncogene. 1999;18:4643-6
  • Fan YS, Thomas TM, Ip PP, Cheung AN. Osteoid-forming sarcoma-like mural nodule in a retroperitoneal mucinous cystadenocarcinoma. Histopathology. 2006;49:201-4


CERVIX

  • Wong OGW, Ng IFY, Tsun OKL, Pang HH, Ip PP, Cheung ANY. Machine learning interpretation of extended human papillomavirus genotyping by Onclarity in an Asian cervical cancer screening population. J Clin Microbiol. 2019 Nov 22;57(12):e00997-19.
  • Wang M, Perucho JAU, Chan Q, Sun J, Ip P, Tse KY, Lee EYP. Diffusion Kurtosis Imaging in the Assessment of Cervical Carcinoma. Acad Radiol. 2019 Jul 16:S1076-6332(19)30328-9.
  • Liu SS, Chan KKL, Chu DKH, Wei TN, Lau SK, Ngu SF, Chu MMY, Tse KY, Ip PPC, Ng EKO, Cheung ANY, Nan HYS. Oncogenic microRNA signature for early diagnosis of cervical intraepithelial neoplasia and cancer. Mol Oncol. 2018;12(12):2009–2022.
  • Wong OG, Ho MW, Tsun OK, Ng AK, Tsui EY, Chow JN, Ip PP, Cheung AN. An automated quantitative DNA image cytometry system detects abnormal cells in cervical cytology with high sensitivity. Cytopathology. 2018;29:267-274
  • Wong OGW, Tsun  OKL, Tsui  EY, Chow  JNK, Ip PP, Cheung ANY. HPV genotyping and E6/E7 transcript assays for cervical lesion detection in an Asian screening population-Cobas and Aptima HPV tests. J Clin Virol. 2018;109:13-18
  • Tse KY, Lau SK, Lui MW, Ip PP, Cheung AN, Ngan HY. Patient compliance with cervical smear surveillance in a shared-care setting. Int J Gynecol Obstet. 2016;135:177-181
  • Chan KK, Ip P, Kwong P, Tam KF, Ngan HY. A combination of chemoirradiation and chemotherapy for treatment of advanced clear cell adenocarcinoma of the cervix. Int J Gynecol Cancer. 2008;18:559-63


TROPHOBLASTIC DISEASES

  • Tse KY, Chiu KWH, Chan KKL, Chu MMY, Ngu SF, Cheung ANY, Ngan HYS, Ip PP. A Case series of five patients with pure or mixed gestational epithelioid trophoblastic tumors. Am J Clin Pathol. 2018;150:318-332
  • Wong OGW, Cheung CLY, Ip PP, Ngan HYS, Cheung ANY. Amyloid Precursor Protein overexpression in Down syndrome trophoblast reduces cell invasiveness and interferes with syncytialization. Am J Pathol. 2018;188:2307-2317
  • Xue WC, Khoo US, Ngan HY, Chan KY, Ip PP, Tsao SW, Cheung AN. c-mos immunoreactivity aids in the diagnosis of gestational trophoblastic lesions. Int J Gynecol Pathol. 2004;23:145-50