ANATOMIC PATHOLOGY CONTENT SPECIFICATIONS
New Validated Practical Knowledge

1.Breast
 a.Needle core biopsy diagnosis: when to excise and when not to excise
 b.Basal cell phenotype breast cancer (see Hereditary adult tumors)
 c.Columnar cell lesions
 d.Her2-neu testing guidelines
 e.Sentinel lymph node biopsy
 f.Immunohistochemistry in breast pathology
  i. Myoepithelial markers and stromal invasion
  ii. Markers of lobular/ductal differentiation
  
  References

2.CNS
 a.Diffuse gliomas: morphologic features and molecular markers
  i. 1p/19q deletions in oligodendroglioma
  ii. EGFR amplification in glioblastoma multiforme
  
  References

3.Cytology
 a. Guidelines for cervical cytology screening and management and HPV testing: 2006 ASCCP Consensus Guidelines for management of abnormal cervical cytology
  i. Appropriate use of HPV testing for screening and triage
 b. Bethesda system of reporting of GYN cytology
 c. Endoscopic ultrasound-guided FNA diagnosis
  
  References

4.GI
 a. Alimentary tract
  i. Serrated polyp, sessile serrated adenomas; serrated pathway for adenocarcinoma, hereditary non-polyposis carcinoma
  ii. Gastrointestinal stromal tumor and its mimics
  iii. Esophagitis, eosinophilic esophagitis, reflux
  iv. Microscopic colitis
   v. Dysplasia in Barrett’s esophagus and inflammatory bowel disease
   vi. Sprue, diagnosis with normal villous architecture, but with increased mucosal lymphocytes (lymphocytic enteritis)
 b. Liver
  i. Grading and staging of chronic hepatitis
  ii. Steatohepatitis, NASH
 c. Pancreas
  i. Classification of pancreatic intraepithelial neoplasia, PANin
  ii. Intraductal papillary mucinous tumors
  iii. Mucinous cystic tumors
  iv. Autoimmune pancreatitis
   v. Pancreatic endocrine neoplasms: diagnosis and prognosis
  
  References

5.GU
 a. Prostate
  i. Update on Gleason grading of prostate cancer
  ii. Immunohistochemistry in diagnosis of adenocarcinoma: Amicar, basal cell markers
  iii. Criteria for prostatic adenocarcinoma, ASAP, PIN
  iv. Newly described patterns of adenocarcinoma which mimic benign disease which include foamy gland carcinoma, atrophic carcinoma and pseudohyperplastic carcinoma
   v. Post-treatment diagnosis of prostate cancer
 b. Bladder
  i. Histologic variants of urothelial carcinoma, nested urothelial carcinoma, plasmacytoid, micropapillary, lymphoepithelioma-like variants
  ii. Spindle cell proliferations
   iii. WHO/ISUP classification of urothelial tumors
 c. Kidney
  i. Cytogenetics of renal neoplasms
  ii. Classification of renal neoplasms
     Use of immunohistochemistry in renal neoplasms
  iii. Staging of renal cell carcinoma and renal sinus involvement
 d. Testis
  i. Immunohistochemistry in diagnosis of testicular neoplasms PLAP, OCT 3 /4, inhibin, c-kit, CD30
  
  References

6.GYN
 a. Pseudomyxoma peritonei
 b. Mucinous ovarian tumors
 c. Serous borderline tumors and significance of micropapillary pattern
 d. New concepts in ovarian and pelvic serous carcinogenesis
  i. Different molecular pathways in low grade serous carcinoma versus high grade serous carcinoma
  ii. The relationship between intraepithelial carcinoma of the fallopian tube and pelvic serous carcinomas
 e. Diagnostic immunohistochemistry/biomarkers
  i. P16/Ki-67 in HPV associated lesions
  ii. WT-1 in ovarian/peritoneal serous tumors
 f. Prognostic parameters in endometrial carcinoma
  
  References

7. Hematopathology
 a. Standardized WHO nomenclature (2001) for lymphoma, leukemia, myeloproliferative disorders, myelodysplastic disorders, plasma cell neoplasms
 b. Minimal residual disease in acute leukemia
 c. Recently described lymphomas
  i. Primary effusion lymphoma
  ii. Plasmablastic lymphoma
 d. Ancillary techniques
  i. Transcription factors in lymphomas and leukemias
  ii. Molecular markers, JAK-2
  
  References

8. Hereditary Adult Tumors: current concepts
 a. BRCA 1 and 2
  i. Breast – morphologic features and basal phenotype
  ii. Ovary – morphologic features and risk
  iii. Fallopian tube – morphologic features and handling of specimens for prophylactic bilateral salpingo-oophorectomies
 b. Hereditary Non-Polyposis colon cancer (HNPCC) and MSI
 c. Familial Adenomatous Polyposis and other polyposis syndromes
  
  References

9. Pulmonary
 a. Bronchoalveolar carcinoma and concept of “in-situ” adenocarcinoma
 b. Current concepts in Interstitial lung disease
 c. Important histologic parameters in staging and prognosis of lung cancer
 d. Carcinoma vs mesothelioma vs pleuritis
  
  References

10. QA in anatomic pathology
 a. Use of standardized pathology protocols
 b. Error in anatomic pathology
 c. Critical diagnoses in anatomic pathology (critical values)
  
  References

11. Skin
 a. Desmoplastic melanoma
 b. Sentinel lymph node biopsy
  
  References

12. Soft Tissue
 a. New concepts/update in classification
  i. Pleomorphic undifferentiated sarcoma ( MFH)
  ii. Hemangiopericytoma-Solitary Fibrous tumor
  iii. Borderline vascular tumors
   iv. Atypical lipomatous tumor-Well differentiated liposarcoma
 b. Needle Biopsy interpretation: Limitations and Grading
 c. New diagnostic markers
  i. MDM2/CDK4 ( well differentiated liposarcoma)
  ii. LANA-1 (Kaposi sarcoma)
  iii. TFE3 (alveolar soft part sarcoma)
   iv. WT1 (desmoplastic small round cell tumor)
   v. beta-catenin (fibromatosis)
   vi. ALK (inflammatory myofibroblastic tumor)
 d. Translocation-associated sarcomas vs. Non translocation sarcomas
  i. Biological and histological differences
  ii. Molecular genetic identification of soft tissue tumors
 e. Recent entities
  i. Perineurioma
  ii. PEComa
   iii. Acraliv myxoinflammatory fibroblastic sarcoma
   iv. Low grade fibromyxoid sarcoma
   v. Desmoplastic small round cell tumor
  
  References

13. Molecular
 a. Gene probe technology in tumor pathology
 b. Molecular markers in relation to chemotherapy: GIST
 c. Targeted therapies

General References

This page was last modified on February 13, 2008.