ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE

An 18-Year Review of Hemoglobinopathy Proficiency Testing: Recommendations From the College of American Pathologists Hematology and Clinical Microscopy Committee
Obiorah I, McCall CM, Balmaceda A, Salansky S, Agarwal A and Pozdnyakova O
The College of American Pathologists Hematology and Clinical Microscopy Committee implemented a hemoglobinopathy proficiency testing and education program to monitor and assess the performance of participating laboratories.
Infections Due to Corynebacterium kroppenstedtii With Focus on Granulomatous Lobular Mastitis for Tissue Specificity, Pathogenesis, Bacteriologic Workup, and Treatment
Gan Q, Ding Y, Wu Y, Zhang Y, Meng QH, Ding QQ, Lu H, Shelburne SA, Ehlers RA and Han XY
To report the isolation and significance of C kroppenstedtii, features of patients with GLM, pathologic findings and mechanism, bacteriologic workup, and optimal treatment.
Concomitant Waldenström Macroglobulinemia/Lymphoplasmacytic Lymphoma and Non-Immunoglobulin M Plasma Cell Neoplasm
Zhao Y, Petersen P, Stuart S, He J, Ju Y, Carrillo LF, Carlsen ED, Xie Y, Ghezavati A, Siddiqi I, Zhang L and Wang E
The co-occurrence of plasma cell neoplasm (PCN) and lymphoplasmacytic lymphoma (LPL) is rare, and their clonal relationship remains unclear.
Generative Artificial Intelligence in Anatomic Pathology
Brodsky V, Ullah E, Bychkov A, Song AH, Walk EE, Louis P, Rasool G, Singh RS, Mahmood F, Bui MM and Parwani AV
Generative artificial intelligence (AI) has emerged as a transformative force in various fields, including anatomic pathology, where it offers the potential to significantly enhance diagnostic accuracy, workflow efficiency, and research capabilities.
Improved Performance on Longitudinal Knowledge Assessment in Continuing Certification: The ABPath CertLink Strategy
Procop GW, Sandersfeld T, McCarthy T and Nayar R
All member boards of the American Board of Medical Specialties have continuing certification (ie, maintenance of certification) programs. The efficacy of these programs has been questioned and, therefore, warrants study.
Plexiform Fibromyxoma
Szczepanski J, Westerhoff M and Schechter S
Plexiform fibromyxomas are uncommon gastrointestinal neoplasms that have histologic and molecular features that overlap with other gastrointestinal mesenchymal tumors and present a diagnostic challenge for surgical pathologists.
High-Grade Astrocytoma With Piloid Features
Rudolf MA and Ferris SP
High-grade astrocytoma with piloid features (HGAP) is a newly recognized glioma defined by its methylation profile. Understanding of its clinical, histologic, and molecular characteristics continues to evolve.
Optimization of Current Procedural Terminology Coding in Complex Genitourinary Surgical Specimens
Behrman DB, Achram R, McClure C, Allen BE, Miller C, Shoffeitt CJ, Magliocca KR, Steward-Tharp SM, Alexander C, Triplet T, Maloney C, Ritenour CWM and Harik LR
Complex surgical specimens are associated with complex Current Procedural Terminology (CPT) coding.
Rubella Serology: A Renewed Call to Action
Dimech W
The Effect of Window Size on Pathologists' Search for Rare Elements in a Digital Pathology Setting
Lopes A, Rasmussen S, Djordjevic B, Gomez JA, Mora MF, Sharma A, Walsh JC, Wehrli B, Ward AD and Cecchini MJ
Digital pathology requires pathologists to assess tissue digitally rather than on an analog microscope, which has been the mainstay tool for tissue assessment for more than a century. The impact of different digital interaction configurations on pathologists' performance is not well understood. This work focuses on the impact of the display window size for diagnostic assessment.
Deployment of a Machine Learning Algorithm in a Real-World Cohort for Quality Control Monitoring of Human Epidermal Growth Factor-2-Stained Clinical Specimens in Breast Cancer
Glass B, Vandenberghe ME, Chavali ST, Javed SA, Resnick M, Pokkalla H, Elliott H, Rao S, Sridharan S, Brosnan-Cashman JA, Wapinski I, Montalto M, Beck AH and Barker C
Precise determination of biomarker status is necessary for clinical trial enrollment and endpoint analyses, as well as for optimal treatment determination in real-world practice. However, variabilities may be introduced into this process due to the processing of clinical specimens by different laboratories and assessment by distinct pathologists. Machine learning tools have the potential to minimize inconsistencies, although their use is not presently widespread.
The Significance of Detecting an Unusual Myeloblast Immunophenotype in a Presumptive Clinical Diagnosis of Myelodysplastic Syndromes
Sameeta F, Wang W, Jelloul FZ, Nwogbo OV, Thakral B, Xu J, Li S, Ok CY, Tang G, Jia F, Medeiros LJ, Loghavi S, Jorgensen JL and Wang SA
Blasts in myelodysplastic syndromes (MDSs) typically have a primitive myeloid immunophenotype (CD34+CD117+CD13+CD33+HLA-DR+). On rare occasions, blasts were found to be CD34 negative or minimally expressed in a presumptive MDS.
Technical Competency Assessment of Peripheral Blood Smears: Tools and Trends Learned From 2 College of American Pathologists Q-Probes Studies
Vos JA, Venkataraman G, Jiang LJ, Blond BJ, Coulter S and Souers RJ
Morphologic evaluation of peripheral blood smears provides valuable information to diagnose and manage a variety of hematologic disorders.
Online Portal Use of Pathology Reports in Patients With Solid Tumors
Bo AY, Cheng YC, George B, Kilari D, Thompson JR and Jorns JM
Patients can now immediately review pathology reports via online health portals.
Clinical Molecular Testing for Clonal Relatedness of Second Melanoma Tumors
Plotzke JM, Manthei D, Fullen DR, Chan MP, Bresler SC, Xiao H, Andea AA and Harms PW
Patients with melanoma can develop second tumors representing either metastases or new primary melanoma. This distinction has profound implications for management. Although clinicopathologic features are often sufficient, molecular assays can support the presence or absence of clonal relatedness in challenging cases. However, the potential for false-positive and false-negative results in this context is not well described.
Development of an FRα Companion Diagnostic Immunohistochemical Assay for Mirvetuximab Soravtansine
Parkash V and Smith SM
Prognostic Implications of the Bethesda System in Fine-Needle Aspiration for Follicular Thyroid Carcinoma
Park H, Oh YL, Kim MK, Hahn SY, Choe JH, Chung MK, Han B, Kim SW, Chung JH and Kim TH
Fine-needle aspiration is an effective tool for sampling thyroid nodules; its results are classified according to the Bethesda System for Reporting Thyroid Cytopathology (BSRTC), whose categories define malignancy risks.
Pulmonary Adenocarcinoma Updates: Histology, Cytology, and Grading
Sharma J, Zhou F and Moreira AL
Adenocarcinomas are the most common histologic subtype of lung cancer, and exist within a widely divergent clinical, radiologic, molecular, and histologic spectrum. There is a strong association between histologic patterns and prognosis that served as the basis for a recently described grading system. As the study of molecular pathology rapidly evolves, all targetable mutations so far have been found in adenocarcinomas, thus requiring accurate diagnosis and classification for triage of molecular alterations and adequate therapy.
Tissue Prior to the Initial Hematoxylin-Eosin Section Demonstrates Value as an Alternative Source of DNA for Molecular Testing
Sabatini P, Ta R, Peralta M, Anderson M, Khan S, Belcastro R, Arruda A, Minden MD, Cabanero M, Prica A, Zhang T, Kridel R, Stockley T and Xia D
Small biopsies are used for histologic, immunophenotypic, cytogenetic, molecular genetic, and other ancillary studies. Occasionally, this diagnostic tissue is exhausted before molecular testing can be performed.
The Development and Evaluation of a Convolutional Neural Network for Cutaneous Melanoma Detection in Whole Slide Images
Clarke EL, Magee D, Newton-Bishop J, Merchant W, Insall R, Maher NG, Scolyer RA, Farnworth G, Ali A, O'Shea S and Treanor D
The current melanoma staging system does not account for 26% of the variance seen in melanoma-specific survival, therefore our ability to predict patient outcome is not fully elucidated. Morphology may be of greater significance than in other solid tumors, with Breslow thickness remaining the strongest prognostic indicator despite being subject to high levels of interobserver variation. The application of convolutional neural networks to whole slide images affords objective morphologic metrics, which may reveal new insights into patient prognosis.
In Reply to Letter from Parkash and Smith
Mason A and Dumas ME