TERMS AND CONDITIONS TERMS AND CONDITIONS

DEDICATION

The AAPA Macroscopic Examination Guidelines: Utilization of the CAP Cancer Protocols at the Surgical Gross Bench are dedicated to the members of the American Association of Pathologists’ Assistants (AAPA) and the patients they serve.

The AAPA Macroscopic Examination Guidelines also include over 90 illustrations, created by Tolpa Studios illustrators Tami Tolpa and Matthew Brownstein, under the leadership of Art Director and Illustration Liaison Jesse McCoy. These illustrations beautifully depict the TNM staging criteria for many of the tumors included in these Guidelines.

The American Association of Pathologists’ Assistants owes a debt of gratitude to the members who made these Guidelines possible. This includes the subsection authors, section authors, the content review team led by Monica Kendall and Jodi Hilderbrand at Mayo Clinic, Molecular Editor Stephanie Miller, Publishing Editor Dennis Strenk, Managing Editors Tina Rader, Michael Sovocool, and Bill Ahlfeld, Art Director and Illustration Liaison Jesse McCoy, Technical Support Ryan Schniederjan, Director of Professional Development and Project Manager Connie Thorpe, the AAPA Central Office staff, including Lisa Sherman and Executive Director Michelle Sok, and finally, Editor-in-Chief Jon Wagner, whose vision has now become reality. Five years, countless hours and meetings, and the expertise of our exceptional AAPA authors have been put in to these Guidelines for you, the members of the AAPA, and the entire pathology community.
Respectfully,

BOARD OF TRUSTEES AMERICAN ASSOCAITION OF PATHOLOGISTS’ ASSISTANTS

In examining disease, we gain wisdom about anatomy and physiology and biology. In examining the person with disease, we gain wisdom about life.

- Oliver Sacks, MD

FAQ

X

Frequently Asked Questions

What are the AAPA Grossing Guideline Protocols?

The AAPA Grossing Guideline Protocols are a set of documents that ensure all information required by the CAP Cancer Protocols is included in the macroscopic description. The Grossing Guideline Protocols will focus on TNM staging and all information under those headings.

What is the purpose of the AAPA Grossing Guideline Protocols?

The purpose of the AAPA Grossing Guideline Protocols is to support medical professionals engaged in the macroscopic examination of cancer resection specimens providing a standardized, systematic approach.

How will the AAPA Grossing Guideline Protocols serve our patients?

The AAPA Grossing Guideline Protocols will ultimately serve our patients by ensuring that the macroscopic examination of cancer resection specimens is compliant with the CAP Cancer Protocols and the AJCC Cancer Staging Manual, and optimizes the pre-analytic steps necessary to promote appropriate molecular studies.

What will I find under Molecular Considerations?

Specimen handling considerations including specimen triage for ancillary studies, such as flow cytometry, cytogenetics, DNA analysis, and electron microscopy.

What is the significance of the Ambiguous Terminology section?

There are areas within the CAP Cancer Protocols and the AJCC Cancer Staging Manual where multiple terms to define a single anatomic location; or, other ambiguities which may lead to confusion. The Grossing Guideline Protocols bring these terms to your attention.

Are there AAPA Grossing Guideline Protocols for benign tumors?

Except for the brain and spinal cord protocol, not at this time.

Where can I find the corresponding CAP Cancer Protocol that is associated with the AAPA Grossing Guideline Protocol?
The CAP Cancer Protocols can be found on the CAP website. The link is provided. www.cap.org/cancerprotocols
Can I use the AAPA Grossing Guideline Protocols to update my institution’s grossing procedures?

Yes, individual institutions writing grossing procedures may reference the AAPA Grossing Guideline Protocols and be assured that it can be trusted to incorporate all data provided in the CAP Cancer Protocols, AJCC Cancer Staging Manual, and to provide expert interpretations and suggestions where needed.

When will a new version of the AAPA Grossing Guideline Protocols be available?

Each AAPA Grossing Guideline Protocol is a living document; therefore, it is the intent of the AAPA to update each protocol as CAP Cancer Protocols are updated on the CAP website. However, please be mindful that our document will lag in development (though we will do all we can to modify our document as soon as CAP and AJCC updates are available). Stay up-to-date on what is happening by subscribing to the Grossing Guidelines Blog
(login required)

In what format(s) will the AAPA Grossing Guideline Protocols be offered?

The AAPA Grossing Guideline Protocols will be offered as a PDF document, as well as a Word document, similar to the CAP Cancer Protocol web page.

What is the cost of the AAPA Grossing Guideline Protocols?

The AAPA Grossing Guideline Protocols are offered at no charge to AAPA members and registered Laboratory practitioners (subject to verification per the Terms of Usage).

Terms of Usage

© 2017 American Association of Pathologists’ Assistants. All rights reserved.

The American Association of Pathologists’ Assistants (the "AAPA") hereby authorizes use of The AAPA Macroscopic Examination Guidelines: Utilization of the CAP Cancer Protocols at the Surgical Gross Bench (the "Protocols") solely by pathologists’ assistants, pathology residents, and/or pathologists (collectively "Laboratory Personnel") within the laboratories in which they work for the purposes of processing of cancer cases and the education of Laboratory Personnel related to the processing of cancer cases (collectively "Permitted Uses"). The modification or creation of derivative works of the Protocols is prohibited. Any reproduction of the Protocols must be of the complete, unmodified Protocols and solely for the Permitted Uses of the Laboratory Personnel within the laboratories in which they work. Reproduction or distribution of: (a) only a portion of the Protocols; (b) all or a portion of these Protocols outside of the laboratories in which the Laboratory Personnel work; or (c) for commercial use of the Protocols beyond the Permitted Uses, is strictly prohibited.

The purpose of the Protocols is to support Laboratory Personnel engaged in the macroscopic examination of cancer resection specimens. The Protocols are based on specified relevant source documents, drafted by pathologists’ assistant experts, and supported by information provided by the College of American Pathologists (CAP) and the American Joint Committee on Cancer (AJCC). These Protocols will, ultimately, serve patients by ensuring that the macroscopic examination of cancer resection specimens is compliant with CAP Cancer Protocols, the AJCC Cancer Staging Manual, and provide optimization of the pre-analytic steps necessary to promote appropriate molecular studies.

The Protocols are not meant to replace any Laboratory Personnel's current gross manual, but may be used as a macroscopic examination companion or adjunct reference to ensure that all aspects of the CAP Cancer Protocols are addressed in the surgical pathology report. The Protocols are designed, as much as possible, to mirror the applicable CAP Cancer Protocol. In addition, each includes a molecular and immunohistochemical considerations page. The Protocols are further arranged by procedures and general anatomic considerations, including specimen size and extent of resection, and specimen integrity and adequacy. They are then divided into TNM sections and include the UICC (Union for International Cancer Control) and FIGO (Fédération Internationale de Gynécologie et d'Obstétrique) staging and WHO/IARC (World Health Organization/International Agency for Research on Cancer) classification for all applicable protocols. The T section includes tumor size, tumor sites and focality, tumor depth of invasion and relationship to attached organs and structures, and margins. The N section includes regional lymph nodes involved with each organ system, and lymph node submission recommendations for each protocol. The M section addresses distant metastatic sites of tumors.

The AAPA cautions that the use of the Protocols in practice may require the use of additional considerations that are beyond the scope of the Protocols. The AAPA does not offer medical advice or diagnoses, or engage in the practice of medicine. The information provided in the Protocols is not intended or implied to be a substitute for the Laboratory Personnel's own training, professional medical opinion, diagnosis, or treatment advice. All content, including text, graphics, images and information contained in the Protocols are for the above stated purposes only. Laboratory Personnel are encouraged to confirm any information provided in these Protocols with other sources. The inclusion of a product name, organization, or service in an AAPA publication, including without limitation the Protocols, should not be construed as an endorsement of such product, organization, or service, nor is failure to include the name of a product, organization or service to be construed as disapproval.

THE AAPA IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT LABORATORY PERSONNEL PROVIDE WHETHER OR NOT IN RELATION TO USING THE PROTOCOLS. THE AAPA DOES NOT WARRANT OR MAKE ANY REPRESENTATION REGARDING USE, OR THE RESULT OF USE, OF THE CONTENT OF THE PROTOCOLS IN TERMS OF ACCURACY, RELIABILITY, OR OTHERWISE. THE CONTENT OF THE PROTOCOLS MAY INCLUDE TECHNICAL INACCURACIES OR TYPOGRAPHICAL ERRORS, AND THE AAPA MAY MAKE CHANGES OR IMPROVEMENTS AT ANY TIME. YOUR USE OF THESE PROTOCOLS IS AT YOUR OWN RISK. THE CONTENT IS PROVIDED “AS IS” AND WITHOUT WARRANTIES OF ANY KIND, EITHER EXPRESSED OR IMPLIED. THE AAPA DISCLAIMS ALL WARRANTIES, INCLUDING ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, OR NON-INFRINGEMENT.

TO THE FULL EXTENT ALLOWED BY THE LAW, THE AAPA, ITS MEMBERS, AFFILIATES, LICENSORS, SERVICE PROVIDERS, CONTENT PROVIDERS, EMPLOYEES, AGENTS, OFFICERS, AND DIRECTORS (THE "AAPA PARTIES") WILL NOT BE LIABLE FOR ANY INCIDENTAL, DIRECT, INDIRECT, PUNITIVE, ACTUAL, CONSEQUENTIAL, SPECIAL, EXEMPLARY, OR OTHER DAMAGES, INCLUDING LOSS OF REVENUE OR INCOME, PAIN AND SUFFERING, EMOTIONAL DISTRESS, OR SIMILAR DAMAGES IN RELATION TO THE PROTOCOLS, EVEN IF THE AAPA PARTIES HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. IN NO EVENT WILL THE COLLECTIVE LIABILITY OF THE AAPA PARTIES TO ANYONE IN RELATION TO THE PROTOCOLS (REGARDLESS OF THE FORM OF ACTION, WHETHER IN CONTRACT, TORT, OR OTHERWISE) EXCEED THE MINIMUM AMOUNT ALLOWED BY LAW. SOME JURISDICTIONS DO NOT ALLOW THE LIMITATION OR EXCLUSION OF LIABILITY OR WARRANTIES FOR CERTAIN TYPES OF DAMAGES. AS A RESULT, THE ABOVE LIMITATIONS OR EXCLUSIONS MAY NOT FULLY APPLY TO YOU.

By choosing to login or register below, you are acknowledging you have read and agree to the above "Terms of Usage".

To access the Grossing Guidelines, you must be one of the following:
(Hover or click on the buttons below to see if you qualify)

AAPA Fellow
  • passed the ASCP BOC Pathologists’ Assistant Certification Examination
  • passed the AAPA Fellowship Examination prior to 2005
AAPA Student
  • enrolled in a NAACLS accredited pathologists’ assistant training program as an active, fully matriculated student
AAPA Associate
  • graduated from a NAACLS accredited pathologists’ assistant training program and are certification exam eligible through the ASCP, but have NOT passed the exam
Lab Guest
One time registration required
  • pathologists' assistant, pathology resident, or pathologist that are not AAPA members, subject to approval