I hope you're correct.

James Vickroy BS, HT(ASCP)

Surgical  and Autopsy Pathology Technical Supervisor
Memorial Medical Center
217-788-4046

-----Original Message-----
From: Martha Ward [mailto:mw...@wakehealth.edu] 
Sent: Thursday, August 25, 2011 11:30 AM
To: Carol Bryant; Vickroy, Jim; histonet@lists.utsouthwestern.edu
Subject: RE: New CAP question

We too have been performing ER and PR for at least 15 years, participate in CAP 
proficiency testing and, when we switched staining platforms a few years ago, 
validated the new antibody we switched to.   I have interpreted the standard as 
necessary if you are introducing ER/PR in your lab.  In my opinion you would 
not have to go back and revalidate something you did years ago just to have 
something to show at inspection time.  We had our CAP inspection this summer 
and a similar question pertains to the HER2 assay, which we have also been 
doing for many years, and that is what I told our inspector, which seemed to 
satisfy them. 


Martha Ward, MT (ASCP) QIHC
Manager, Molecular Diagnostics Lab
Dept. of Pathology
Wake Forest Baptist Medical Center
Winston-Salem, NC 27157
336-716-2104

  

-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Carol Bryant
Sent: Thursday, August 25, 2011 12:10 PM
To: 'Vickroy, Jim'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: New CAP question

Please respond to all.  I would like the information also. 
Thank you,
Carol 

-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vickroy, Jim
Sent: Thursday, August 25, 2011 12:01 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New CAP question

One of the new CAP questions is ANP.22976 ER/PgR validation.

If the laboratory performs immunohistochemistry for estrogen receptor and/or 
progesterone receptor as a prognostic/predictive marker on breast carcinoma, 
the laboratory has documented appropriate validation for the assays.  In the 
note it says should include a minimum of 40 cases and validation should be 
performed by comparing the laboratory's results with another assay that has 
been appropriately validated.

We have been doing ER/PR's for over ten years.  Originally we compared our 
ER/PR testing with the old immunology method that used frozen breast tissue.   
We also compared our ER/PR results with another hospital.  Problem is that this 
has been over ten years and we do not keep quality control records that long.   
Am I missing something?
I know we use the FDA approved protocol from Ventana on our Ventana Benchmark 
XT.
Should we do another validation study using Ventana or another hospital that is 
using the FDA approved method?   Anybody understand what CAP is wanting and how 
to accomplish this?

James Vickroy BS, HT(ASCP)

Surgical  and Autopsy Pathology Technical Supervisor
Memorial Medical Center
217-788-4046


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