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The Pathologist / Issues / 2026 / January / Why Amyloid Gets It Wrong and How CAP Plans to Set It Right
Analytical science Regulation and standards Clinical care Quality assurance and quality control Voices in the Community Infectious Disease

Why Amyloid Gets It Wrong – and How CAP Plans to Set It Right

New guidelines tackle false negatives, IHC misclassification, and the rise of proteomics

By Jessica Allerton 01/23/2026 Review 6 min read
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5 Key Takeaways
  • 1

    The College of American Pathologists released new guidelines to standardize diagnostics for amyloidosis, a rare disease caused by abnormal amyloid deposits.

  • 2

    Standardized diagnostic criteria and techniques are essential for reliable amyloid detection across laboratories, including well-controlled staining and interpretation.

  • 3

    Fat pad fine-needle aspiration is a valuable first-line test for systemic amyloidosis but has variable sensitivity and important limitations that must be considered.

  • 4

    False-negative results in amyloid testing can arise from technical factors, such as section thickness and staining quality, necessitating careful laboratory practices.

  • 5

    Mass spectrometry is preferred over immunohistochemistry for amyloid typing due to its higher diagnostic performance and lower rates of inconclusive results.

This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.

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About the Author(s)

Jessica Allerton

Deputy Editor, The Pathologist

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