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Armed Forces Institute of Pathology : ウィキペディア英語版
Armed Forces Institute of Pathology

The Armed Forces Institute of Pathology (AFIP) was a U.S. government institution concerned with diagnostic consultation, education, and research in the medical specialty of pathology.
==Overview==
It was founded in 1862 as the Army Medical Museum in Washington, D.C., on the grounds of the Walter Reed Army Medical Center. It primarily provided second opinion diagnostic consultations on pathologic specimens such as biopsies from military, veteran, and civilian medical, dental, and veterinary sources. The unique character of the AFIP rested in the expertise of its civilian and military staff of diagnostic pathologists whose daily work consisted of the study of cases that are difficult to diagnose owing to their rarity or their variation from the ordinary. The accumulation of such cases has resulted in a rich repository of lesions, numbering over three million, that have been the basis of major pathological studies.〔Henry R.S., ''The Armed Forces Institute of Pathology - Its First Century 1862 -1962'', Office of the Surgeon General, Department of the Army, Washington, DC 1964. Library of Congress Catalog Card No. 63-60060〕〔Stone P., (''Legacy of Excellence: The Armed Forces Institute of Pathology, 1862-2011'' ), Borden Institute, US Army Medical Department, Fort Detrick, Maryland 2011.〕
Examples are the published reports on the clinical, pathological, and molecular characteristics of the relatively newly recognized gastrointestinal stromal tumors.〔Miettinen M, Sobin, LH, Lasota J. Gastrointestinal stromal tumors of the stomach. A clinicopathologic, immunohistochemical, and molecular genetic study of 1765 cases with long-term follow-up. Am J Surg Pathol 2005;29:52-68〕
Another special feature of the AFIP was the interaction between its departments in analyzing complex cases. The AFIP's diagnostic departments were based on organ sites—e.g., dermatological, hepatic, gastrointestinal, genitourinary, pulmonary, soft tissue, bone, hematological, neurological, endocrine, and gynecological pathology. In addition, there were specialty departments dealing with infectious and parasitic diseases, molecular studies and environmental pathology. As all of these specialties were located in one institution, rapid collaborative examination of a case was facilitated and interdepartmental collaborative research was the rule rather than the exception. In 2009 the Environmental Protection Agency shut down many of the labs, especially those dealing with anthrax, due to improper storage practices.
Unique to the AFIP was the Department of Radiologic Pathology, which pursued the interface between diagnostic radiology and anatomic pathology. This department was responsible for a course staffed by some of the finest radiologists and attended by most of the US trained radiologists during their residency. A by-product was an unmatched repository of medical cases having extensive radiological images and pathological slides, a great source for studies in this field.〔Levy AD, Taylor LD, Abbott RM et al. Duodenal carcinoids: Imaging Features with Clinicopathologic Comparison. Radiology 2005;237:967-972〕
The educational mission of the Institute consisted of formal courses providing continuing medical education (CME) credits for postgraduate medical personnel. A number of these courses had microscope slide study sets for individual examination by the participants as well as authoritative lectures by the AFIP and visiting staff. Fellowships were available as were one-month visits to individual departments.

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