Elizabeth Montgomery, MD
@LizMontgomeryMD
Gastrointestinal & soft tissue pathologist. Professor of Pathology at University of Miami. Founder of @science_press
ID:1022874719446548481
https://www.innovativesciencepress.com/ 27-07-2018 16:01:51
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Iron medication-associated carditis has resulted in striking reactive epithelial changes. The PAS stain shows a slender strip of neutral mucin in the epithelial cells in question. #UMiamiPath
An anastomosing hemangioma presenting as a colorectal polyp. These are uncommon, initially described in the genitourinary tract. They can create concern for angiosarcoma and share mutations with other hemangioma types; PMIDs: 23887160, 19606014, 29574926, 31707589. #UMiamiPath
Another portal hypertension-associated antral polyp. The endothelial cells have a hobnail appearance. Because of a large liver transplant service at our institution, we encounter these polyps with some frequency. #UMiamiPath
Superficial acral fibromyxoma (also termed digital fibromyxoma) was described in 2001. It is benign but prone to recurrences in up to 25% of patients. It is often chock full of mast cells (arrow) and shows consistent CD34 expression. #UMiamiPath
PMIDs: 11486169, 22367301.
A splendid spindle cell hemangioma. These were initially reported as spindle cell hemangioendothelioma but additional data indicated otherwise. They are associated with the Maffucci syndrome (multiple enchondromas). #UMiamiPath
A couple Golden Goldman Girls cutting up at the #UMiamiPath reception at USCAP. Dr. Yantiss was given the Goldman from the USCAP and I the Goldman award from the Gastrointestinal Pathology Society. Of course a certain age is required to appreciate Golden Girls.
Our University of Miami colleague Monica Garcia-Buitrago has pulled off introducing the Spanish Edition of The GI Pathology Survival Guide in tandem with the English second edition. #UMiamiPath
Colonic ganglioneuromas are often a component of the polyposis in patients with the PTEN hamartoma (Cowden) syndrome. These patients have skin lesions (facial trichilemmoma, acral keratoses, papillomatous papules) can develop malignancies (esp. of breast, thyroid). #umiamipath
Gastric polyps associated with portal hypertension feature foveolar hyperplasia and dilated lamina propria capillaries with hobnail endothelial cells. #UMiamiPath
Myxofibrosarcoma can feature pseudolipoblasts. These cells do not contain lipid, in contrast to the real thing; instead they are stuffed with mucopolysaccharide matrix. #UMiamiPath
Benign cellular angiofibroma. It was initially described as 'angiomyofibroblastomalike tumor of the male genital tract' but they can arise in women. The thick hyalinized blood vessels are typical. This example arose in a man. Vintage reference: PMID: 9422311. #UMiamiPath
A lovely esophageal squamous papilloma. Most are unassociated with human papillomavirus in our population, but the figures vary. #umiamipath