No history (maybe hematuria on the req?), #bladder lesion, what do you think? Are any ancillary tests needed? #surgpath #pathtwitter #pathology #pathologists

#dermpath Happy first day of September! 71 yo man nose. You call this BCC or TE?😊 Jacob Smalberger, M.D. Tim McCalmont Etan Marks, DO Marcelasaeblima. Olaleke Folaranmi Lorand Kis @ArjunRamaiya1 Diego Morales, MD Gonzalo De Toro Mariantonieta Tirado Pepe Jiménez Heffernan David Terrano

Soft tissue mass- subcutaneous lesion with deep penetration, middle aged patient (3rd-5th decade): Anyone got any ideas based off of the H&E?? No IHC, no molecular, no wrong answers #PathTwitter #bstpath #surgpath syed t. hoda John Gross, MD Michael Kallen Vikram Deshpande

couple more:

Juniors: Linear/band-like inflammatory infiltrate = high suspicion H pylori. If there is also acute inflammation = higher suspicion. If I don't find them I proceed to the IHC stain. Remember there are also coccoid forms of H pylori! #Tissuetale #pathtwitter

Here are my notes on Pancreatic Pathology. Certain steps like assessing the relationship of the cystic neoplasms with the ducts, CEA & amylase levels are helpful before evaluating the Histopathology. Morphological clues important to diagnose adenocarcinoma. #PathEd #MedEd

🔹Case of the week #8🔹 ▪️Woman in her 80s found to have on CT peritoneal carcinomatosis with unknown primary. ▪️Patient has a history of breast cancer +10 years ago. ▪️Omentum biopsy and immunostains were perfomed. Thoughts? 👀 What am I? 💭 Any idea where the primary is?

Breast biopsies from a BI-RADS 5 lesion ... NST or ILC, that is the question? 😁 The IHC is E-cadherin... #pathology #beastpath

Yesterday's case is emblematic of the problems E-cadherin staining brings forth in the diagnosis of atypical and malignant proliferations of the breast. If we only consider the H&E, I am quite confident the majority of pathologists would diagnose it as invasive ductal carcinoma

Today I made a mistake. A diagnostic inaccuracy. The culprit: me. The cause: excessive pressure from the oncologist. I'd like to think it won't happen again, but... Let the pathologists do their job and not demand answers in a hurry. #PatientSafety #Pathology

Regarding time pressures; I recently refused my clinical colleague’s and MDT coordinators time lines which involved reporting huge numbers of prostate biopsies on a Monday night before the 8am Tuesday meeting. It invited Path error. Safety first for a non urgent Dx!!

🔬This week’s #COTW from @WRPears: The patient is a woman in her 60s: What is the anatomic site and the diagnosis? Diagnosis and answers on Friday! #PathTwitter

17M, femoral epiphysis, diagnosis? A) Giant Cell Tumor of Bone B) Epithelioid Hemangioendothelioma C) Chondroblastoma D) Eosinophilic Granuloma 🔬pathology.med.umich.edu/slides/oldfilm… #PathResidents #PathTwitter #BSTPath #PediPath

Two oncocytic proliferations. One gene altered in both: A) RNF43 B) CTNNB1 C) HNF1α D) PRKACA #GIPath #LiverPath #Pancreas #PathTwitter #PathResidents #Pathology

#GUpath prostate biopsy: 🔬"branching" pattern Gleason 3 (mimic of pattern 4) (I call this 3+3)

Major Histological Subtypes of Borderline Tumors, Epithelial Ovarian Carcinoma, and the normal tissue they resemble 🔬 shorturl.at/tUpiw

T Cell LPDs Hopefully this chart will make your life Easier😀 #hematology #meded #medtwitter #medicine #blooducation

I genuinely believe this: Anyone writing or editing a WHO chapter—or influencing its direction—should first spend a few months working in a resource-limited setting. See the reality. Sign out cases. Live the constraints. Until then: ✋ Don’t write another chapter. We sit in our

🧵At least 113 Physicians from #Sudan matched into residency spots in #Match2025 🇺🇸👏 Deapite the devastating war in Sudan, these candidates shown extraordinary resilience, proving no challenges are too great for those with a dream! Your success is inspiring 🇸🇩🇸🇩 #Medtwitter

Breast biopsy shows epithelioid cells, dense collagen, and lymphocytic aggregates. What could it be?🧐🧐 A) Myofibroblastoma B) Fibroadenoma C) Lymphocytic mastopathy D) Fibromatosis #BreastPath #Pathology #PathTwitter| 🔬 learn.mghpathology.org/index.php/DZI1…