#GIpath
Injury Patterns 101
Interesting slide which shows an area of ischemic colitis next to an area of normal colon mucosa.
I thought this was a nice opportunity to show the features of ischemic colitis.
Added some annotations, which may be helpful to those starting out.
#GIpath
#LPpath
#Pathresidents
Anyone want to speculate on the organ, and possible diagnoses?
Give it a guess, the scroll down for microscopic correlation & discussion in the replies.
Short
#breastpath
#tweetorial
on how mucinous, neuroendocrine, and solid papillary breast tumors are interrelated.
Some definitions, and a conceptual Venn diagram. Explanations and examples of the different categories in the replies.
Fun & clinically useful kids activity: calculating Ki67 percentages on WDNETs.
(Disclaimer: they actually quit after like 30 seconds and said my job’s really boring).
#GIpath
#Surgpath
#Pathresidents
68 Year old man, duodenal biopsy to rule out celiac. What do ya think? Some discussion in reply.
(Colleague’s case - and he nailed this diagnosis!)
Next up in the
#CAPvirtualpath
series is…..me?!
Excited to show some slides from a few great cases I’ve come across. I’ll emphasize common pitfalls and how to avoid them.
Tuesday 6/23 at 11pm ET.
Link to register:
#Pathresidents
: Anyone wanna show off their
#GIpath
skills by diagnosing this colon tumor just by looking at the slide?
(Will post the H&E tomorrow. Take a guess. If you’re right, you’ll impress everyone on Twitter. If you aren’t, you can just delete the post 👍🏻)
1/2
#GIpath
Thread dedicated to PGY1s starting to gross colons. Review of colon gross anatomy and some commonly encountered entities, using a balloon (usually used for balloon animals; kindly donated to science by my daughters)
@IHC_guy
@CArnold_GI
@TxicMegacolon
@Mvgs1706
1/4
1.
#Breastpath
, with an
#ENTpath
flavor
A case I had which pairs well with this sweet diagram by
@TheKarenPinto
(linked below)
40 year old woman, invasive ductal carcinoma on one side, undergoing bil. mastectomy. Pictures shown are a random section from the prophylactic side
All you need to know about adenoid cystic carcinoma (
#ACC
) of the breast
Looks the same as the one in the salivary gland but when in the breast, it has an excellent prognosis
#pathology
#BreastPath
Hi all,
This thread is a catalogue of all the cases/discussions I've posted over the last few months. Cases are organized by category (
#GIPath
,
#GUpath
etc). Hopefully, more good cases to come. Enjoy
When you are too busy to count Ki67 indexes on neuroendocrine tumors, so you cleverly disguise it as a wholesome childrens activity:
(FYI: She got 21%. I got 18%. Automated count after the case went for consult = 20.8% 😖).
#GIpath
#Grosspath
#Pathresidents
This is a section from a portion of colon. It was resected from a 38 year old man. A CT scan had noted the presence of a “possible mass lesion”.
See below for boards-style question & discussion.
#GIpath
#LPpath
Anyone wanna guess on this incidental lesion noted on an appendectomy? (~midpoint).
Blue arrow: Tip for trainees, when someone drops the slide, don’t. Move. Anything. Make visual contact w slide first.
Red arrow: lesion
#Grosspath
#GIpath
#Liverpath
40 Year old woman; laparoscopic cholecystectomy for gallstones:
#Pathresidents
: Diagnosis? Clinical significance?
Thank you to our stellar PA Jun Hee Kang for making this gross diagnosis & taking the gross pictures.
#GIpath
Even if you’re feeling confident at low power, poke around a bit at high power. Sometimes a second (or third, or fourth) diagnosis might turn up...
#GIpath
1/3
Sleeve gastrectomy (because sometimes we have to work for those 88307s). Patient is a female, ~40’s.
This case was shown to me as a possible H pylori control, only problem was no organisms were seen on HP IHC stain.
Pics and a poll; comments & tutorial to follow.
An unusual
#GIPath
finding from a GEJ biopsy - ciliated cell heterotopia (/metaplasia?). Per
@LizMontgomeryMD
/
@Voltaggiol
’s ‘Biopsy interpretation of the GI mucosa’ - likely incidental. Good enough for me!
Anyone else seen this before? Any other thoughts?
#GUpath
#Surgpath
#pathresidents
Anyone up for a Gleason grading lightning round?
Five cases, each with a few pictures & a poll. Take a vote; comments encouraged. Will follow up w/ my thoughts.
Case 1:
“Rectangular variant of prostatic corpora amylacea: a novel subtype of corpora amylacea with no clinical or pathologic significance.” (
@Teclis82
et al, Twitter, July 2020).
1/3
Remember that the ischemic injury pattern may be seen in other situations (such as infection and medication injury).
A good pathology report will describe the injury pattern, and give a prioritized differential diagnosis (tailored to the patient’s clinical scenario).
Thanks!
Bonus
#Breastpath
case, with a boards-style poll question.
Great to see
#pathtwitter
is so pash-ionate about
#breastpath
.
30 year old female, biopsy of a breast mass.