Alaa Hrizat

PGY-3; #Pathology Resident 🌻

[Syed Z. Ali @sza_jhcyto]

“Pseudo–signet ring cells in ascitic fluid: a deceptive look that can lead you straight to the wrong diagnosis.”
Hydropic degeneration is known to occur in histiocytes and mesothelial cells.
(Cytospin preps)

[Alaa Hrizat @Alaa_Hrizat]

@fouad_boulos Adenoid cystic carcinoma?

[Masood Hassan @mhassanaimc]

This was called High-grade DCIS with comedo necrosis on stereotactic biopsy. You guys agree?

If you agree. There will be lumpectomy/mastectomy with sentinel lymph node and followed by radiation

If you disagree: Patient will go home. No surgery needed #breastpath

[Fouad Boulos @fouad_boulos]

Not all that has ink is a true margin.

1. Make sure the ink is not in a cleft between fat lobules

2. Make sure you have a full cross-section of the tissue in the block. Tissue disruptions with ink are to be considered artifactual until proven otherwise

3. Check the diagram that shows where the section was taken from

4. If in doubt, walk over to the histology and lab and ask for the paraffin block. Looking at the entirety of the tissue within the block will give you information you cannot easily glean from the two-dimensional slide

#breastpath

[Charlie Herndon @DrCycloPath]

✅ Gastrointestinal stromal tumor 🎯
• Most common mesenchymal tumor of the GI tract, characterized by differentiation toward interstitial cells of Cajal.
• Typically composed of uniform spindle cells with paranuclear vacuoles, or epithelioid cells.
• Immunohistochemistry usually shows diffuse and strong expression of KIT (CD117) and DOG1.
• Driven by activating mutations in KIT or PDGFRA in the vast majority of cases.

[Katrina Collins, MD || Pathologist @katcollmd]

New in @Human_Pathology: ✌🏻 reviews in the 2026 Pathology Updates issue on GU pathology—bladder, prostate, kidney, testis, and penile tumors.

Grateful to great co-authors—hope it’s useful for pathologists and trainees!

🔗 https://t.co/SyMpuDkWsZ
🔗 https://t.co/oVPOcn0YmB

[Charlie Herndon @DrCycloPath]

Voided urine reveals hyperchromatic urothelial cells and an X-shaped crystalloid.

What is your interpretation??

A) Negative for HGUC
B) Atypical urothelial cells
C) High-grade urothelial carcinoma (HGUC)
D) Low-grade urothelial neoplasm (LGUN)
#CytoPath #PathTwitter #Pathology

[Karen Shore @TheShorePath]

How can the CAIX (carbonic anhydrase IX) IHC stain be used to differentiate subtypes of renal cell carcinoma (RCC)? #pathology #pathX #gupath

@ElaineHuMD @Maicroanatomy @JuanPathMD @LordoftheSlides @GIJamesMD

[Tristan Rutland MBBS FRCPA IFCAP @TristanRutland7]

Falciform ligament, adult female

#Gynpath #GIpath #Pathtwitter #Pathresidents

[Pelham @Resist_05]

Israel just committed another massacre in Khan Younis, the world is unable to stop this GENOCIDE…🇵🇸💔

[Pelham @Resist_05]

The world understands her cries, she is the sole survivor of the Malaya family massacre…

Israel murdered ALL 15 family members including her mother..🇵🇸💔

[Alaa Hrizat @Alaa_Hrizat]

Kidney FNA of a 1.5 cm incidental mass reveals tight clusters of round cells with scant cytoplasm and fine chromatin on the smear, and small primitive cells resembling early metanephric tubular differentiation on the cell block... Dx: Metanephric adenoma. #cytology #cytopath

[Pelham @Resist_05]

Hind Rajab is the new Anne Frank…🇵🇸💔

[Tristan Rutland MBBS FRCPA IFCAP @TristanRutland7]

Pleural, adult

#Pathtwitter #Pathresidents #Pulmpath #MedTwitter

[Meredith Herman, DO @MeredithKHerman]

Who doesn’t love a #dermpath quiz 🔬
Common entities that all #pathres should know 💡let’s fire up those neurons 🧠

1/🧵
#PathTwitter #PathX #medstudent #pathology101 #APboards #RISEexam

[C. Christofer Juhlin @DrJuhlin]

Ok friends, let's vote! Here is a transanal excision of a 20 mm polypoid mass. I will let you take polls and subsequently feed you with additional information. Don't cheat, do them sequentially - you might be surprised. Follow the thread!