Pleomorphic adenoma
***Practical issues***
The parotid gland is rich in facial nerve branches, so the surgeon must carefully peel the tumor away from them
✅ If the inked margin is smooth and undulated, this is not a positive margin (see Pic 1)
Sign out the case as in Pic 2
❌ If the margin appears chewed up or irregular, this is a positive margin (see Pic 3).
Sign out the case as in Pic 4.
Dr. Lewis #JobPrepBootcamp #NIPCAP #pathology #PathX #pathtwitter
🚀 Discover CytoJobs, the official ASC Career Center! 🔬
💼 Your future in cytopathology begins here.
🔍 Explore career opportunities, 📄 upload your resume/CV, and 🔔 stay informed with personalized job alerts.
🌐 https://t.co/4s6PttE13R
#CytoJobs#Cytopathology#Cytologist
Before making a diagnosis of invasive breast cancer in a core needle biopsy, be sure it is truly a primary breast tumor, particularly in the era of neoadjuvant chemotherapy
Metastatic serous carcinoma and metastatic melanoma to breast (pic 1)
Metastatic lung adenocarcinoma (pic 2)
Metastatic medullary thyroid carcinoma (pic3)
Of 2423 TNBC submitted to Caris for molecular profiling over 19 months there was a misdiagnosis of TNBC in 73 cases (3%). Half of those cases were non-small lung cancer (data submitted for publication)
Dr. Schnitt #USCAP2026 #pathology #PathX #PathTwitter
New entities in soft tissue pathology
***FET-CREB fusion sarcomas***
Variable histology with epithelioid/round cells showing an odd combination of multiple aberrant markers (CK, EMA, MUC4, ALK, CD30, synapto , etc.) is valuable for screening FET-CREB sarcomas
Half of cases are intra-abdominal
Wide age range
Highly aggressive
Will be included in the upcoming BST WHO book
FET-CREB is an umbrella term for fusions between FET genes (mainly EWSR1, sometimes FUS) and CREB family transcription factors (CREB1, ATF1, or CREM)
Pitfall: Angiomatoid fibrohistiocytoma (AFH) and FET-CREB sarcomas have a similar genotype, but morphology differs and, most importantly, AFH mortality is >1% versus >50% in FET-CREB sarcomas
Dr. Agaimy #USCAP2026 #pathology #PathX #PathTwitter
Thymoma is an epithelial neoplasm
Best IHC for thymoma: CK AE1/AE3 and TdT
Why TdT?
-TdT stains thymic lymphocytes. -Thymoma is a tumor that try to resemble how normal thymus grows, that's why it carries TdT positive lymphocytes and form lobules
Thymomas vs thymic carcinomas
-Thymomas are positive for TdT lymphocytes and negative for CD5 and CD117
-Thymic carcinomas are positive for CD5 and CD117
Dr. Mukhopadhyay CCMPS #pathology #pathologists #pathtwitter #NIPPathX #pathresidents #PathX