Ahmad Ibrahim, MD, FCAP

Pathologist, Laboratory Medicine, Arrowhead Regional Medical Center. Clinical Assistant Professor @ CUSM.

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@CaDxPath I would pull the colon resection case and comment on the similarities. If the case was female, I might stain to rule out endometrial carcinoma. If there is a clinical history of neoadjuvant therapy, then it is not needed.

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@Andresangel3 Atypia sus for Sqcc. Recommend rebiopsy

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@VickeryJasmine UDH

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@Andresangel3 This could be the development of MC. So I usually put a comment with DDX.

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@PathRuchi + if everything is negative or confusing, I would do MUC4 to r/o Sclerosing Epithelioid Fibrosarcoma

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@ariella8 @KStashMD @RunjanChetty @Vik_deshpandeMD @DraEosina @Mvgs1706 @drtimbracey @GIJamesMD @DrMarkOng @nucleololailo @SingJamieD I agree it looks like PGA. May be adding a comment in regards to close follow-up!

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@FionaMacPath @pepeheffernan Wow!! I didn't see the metachromatic background on the smear..was there any sarcomatoid component?

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@FionaMacPath @pepeheffernan Oncocytoma-SDH mutated ddx: Birt-Hogg-Dubé syndrome

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@Paul_Wischmeyer I have a pathology joke, which is gross!

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@Andresangel3 It is suspicious. Squmaous metaplasia is a possibility.

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@DrMarkOng +CD34 or MPO TdT and Cd117 /Ro Myeloid Sarcoma

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@Vik_deshpandeMD What is the proper definition for a clinician?

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@Andresangel3 3+3 =6 ; GG 1/5

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@Andresangel3 Stains.

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@AkgulMD @slusagar @Williamson_SR @SaraEWobker @h_alahmadie @LaraHarikMD @daniel_berney @Andres_M_Acosta @MoHumrani Dark large nuclei= they look high grade

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@DrPathoRama It looks adenoma like adenocarcinoma in some areas!

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@drkeithsiau Adenocarcinoma

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@dreylulgun @QassidO Congratulations! My mother used to practice in the UK. It's a great experience, enjoy!

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@zucchiatti_ Pseudoinvasion.

[Ahmad Ibrahim, MD, FCAP @IbrahimMDpatho]

@OhioStatePath + I would r/o mastocytosis