Dr Mike Thomas

Family man, waterpolo enthusiast and consultant histopathologist with interest in oral & H&N, derm and cytopathogy

[Tim Bracey @drtimbracey]

Laryngeal carcinosarcoma (sarcomatoid SCC). Sometimes you have to look v hard to find any evidence of epithelial differentiation. This was the only 1mm focus +ve for p40 and cytokeratins. Don’t believe it’s a sarcoma until you’ve done levels and every CK in your armoury #ENTPath

[Dr Mike Thomas @MPThomas_Path]

@drtimbracey @sakhurram @diagnexia @OralPathOpinion @ariella8 @DrCycloPath @Pathmath1 @LisaRooperMD @IHeartPathology @TristanRutland7 Looks nasty!!

[Careers at Gloucestershire Hospitals @gloshos_careers]

We're recruiting a Histopathology Consultant to join our team @gloshospitals
This is an exciting opportunity for an established Consultant Cellular Pathologist. We're offering up to £15k welcome incentive to the successful candidate *T&C's apply
APPLY ➡️ https://t.co/VpiFCm4HoZ

[Charlie Herndon @DrCycloPath]

AUS featuring __ atypia
A) architectural
B) nuclear
#Thyroid #CytoPath #Pathology #PathTwitter

[Dr Mike Thomas @MPThomas_Path]

@drtimbracey @LisaRooperMD @Vik_deshpandeMD @diagnexia @IHeartPathology @DrCycloPath @TheKarenPinto @OralPathOpinion @TristanRutland7 @sakhurram Well that’s a new one!

[Tim Bracey @drtimbracey]

Pitfall alert ‼️ SOX10 positivity in basaloid-type SCC. Don’t confuse it for a salivary carcinoma in head & neck (this case was from oral tongue and p16-). Avoid using “basaloid” loosely its a specific subtype with dysplasia and characteristic cribriform collagen (PMID:3770734)

[Tim Bracey @drtimbracey]

Multilocular lucency posterior mandible curettage. This is an example of the rare granular cell variant of ameloblastoma. The stellate reticulum is replaced by granular cells full of lysosomes (CD68+ S100-) #PathTwitter #OralPath

[Dr Mike Thomas @MPThomas_Path]

@drtimbracey @Pathoutlines @diagnexia @AnnieMcLeanDMD @TristanRutland7 @Vik_deshpandeMD @DrCycloPath @OralPathOpinion @sakhurram Nice case! I’ve actually had one of these, but only as a biopsy so much less satisfying to look at!

[Dr Mike Thomas @MPThomas_Path]

@drtimbracey @Vik_deshpandeMD @DrCycloPath @diagnexia @OralPathOpinion @IHeartPathology @TristanRutland7 @ariella8 @AnnieMcLeanDMD @Sara_Jiang I feel like if I was QI that siren would be going crazy about now!!

[Dr Mike Thomas @MPThomas_Path]

Nice one Tim, nice to see the CAM5.2 like that, helps demonstrate what’s happening 👍

[Tim Bracey @drtimbracey]

Warthin’s tumour can undergo infarction and extensive squamous metaplasia mimicking SCC. Here CAM5.2 reveals the prior dual layer no longer visible on H&E. Ki67 and p53 IHC were also reassuring and the lesion was well circumscribed @pathkids @ENTpathology #Pathtwitter

[Tim Bracey @drtimbracey]

Warthin’s tumour can undergo infarction and extensive squamous metaplasia mimicking SCC. Here CAM5.2 reveals the prior dual layer no longer visible on H&E. Ki67 and p53 IHC were also reassuring and the lesion was well circumscribed @pathkids @ENTpathology #Pathtwitter

[Dr Mike Thomas @MPThomas_Path]

Come and join an amazing team!!

[Careers at Gloucestershire Hospitals @gloshos_careers]

🔬We're recruiting a Histopathology Consultant to join our innovative team @gloshospitals
We're offering a £15k Recruitment & Retention incentive to the successful candidate. If you're looking for a collaborative & flexible working environment APPLY NOW ➡️ https://t.co/1dPPj1Mid8

[Dr Mike Thomas @MPThomas_Path]

@gloshos_careers @gloshospitals Come and join an amazing team!!

[Cheltenham and Gloucester Hospital Charity @CGHospCharity]

“We are committed to going above and beyond to achieve the best for our patients, which is why we’re delighted to have the opportunity to support the charity by taking part in this challenge. The obstacle course was a lot of fun and we all had a great time!” 💪💙 (2/2)

[Dr Mike Thomas @MPThomas_Path]

https://t.co/jTF9bwFvCg

[Dr Mike Thomas @MPThomas_Path]

Cheltpath are taking on our network colleagues Bristolpath in the ultimate Forest Warrior challenge all in the name of @CGHospCharity.

It’s a great cause and any support always welcome! @GlosPath @gloshospitals @GlosCancerServ1 @GlosOralMaxfax

[pathCast @pathologyCast]

#ENTPATH What's New in Thyroid Gland 5th edition WHO (Dr. @HeadandNeckPath, Head & Neck Consultations; https://t.co/KJ837D1t53 )
🗓️ Feb 27, 2024 - 12:00 PM (ET, NYC)

[Tim Bracey @drtimbracey]

3/3. Antrochoanal polyp of angiectatic type,
a diagnosis requiring clinical insight.
With polyp removed Joanna can now breathe easy,
and relief from the end of this poem most cheesy. #Pathtwitter

[Dr Mike Thomas @MPThomas_Path]

@drtimbracey @sakhurram @Pathmath1 @smlungpathguy @diagnexia @AnnieMcLeanDMD @Sara_Jiang @TristanRutland7 @IHeartPathology Are there no end to your talents?! 🤪

[Dr Mike Thomas @MPThomas_Path]

@drtimbracey @TheKarenPinto @sakhurram @diagnexia @DrMarkOng @AnnieMcLeanDMD @IHeartPathology @OralPathOpinion @TristanRutland7 @JMGardnerMD The illusive obliterative phlebitis that I always struggle to find! Awesome case, thanks Tim