Naomi Hardy

Pathologist, board certified in cyto and derm, Lankenau Medical Center Main Line Health Philadelphia

[Ziad El-Zaatari @ziad_zaatari]

🔬 Neuroendocrine Type Atypia (right half of image) in an Oncocytic (Hurthle-cell) thyroid neoplasm ~ #Pathology #Histology #Thyroid #ENTpath

[Syed Z. Ali @sza_jhcyto]

Without the intranuclear inclusions, these "oncocytoid" cells would have been a bit difficult to be called "Papillary Thyroid Carcinoma" on FNA. Follow-up, "PTC, Tall Cell Subtype".

[Vikram Deshpande @Vik_deshpandeMD]

Controversial but crucial: The new WHO Blue Books heavily rely on molecular diagnostics, tools inaccessible to up to 80% of the world’s population. Instead of addressing global inequality, they risk deepening it. Radical, inclusive change is urgently needed.

[Pepe Jiménez Heffernan @pepeheffernan]

CC357. Long-standing hemopericardium. We talk a lot about molecular biology and very little about cell biology. One of those peculiar cytologic findings with no histological counterpart, so far @DrBMcGinn @kriyer68 @kis_lorand @DrMarkOng

[Laura J. Tafe, MD @LJTafeMD]

When you’re supposed to be completing your #USCAP2025 talk but make art instead. 😅

[Syed Z. Ali @sza_jhcyto]

Bronchoalveolar Lavage (BAL) in a patient with a history of "Salivary Duct Carcinoma". It's so rare to have this tumor showing up in a BAL.

[Vanda Torous MD @VandaTorousMD]

Parotid FNA: Acinic cell carcinoma

Tumor cells with abundant vacuolated cytoplasm and associated capillary meshwork 🍇

#CytoPath #ENTpath #PathTwitter

[Charlie Herndon @DrCycloPath]

58M parotid mass. Diagnosis?
A) Pleomorphic adenoma (PA)
B) Adenoid cystic carcinoma (AdCC)
C) Basal cell adenoma
D) Basaloid squamous cell carcinoma
#CytoPath #PathTwitter
🔬https://t.co/5R4gFEil0r

[Laura J. Tafe, MD @LJTafeMD]

“how to listen” no.2

pencil, watercolor and ink

[Ziad El-Zaatari @ziad_zaatari]

🔬 Y90 Radioembolization Beads in Necrotic Hepatocellular Carcinoma ~ #GIpath #Liver #Hepatology #Pathology

[Ziad El-Zaatari @ziad_zaatari]

🔬 Papillary Fibroelastoma ~ Papillary fronds with fibrous+elastic cores, lined by single layer of endothelial cells ~ #Cardiovascular #Heart #Pathology

[Syed Z. Ali @sza_jhcyto]

"Muciphages or mucinous epithelial cells?"
- that distinction is not always straightforward. The FNA diagnosis in this pancreatic cystic lesion was "Adenocarcinoma arising in an IPMN". Intact fragments (circle) help and are almost always consistent with an "epithelial" origin.

[Bobbi Pritt, MD @ParasiteGal]

The #Parasite case 767 is now up: Objects found on anal Pap smear, measuring ~55 µm long. https://t.co/LqghkRJrpK. Answer later this week.
#mayopath #pathology #PathBugs

[Syed Z. Ali @sza_jhcyto]

Jackpot of "Bubble Gum" colloid. You may not find a better example. Papillary Thyroid Carcinoma. (FNA)

[Vanda Torous MD @VandaTorousMD]

An impressive thyroid FNA with a not subtle papillary carcinoma

#CytoPath #PathTwitter

[Sanjay Mukhopadhyay @smlungpathguy]

Molecular testing in lung cancer explained in ONE POWERPOINT SLIDE!!

Link:
https://t.co/8nKMJZch2W

[Syed Z. Ali @sza_jhcyto]

Non-keratinizing Squamous Cell Carcinoma in a PAP test can be harder to recognize as such. Extensive tumor diathesis (as seen here) is often the first clue. (SurePath LBP)

[Laura J. Tafe, MD @LJTafeMD]

Every one of us is carrying around unseen grief.

“fleur de nuit” #ljtanalogcollage

[Vanda Torous MD @VandaTorousMD]

Here is a nice example of how on cyto preps of EUS directed fine-needle biopsies (EUS-FNB) you can see malignant glands coursing thru desmoplastic stroma and clinging at the edges. This is an advantage over traditional FNAs!

#CytoPath #PathTwitter

[Elizabeth Montgomery, MD @LizMontgomeryMD]

Papillary immature squamous metaplasia in anal transitional mucosa. It is essentially "AIN0.5"; it seems not to progress (although progression in AIN1/LSIL is rare) and is related low low-risk HPV. At low magnification it can mimic AIN2/HSIL. #UMiamiPath

PMID: 26551619.