Robert Futoran

Community pathologist, family man, handyman, seeker of truth, respecter of life, silent hero. Tweets r based on personal experience & not advice.

[Robert Futoran @RFutoran]

@drtimbracey @GI_Pearls @PathPro @TobyASchmitt @Pathoutlines I fully agree. There is a high suspicion of Hp in presence of superficial band of inflammation. If I don’t easily see Hp I order stains. I also order stains if there’s a prior hx of Hp.

[Robert Futoran @RFutoran]

@AMontasserMD @YaraBahaaMo Sarcomatoid component. WHO grade 4.

[Robert Futoran @RFutoran]

@AMontasserMD The fleshy appearance could represent sarcomatiod component. WHO grade 4.

[Robert Futoran @RFutoran]

@doctors_squad @Doctors__squad My first thought is multiple small granulomas, but I’ve not seen this before.

[Robert Futoran @RFutoran]

@Andres_Matoso @Teclis82 I’ve only seen it this one time. Nice case.

[Robert Futoran @RFutoran]

Bladder bx of dark spots. Iron stain is neg. #pathology #GUpath never seen this before this week so had to share. Just curious who’s seen this before?

[Robert Futoran @RFutoran]

@zoyaedits12 A x (A-1) =

[Robert Futoran @RFutoran]

@Doctors__squad Pachyuterus Occidentalis Colunbensis

[Robert Futoran @RFutoran]

Interesting I didn’t realize it wasn’t standard practice to stain all sentinel LN. We’ve been doing it since the beginning. But that’s brings up questions. 1. Why did we have the category of ITC in the first place? It’s like saying there’s no LVI and yet you have nodal metastasis. (Sort of like you’re only a little pregnant) 2. Are you and other institutions going to routinely stain sLN now that they have prognostic significance? I can say that there have been many instances where I only identified Mets because of IHC. This is now supported by the article that it has prog. sig.

[Robert Futoran @RFutoran]

@ZemplenPataki https://t.co/IbcckAgU1B

[Robert Futoran @RFutoran]

These 2 abdominal tumors came today. They have similar architecture but different cytologic features. Which is the bad and which is the Ugly? #PathTwitter #pathart #GuPath #surgpath

[Robert Futoran @RFutoran]

It’s like meeting an old friend in an unexpected place. This is an Inverted Papilloma. As izzypath noted “basiloid cells with peripheral palisading”. They most commonly occur in the trigone region of the bladder so it’s reasonable to assume that this was biopsied during the TURP.

[Robert Futoran @RFutoran]

Prostatic hypertrophy. TUPR.
#Pathology #gupath #BeautyIntheB9

[Robert Futoran @RFutoran]

It’s the result of talc peurodesis. A procedure that involves injecting sterilize talc powder into the plural space, causing a tissue reaction, coating the plural, and trying to prevent the recurrence of pneumothorax.

[Robert Futoran @RFutoran]

Wedge biopsy of RUL. What is wrong with the pleural surface?
#pulmpath #pathology #pathX

https://t.co/LVQVJw1z5o

[Robert Futoran @RFutoran]

Hx is everything. Gentleman in his late 70s with severe emphysema, blebs and spontaneous pneumothorax. He under went VATS, decortication, wedge resection and talc pleurodesis but with continued bronchopleural fistula.

[Robert Futoran @RFutoran]

@JCandidoXavier Who ate the daisy?

[Robert Futoran @RFutoran]

@MedicalSphereAI @smlungpathguy https://t.co/IlRipdDovg

[Robert Futoran @RFutoran]

Does this represent STAS?
#pathology #pulmpath @smlungpathguy

[Robert Futoran @RFutoran]

@smlungpathguy Thanks. Wasn’t sure if it needed to be farther from the mass or if it could be considered sectioning artifact.

[Robert Futoran @RFutoran]

@pathphyo Idk. Non-necrotizing, could be cross contamination. Be sure to correlate with serological studies. Otherwise congratulations on a successful hunt.