Wafi Bibars

Cytopathology Fellow, BCM

[Joseph Misdraji @JosephMisdraji]

65 year old man with perianal lesion, sent in consultation because their HSV stain was negative. I repeated it (shown). Now what?

[Jennifer @JennRollins1002]

A video showing the aftermath of Assad warplanes that targeted with high explosive missiles in #Idlib.
#SaveIdlib #Syria #AssadGenocide

[The White Helmets @SyriaCivilDef]

With horrific disregard for the lives of millions of innocent people, the regime and Russia break yet another ceasefire they signed to, viciously resuming their intensive raids on #Idlib City, and committing a massacre in the province. Search and rescue operations continue.

[On the Ground News @OGNreports]

#Assad Regime Breaches Ceasefire & Commits New Massacre

OGN reports directly from the site of today's regime airstrike on #Idlib city and shows the scenes of carnage and destruction.

[Syed Z. Ali @sza_jhcyto]

"And Yes", Pancreatic Neuroendocrine Tumors (PanNETs) can have rare intranuclear inclusions/INCIs (at 3, 6 and 9 o'clock). With these INCIs, the differential would also include a Solid Pseudopapillary Neoplasm. I have personally seen rare INCIs in p-diff Acinar Cell CAs as well.

[Wafi Bibars @WafiBibarsMD]

⁦#IDLIB⁩
@realDonaldTrump @POTUS
@FLOTUS
@TeamTrump
@TrumpWarRoom
⁧#ادلب⁩
⁧#إدلب_تحت_النار⁩
⁦#saveIDLIB⁩
⁦#IdlibUnderFire⁩
⁦#HolocaustIDLIB⁩
⁦#Maarat_al_Numan⁩ ⁧#معرة_النعمان

[Wafi Bibars @WafiBibarsMD]

⁦#IDLIB⁩
@realDonaldTrump @POTUS
@FLOTUS
@TeamTrump
@TrumpWarRoom
⁧#ادلب⁩
⁧#إدلب_تحت_النار⁩
⁦#saveIDLIB⁩
⁦#IdlibUnderFire⁩
⁦#HolocaustIDLIB⁩
⁦#Maarat_al_Numan⁩ ⁧#معرة_النعمان

[Wafi Bibars @WafiBibarsMD]

⁦#IDLIB⁩
@realDonaldTrump @POTUS
@FLOTUS
@TeamTrump
@TrumpWarRoom
⁧#ادلب⁩
⁧#إدلب_تحت_النار⁩
⁦#saveIDLIB⁩
⁦#IdlibUnderFire⁩
⁦#HolocaustIDLIB⁩
⁦#Maarat_al_Numan⁩ ⁧#معرة_النعمان

[Wafi Bibars @WafiBibarsMD]

⁦#IDLIB⁩
@realDonaldTrump @POTUS
@FLOTUS
@TeamTrump
@TrumpWarRoom
⁧#ادلب⁩
⁧#إدلب_تحت_النار⁩
⁦#saveIDLIB⁩
⁦#IdlibUnderFire⁩
⁦#HolocaustIDLIB⁩
⁦#Maarat_al_Numan⁩ ⁧#معرة_النعمان

[Living in peace @Livehighpeace]

@realDonaldTrump @POTUS
@DonaldJTrumpJr
@FLOTUS
@IvankaTrump
@EricTrump
@TeamTrump
@LaraLeaTrump
@TrumpWarRoom
Assad/Khamenai/Putin/Nasrallah are war criminals.
This is just a sample .
stop the carnage in Idleb, it is turning into a Genocide

[Maryam Sayah, MD @PathologySayah]

#Cytopathology

✅ Normal pancreatic ductal cells:
⚜️Cohesive sheets of uniform cells in “honeycomb” appearance

✅ Pancreatic ductal adenocarcinoma
⚜️Uneven distribution of ductal cells
(“drunken honeycomb”)
⚜️Anisonucleosis (4-fold or greater differences in nuclear size)

[Adam L. Booth, MD @ALBoothMD]

Primary Hepatic Angiosarcoma (HAS): Rare vascular tumor of the liver consisting of malignant endothelial cells
Most common primary hepatic sarcoma (1-2% primary liver malignancies)

Thanks to @DrHSLovesLiver for this excellent case
#liverpath #hepatology

#tweetorial (1/8)

[MyCytopathology @MyCytopathology]

Bronchial cells with #radiation change demonstrating large abnormally shaped cells with preserved N:C ratio and cytoplasmic vacuolization. Photo credit: AFIP.
#CytoPath #respiratory_pathology @A_MatloobMD @SaeedAsiry

[MyCytopathology @MyCytopathology]

A urine specimen with a golden brown perinuclear pigment, consistent with lipofuscin.The differential diagnosis includes seminal vesicle cells (as in this case) and bladder lipofucinosis. The cells have enlarged focally irregular nuclei. A pitfall for the diagnosis of malignancy.

[Suzy Bloomquist, MD @BloomquistSuzy]

When you're hunting for diagnostic clues and you find the ghosty cells... Pilomatricoma may be my favorite #dermpath diagnosis so far.

[Syed Z. Ali @sza_jhcyto]

"Hot from the microscope stage" - Another CHORDOMA on a paraspinal FNA with Physaliferous cells and a positive Brachyury IHC (done on the CB)

[Rep. Brendan Boyle @CongBoyle]

I view the crisis in #Syria as one of the greatest tragedies of our time. Today, I met with leaders of the Syrian-American community. As co-chair & co-founder of the Syria caucus, I will continue to bring accountability to --
(THREAD)

[Syed Z. Ali @sza_jhcyto]

"From this morning's sign-out" - Abdomino-pelvic washing. We all often see the so-called "String of pearls" appearance of benign mesothelial cells. Here is an almost real "Serpentine".

[Syed Z. Ali @sza_jhcyto]

"A Soapy Smear" - Despite the deceptively innocuous look of this adrenal FNA, follow-up histopath revealed an adrenal cortical carcinoma. I almost always report these cases as "Adrenal Cortical Lesion" and leave it to the tissue dx for further characterization.

[Syed Z. Ali @sza_jhcyto]

"An Imposturous Thyroid FNA" - Despite the "WHOPPING" INCIs (inclusions on steroids) and oval nuclei really simulating a Papillary CA, this aspirate is actually from a Medullary CA (MTC). Mega inclusions can be a feature of MTC.