Ady Yosepovich

Consultant Breast Pathologist, Chairman - the Israeli Breast Pathology Group, Director - Department of Pathology, Kaplan Medical center, Clalit HMO

[Ady Yosepovich @adymd1907]

@nairolf_nafets What are the colors?

[Ady Yosepovich @adymd1907]

3. Always consult your colleagues whenever you are not feeling confident about your diagnosis.

[Ady Yosepovich @adymd1907]

Pictures from my lecture this morning:
My three most important rules for a Breast Pathologist :
1. Quality is not an act, it is a habit (Aristotle).
2. Dance a close and respected tango with the clinicians.

[Ady Yosepovich @adymd1907]

@fouad_boulos I highly recommend all "modern" breast pathologists to read this "antiquated" book, that was written by one of the pioneers of our profession . His observations are timeless, though the pictures are in black and white.

[Ady Yosepovich @adymd1907]

@fouad_boulos The best criteria for apocrine breast lesions are in one of the best breast pathology textbooks.
To deal with those problematic lesions -
I always go back to Part 1 chapter 4

[Ady Yosepovich @adymd1907]

@ThatGlassTho @RFutoran I support your diagnosis

[Ady Yosepovich @adymd1907]

@fouad_boulos @wusm_pathology @washupathedu tubular carcinoma, DCIS
Would have made immuno stains calponin, p63 for reassurance.

[Ady Yosepovich @adymd1907]

@LizMontgomeryMD Wow

[Ady Yosepovich @adymd1907]

@fouad_boulos @wusm_pathology @washupathedu Nice case! thank you Fouad.

[Ady Yosepovich @adymd1907]

@DrJuhlin Thank you for this interesting case!

[Ady Yosepovich @adymd1907]

@fouad_boulos From time to time those hard to define proliferations are due to partial involvement of UDH by LCIS, so vague cribriform pattern can be present, I agree that it is less likely in this case, but still worth doing E-Cadherin, LCIS can be a sneaky diagnosis....

[Ady Yosepovich @adymd1907]

@fouad_boulos @washupathedu @wusm_pathology Squamous metaplasia

[Ady Yosepovich @adymd1907]

@fouad_boulos p63 strong positivity is weird , could be in DCIS of adenoid cystic carcinoma type.

[Ady Yosepovich @adymd1907]

@nairolf_nafets Dimorphic papillary DCIS arising in a papilloma

[Ady Yosepovich @adymd1907]

A breast lesion.
What's the diagnosis?

[Ady Yosepovich @adymd1907]

@mhassanaimc Cystic hyper secretory DCIS high nuclear grade, flat, clinging type

[Ady Yosepovich @adymd1907]

@mhassanaimc Collagenous spherulosis ?