Liska Budding

An interactive page for Anatomical Pathology registrars to share interesting cases

[Liska Budding @BuddingLiska]

Thank you very much for our highly anticipated books 📚 @AceMyPath @AkankshaGuptaMD @KurtSchaberg

[Liska Budding @BuddingLiska]

@ArvindKhanijo @DrlegrangeDan Final diagnosis: Scabies 😊

[Liska Budding @BuddingLiska]

Especially for @DrlegrangeDan 🤓 an uninvited guest present in a skin lesion

[Liska Budding @BuddingLiska]

An incidental finding made by @christiestwit and @ChingLi31549786 😊 An ulcer was noted upon the gallbladder during a laparotomy for stab abdomen. The gallbladder was removed and here is the guilty culprit... What eagle-eyes we have in our department 🦅

[Liska Budding @BuddingLiska]

Wow moment: Gamna-Gandy bodies. Spheroidal yellow-brown foci of dense fibrous tissue and collagenous fibers composed of calcium and hemosiderin pigments. Sites: spleen, atrial myxomas, lymph nodes, thymoma, follicular adenoma of thyroid (and more) Thank you @christiestwit

[Josh Trebach, MD @jtrebach]

omg I am MORTIFIED

[Liska Budding @BuddingLiska]

Perhaps @AgnesFogo or @HelmutReinke could assist with opinions 😊

[Liska Budding @BuddingLiska]

For diagnostic assistance: an 18 year old male with diabetes mellitus type 1. Endocapillary proliferative glomerulonephritis with crescents. Any ideas would be appreciated 😊 @christiestwit

#PathTwitter #renalpath #pathology #NephTwitter #nephrology

[Jerad Gardner, MD @JMGardnerMD]

One classic pic. No history. Can you make the diagnosis? Answer & more info here: https://t.co/fqaT8YsPqc. #pathology #pathologists #pathTwitter #dermpath #dermatology #dermatologia #dermtwitter #bstpath

[Liska Budding @BuddingLiska]

Our department's unofficial "case of the year." A brain lesion in a 50 year old immunocompromised female with progressive hemiparesis and headaches. Thank you @AntoiRoets 🐱

@infectiouspatho @Pathoutlines @amjsurgpathol @PathElective @pathtwitter

[Liska Budding @BuddingLiska]

Another beautiful example from a post mortem done by @ChingLi31549786. This patient also had extensive oesophageal varicies.

[Liska Budding @BuddingLiska]

What would you call this skin adnexal tumour if it had >50% basaloid cells along the periphery? Thank you @LiezanneM 🌟

[Liska Budding @BuddingLiska]

Dilated submucosal vessels (from the above bladder biopsy)- the cause of the haematuria

[Liska Budding @BuddingLiska]

From @ChingLi31549786 Incidentally found in the liver at PM:

[Liska Budding @BuddingLiska]

A cavernous hemangioma. A well circumscribed lesion with dilated vascular spaces, filled with blood and suspended in a fibrous stroma. Here is another example of a hemangioma in a bladder biopsy of a patient with haematuria and cervix carcinoma🩸thank you @christiestwit

[Liska Budding @BuddingLiska]

At first glance, the abundant foamy histiocytes can make you think this is just xanthogranulomatous cystitis. But on closer inspection, the Michaelis-Gutmann bodies give away the diagnosis: malakoplakia 🤓 von Kossa and PAS stains will highlight the MG bodies.

[Liska Budding @BuddingLiska]

The next few cases were suggested by an anaconda for the worm in the department 🐍🪱 Bladder biopsy:

[Liska Budding @BuddingLiska]

A retinoblastoma. Small round blue cell tumour seen in children. Flexner Wintersteiner rosettes: central lumen filled with mucopolysaccharide, surrounding tumour cells have nuclei located away from lumen. Homer Wright rosettes: do not have central lumina (less common than FW).

[Liska Budding @BuddingLiska]

Exenteration:

[Liska Budding @BuddingLiska]

An example of the most common paediatric hepatic neoplasm: a hepatoblastoma. There are many histological variants (too many to describe in a 280 character Tweet 🙈). Notice the pink and blue components and the bone too. This is a mixed epithelial and mesenchymal hepatoblastoma 🤪

[Liska Budding @BuddingLiska]

@LiezanneM kindly contributed this case 🤓 An 8cm liver mass in a 2 year old child.

#medtwitter #liver #pathology #surgicalpathology