69M with history of right 2nd finger amputation 3yrs ago. Huge 10cm right axillary LN mets, post palliative dissection. Planning PORT and immunotherapy. Gross and low power of the axillary metastatic melanoma. Last pic of punch biopsy where tumor originated.
Doctors in SK are in serious condition. Entire medical system, including education and training, is going to deteriorate. Personal resignation was banned and we are forced to get back to work without any permission. I have a right. No one can compel me what to do.
@KOPANA_Path
54/M with Epstein anomaly and severe TR found a 6cm mass in RV by follow-up MRI. Endomyocardial biopsy revealed a cardiac DLBCL, EBV-negative, C-Myc FISH negative. More common in the right atrium. #CVpath#cardiacpath#hemepath#pathtwitter#pathresident
@DrCycloPath Excellent question! While genetics underlying both the anomaly and the cardiac DLBCL is unknown, a study in 1989 by Russell et al (PMID 2925289) shows 4 cases of right-sided tumors coexistant with heart anomalies.
38/F right flank 2cm mass with paresthesia upon touch. History of liposuction through that area 2 years ago. Gross: yellow, finely granular. Perineural infiltration of granular cells, positive for S-100. Granular cell tumor. #BSTPath#PathX#pathresidents#Pathtwitter
64/M proximal gastrectomy. Gastric carcinoma with lymphoid stroma (GCLS), strong EBV positivity illustrated by in situ hybridization. Characteristic ribbon-like architecture near the mucosa. Reason to watch out for lymphoid stomach Bx! #GIpath#pathresidents#PathX
58/M stomach wedge resection. Low power looks like lymphoid cuffing, so schwannoma. Easy, right? Well... high power of the "cuff" sure looks spindle. DOG1+ low power and c-KIT(+) high power shows that it's actually GIST. #GIpath#PathX#pathresidents
Stomach submucosal tumors can be differentiated at low power. Lymphoid cuffing suggests schwannoma, while its absence supports GIST (even if parts look like verocay!) #GIpath#pathX#pathology
Pancreatic ductal adenocarcinoma (PDAC) sure loves perineural invasion. Here's one found in a EUS-guided fine needle aspiration Bx of a 2.2 cm mass at the pancreas head. #PathX#GIpath
12/F with T-ALL developed neutropenic fever during CTx. Fever uncontrolled medically, warranting a LULobectomy. DIC illustrated by septic emboli in the lung. Ribbon-like fungal hyphae without septation and orthogonal branching: Mucormycosis. #PulmPath#crittersontwitter#PathBugs