FNA-Wu

Director of #CytoPathology @SBMPathology Stony Brook Medicine

[Syed Z. Ali @sza_jhcyto]

"Wild Case" - Reiterating the importance of clinical history, this Thyroid FNA would have been IMPOSSIBLE to diagnose without the known history of a "Breast Lobular Carcinoma" in the patient. IHCs confirmed "metastasis". Shown here are ER and GATA-3 stains (done on the CB).

[WC Faquin, MD, PhD @bfaquin]

FNA of parotid mass in an elderly man: this shows characteristic cytologic features of salivary duct carcinoma. IHC for androgen receptor can be used to confirm the dx.

[FNA-Wu @fna_wu]

@aakasharmand Congratulations 👍

[Vanda Torous MD @VandaTorousMD]

BAL with Aspergillus fruiting bodies seen among the hyphae. A rare find on BALs, associated with exposure to air / cavitation

#CytoPath #PathTwitter

[Taylor Bronson @TaylorBronsonMD]

Beautiful guar bean cells in an ileal conduit urine specimen. Guar gum is used as an adhesive for some ostomy collection systems. Most were present singly, but few were in larger clusters in this case.

[Syed Z. Ali @sza_jhcyto]

CLASSIC textbook example of "Plasmacytoid" cells in a "Medullary Thyroid Carcinoma" on FNA. Also evident is the basophilic cytoplasmic granularity.

[Syed Z. Ali @sza_jhcyto]

"YES", benign mesothelial cells can have "intranuclear inclusions" (INCIs) and nuclear grooves. (Contaminating mesothelium in a transabdominal FNA from a case of sclerosing mesenteritis).

[Syed Z. Ali @sza_jhcyto]

"Staring Eyes" - Metastatic Melanoma in Lung. (FNA)

[Syed Z. Ali @sza_jhcyto]

PERFECT Cyto-Histo correlation in a Lung "Spindle Cell Carcinoid Tumor". (FNA)

[Syed Z. Ali @sza_jhcyto]

"The Feeders" - Crisscrossing capillaries, Papillary Thyroid Carcinoma, FNA.

[Stony Brook Pathology @SBMPathology]

We are so proud of our #Pathology residency graduates. Congratulations to Drs. @GontaMD @HibbahNabeel @KarenBaiBai @JirongM and Naiyer - now board certified pathologists!

#100percent #boardpassrate

[Vanda Torous MD @VandaTorousMD]

Fun case for #FluidsFriday: Urine with polyomavirus cytopathic effect. Infected cells w/ tails are affectionately known as 'comet cells' ☄️

#CytoPath #PathTwitter

[Syed Z. Ali @sza_jhcyto]

"Be Careful" when evaluating transrectal FNAs for recurrent Colon CA. One could aspirate abundant luminal mucin with benign epithelium, which could be overinterpreted. In this case, however, the ACA fragment was clearly identifiable in patient with a history of "Colloid CA".

[Syed Z. Ali @sza_jhcyto]

A great image to teach "Nuclear Pleomorphism" to the new Path interns. Liver FNA of a Hepatocellular Carcinoma, Liver FNA.

[Gloria Sura, MD @Gloria_SuraMD]

What fungal infection is seen in this biopsy of the small intestine of an immunocompromised patient? Answer & additional stain: https://t.co/Va3IynqHeT
#PathArt #PathTwitter #IDTwitter #MedTwitter

[Vanda Torous MD @VandaTorousMD]

Happy 4th of July! 🎆 Stay safe and have fun 😎
#PathTwitter

[Syed Z. Ali @sza_jhcyto]

JACKPOT of "Signet Ring Cells" in all sizes and shapes in Pleural Effusion from a known Gastric Carcinoma primary.

[FNA-Wu @fna_wu]

@patwass @Baskotacytopath @ColumbiaPath @SDeMicheleMD @SepideBesharati Best wishes and love to Dr. Wasserman’s happy retirement ❤️🤗🌹

[FNA-Wu @fna_wu]

Great case! Thanks for sharing!

[Syed Z. Ali @sza_jhcyto]

"Same case, almost similar fields" - The case proves as to why a Giemsa stain (DiffQuik, in this case) is so desirable in soft tissue and salivary gland ("matrix-producing") tumors - In this case, a lower back mass (Chordoma).

[Gloria Sura, MD @Gloria_SuraMD]

Cerebrospinal fluid showing variably sized encapsulated yeasts of Cryptococcus species. #PathTwitter #PathArt #CytoPath #Pathology