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This is an esophagus biopsy with a lymphocyte predominant/lichenoid pattern of injury. Sometimes it correlates with skin lichen planus but more often another type of immunologic alteration is present. This pattern can be accompanied by strictures. Note the squamous apoptosis.

Intestinal elastosis/elastofibromatous change produces a polyp and probably reflects a damaged submucosal blood vessel.

Appendicitis with an incidental serrated epithelial proliferation. The preferred terminology is "serrated polyp" rather than SSL as they have different genetics to their colonic counterparts. NB this is not LAMN as the muscularis mucosae is intact @Pathoutlines @RaulSGonzalezMD

One of our talented PGY-2s, Mohamed Moustafa, presented a case report on a rare instance of GIST involving the ovary this past weekend at the Texas Society of Pathologists’ Summer Conference.
#PathX #PathTwitter #Pathology #GIPath #PathResidents #PathResEd

Join us for our residency virtual open house on September 9th at 7 PM CST.
Zoom link for the Open House: https://t.co/LXxSjIbz0I
#pathology #pathmatch2026 #pathresidents #PathResEd #pathtopath

#GIPath #Diagnosethis #Pathresidents 1/2
Look what crossed my my microscope ?
The key is in the bitonal hue of this esophagus with sharply demarcated layers ,strong pink superficial ,intraepithelial cleft ,partially detached ,other fragments with just strips of superficial necrotic epithelium .
Make the Dx ,then go to the endoscopic appearance bonus .
#PathOutPic

Pyloric gland adenoma in uninflamed gastric body. There is an association with autoimmune gastritis (pyloric metaplasia progressing to pyloric adenoma) but this patient does not have it. Note the appearance of the surface of the adenoma versus the adjoining foveolar epithelium.

Rectal muciphages; useful to identify the distal biopsy in an unlabelled colonic series. #Pathologists dont confuse them for sampling of a xanthoma! #GIPath

🚨🚨🚨#GIpath pitfall. Beware 👀! 🚨🚨🚨
#pathology #pathX #PathTwitter #PathResEd #pathmatch2025 #pathmatch2026

@TheShorePath @ElaineHuMD @Maicroanatomy @JuanPathMD @LordoftheSlides Are asteroid bodies pathognomonic for anything?
#pathology #PathResEd #PathX #MedTwitter
@DrCycloPath Excellent example of educational post
#PathTweetAward #PathResEd
@TheShorePath
@JuanPathMD
@LordoftheSlides
@Maicroanatomy
@ElaineHuMD
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