#lppath - Twitter Hashtag

4 months ago

#GUpath trainees: in this radical cystectomy for urothelial carcinoma, what's the likely location of this #LPpath section?

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Ankur Sangoi @slusagar

5 months ago

#PathTip #GUpath #LPpath: when screening prostate biopsies at low power &👁️ small glands traversing from one side of the core to the other ("glands crossing the street"): definitely🛑stop &📷 go down on high power!

slusagar's tweet photo. #PathTip #GUpath #LPpath:

when screening prostate biopsies at low power &👁️ small glands traversing from one side of the core to the other ("glands crossing the street"):

definitely🛑stop &📷 go down on high power! https://t.co/lRR00xjosu

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Ankur Sangoi @slusagar

about 1 year ago

nice #LPpath #GUpath radical nephrectomy of clear cell RCC showing (left/right from initial pic): LEFT: degenerative changes (not prognostic) vs RIGHT: tumor cell necrosis (bad prognostic🔬)

slusagar's tweet photo. nice #LPpath #GUpath radical nephrectomy of clear cell RCC showing (left/right from initial pic):
LEFT: degenerative changes (not prognostic)
vs
RIGHT: tumor cell necrosis (bad prognostic🔬) https://t.co/IZwgUzqfem

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Ankur Sangoi @slusagar

over 1 year ago

#GUpath nephrectomy for single 4cm renal mass from adult, no priors #LPpath Dx (or Dx'es😉) ❓🔬

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Ankur Sangoi @slusagar

over 1 year ago

#GUpath renal mass biopsy from an adult human any wagers from this #LPpath shot?

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Ankur Sangoi @slusagar

almost 2 years ago

I'll be kind and add a #LPpath shot to go along with gross showing 2 masses: larger (orange, 2.6cm) and smaller (white, 0.3cm) Diagnoses?

slusagar's tweet photo. I'll be kind and add a #LPpath shot to go along with gross showing 2 masses:
larger (orange, 2.6cm) and smaller (white, 0.3cm)

Diagnoses? https://t.co/bpzZPtCBbT

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Ankur Sangoi @slusagar

almost 2 years ago

the point of this case was to👀that many times BENIGN seminal vesicle epithelium (as shown here) can really mimic prostate cancer! on higher👀super faint+rare slightly bizarre cells 😅but admittedly...MUCH easier at #LPpath this was 3+4 pT2 case

slusagar's tweet photo. the point of this case was to👀that many times BENIGN seminal vesicle epithelium (as shown here) can really mimic prostate cancer!

on higher👀super faint+rare slightly bizarre cells

😅but admittedly...MUCH easier at #LPpath

this was 3+4 pT2 case https://t.co/BYrtNNsNhZ

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Miruna Popescu, MD

@MirunaPopescu13

about 2 years ago

✅Correct! This was an immature, high-grade teratoma (G3). Extensive areas of primitive neuroectodermal elements are seen at #LPPath 🔬

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Miruna Popescu, MD

@MirunaPopescu13

about 2 years ago

@DanGrahamMD @Immanuel_Paul30 @RibianszkyA @DrGeeONE @_Wondweson64 @GuannanTiffany But as a main DDx I'd say, as others aptly already did: Leiomyoma Inflammatory myofibroblastic tumor Nodular fasciitis. So let's see a #LPPath view before we order any stains 😉

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Ankur Sangoi @slusagar

about 2 years ago

😍#LPpath #GUpath with perfectly lined up delineation: When grading clear cell RCC, scan🔬at low power and 👀the “pink” foci (usually these areas with more eosinophilic cytoplasm as shown👇🏽are higher grade)

slusagar's tweet photo. 😍#LPpath #GUpath with perfectly lined up delineation:

When grading clear cell RCC, scan🔬at low power and 👀the “pink” foci (usually these areas with more eosinophilic cytoplasm as shown👇🏽are higher grade) https://t.co/a44IrffUJA

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Ankur Sangoi @slusagar

about 2 years ago

higher power pic: Dx: spermatocele! I think another DDx just off the uber-challenging #LPpath only knowing #GUpath clue could be benign cortical cyst (from renal cyst decortication)

slusagar's tweet photo. higher power pic:

Dx: spermatocele!

I think another DDx just off the uber-challenging #LPpath only knowing #GUpath clue could be benign cortical cyst (from renal cyst decortication) https://t.co/PBNGQTcRQx

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Ankur Sangoi @slusagar

about 2 years ago

at first👁️of this high-power🔬from #GUpath TURBT, you could be🤨if this is hyperplastic MM vs true MP invasion add'l #LPpath📸highlight what I sometimes call "chewed-up" pattern MP invasion (haphazard MP engulfment by tumor with tiny viable islands present, mimicking hyperpl MM)

slusagar's tweet photo. at first👁️of this high-power🔬from #GUpath TURBT, you could be🤨if this is hyperplastic MM vs true MP invasion

add'l #LPpath📸highlight what I sometimes call "chewed-up" pattern MP invasion (haphazard MP engulfment by tumor with tiny viable islands present, mimicking hyperpl MM) https://t.co/yrGFrgw5gc

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Ankur Sangoi @slusagar

about 2 years ago

#PathTip #GUpath #LPpath: when screening prostate biopsies at low power &👁️ small glands traversing from one side of the core to the other ("glands crossing the street"): definitely🛑stop &📷 go down on high power!

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Ankur Sangoi @slusagar

over 2 years ago

this😍#LPpath #GUpath nephrectomy pic shows 3 features 🔬Dx: clear cell RCC 🔬stage: pT3a (sinus+vascular invasion) 🔬Px: necrosis

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Ankur Sangoi @slusagar

over 2 years ago

#GUpath nephrectomy: able to make #LPpath Dx?🔬🤨

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Ankur Sangoi @slusagar

over 2 years ago

#PathTip #GUpath #LPpath: when screening prostate biopsies at low power &👁️ small glands traversing from one side of the core to the other ("glands crossing the street"): definitely🛑stop &🧐 go down on high power!

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Ankur Sangoi @slusagar

over 2 years ago

#GUpath partial nephrectomy: elusive multilocular cystic renal neoplasm of low malignant potential (MCRNLMP)🤨❓ it's possibly at initial🧐mag... but #LPpath reveals solid tumor nodules in wall, taking this out of that Dx & 👉🏽clear cell RCC (with cystic change) ⏬cont'd⏬

slusagar's tweet photo. #GUpath partial nephrectomy:

elusive multilocular cystic renal neoplasm of low malignant potential (MCRNLMP)🤨❓

it's possibly at initial🧐mag...
but #LPpath reveals solid tumor nodules in wall, taking this out of that Dx & 👉🏽clear cell RCC (with cystic change)

⏬cont'd⏬ https://t.co/TFjKYDogwo

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Ankur Sangoi @slusagar

over 2 years ago

if you go back &👀original, there's transition to nodfasc-like elements + hemosiderin Dx: florid bx site changes/scar (s/p neoadj chemo, ypT0) ✔️lower mag pics #beautyinb9 #LPpath

slusagar's tweet photo. if you go back &👀original, there's transition to nodfasc-like elements + hemosiderin

Dx: florid bx site changes/scar (s/p neoadj chemo, ypT0)

✔️lower mag pics #beautyinb9 #LPpath https://t.co/vSku9KQOaW

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Ankur Sangoi @slusagar

almost 3 years ago

#GUpath clear cell RCC with rhabdoid diff breaks the rule "when scanning at #LPpath for high grade CC-RCC foci, 👀🔬usually pale clear are low grade & the PINK cytoplasmic areas are high grade"

slusagar's tweet photo. #GUpath clear cell RCC with rhabdoid diff breaks the rule "when scanning at #LPpath for high grade CC-RCC foci, 👀🔬usually pale clear are low grade & the PINK cytoplasmic areas are high grade" https://t.co/mvPcNmGBRE

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Ankur Sangoi @slusagar

almost 3 years ago

follow-up on this case: highpower shots of putative "BN invasion" are🚨a 🔬pitfall, b/c you can't assess landmarks (I'd have selected "can't tell from pic") 👇🏽here, you have benign prostate glands along parallel plane at #LPpath, so I would NOT consider this BN invasion

slusagar's tweet photo. follow-up on this case:

highpower shots of putative "BN invasion" are🚨a 🔬pitfall, b/c you can't assess landmarks (I'd have selected "can't tell from pic")

👇🏽here, you have benign prostate glands along parallel plane at #LPpath, so I would NOT consider this BN invasion https://t.co/Yc2D2EXpJ8

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