Kala Suresh

Consultant Pathologist, Dr KMH

[Surgical Pathology Cases @surgpathcases]

Thigh, 40y

#pathology #patologia #bstpath #dermpath

[Kalita Dr. @drlachit]

Echinococcal cyst in lung of a 1 year old baby.

[Dr. Arkadip MD @pathognosis22]

Daily reporting companion #gynepath (KINDLY ZZOOOMMM INN !!!) #pathology #histopath #NEET #NEETSS #pathognosis

[Janira Navarro @Janiranavarro]

Kidney involvement by lymphoma

🔬 Autopsy series: ~1/3 of patients with lymphoma show kidney infiltration

🔬 CLL: 63–93% in autopsy series

Secondary renal involvement >> primary renal lymphoma

Most common hematologic neoplasms identified in medical renal biopsies:
• CLL/SLL
• Low-grade B-cell lymphoma with plasmacytic differentiation

Dr. Herrera Hernandez #USCAP2026 #pathology #PathX #PathTwitter

[JClinPath_BMJ @JClinPath_BMJ]

Not everything “benign” behaves that way.

Pancreatic serous neoplasms are usually indolent, but his study is a reminder that some do not follow the script.

This study showed meaningful risk of progression (~28%) on follow-up, without metastasis
.
🔍 What should make us pause:
• Infiltrative growth pattern
• Solid architecture
• Ki-67 higher than expected
Together, they shift the conversation.

💡 Take-home:
Sometimes the goal isn’t to label a case as benign vs malignant,
it’s to recognize when it deserves closer attention and follow-up.

🔓 Open access — worth a read: https://t.co/xIwDIgXpzt

[Yasamin Mirzabeigi, MD @YMirzabeigi]

Our Gynecologic Pathology cases @UMiamiPathology are fascinating! Here’s a striking example of pilomatrix-like high-grade endometrial carcinoma (PiMHEC), a recently described entity mostly driven by CTNNB1 mutations. Look for solid basaloid growth with conspicuous central tumor cell necrosis, and pilomatrix-like keratinization with the hallmark ghost cells. This case also had a focal conventional FIGO grade 1 endometrioid component. IHC shows diffuse nuclear β-catenin with loss of PAX8 and ER in the pilomatrix-like component. These tumors are believed to behave aggressively.

[Dr. Arkadip MD @pathognosis22]

Molecular alterations in CNS tumor #WHO #CNS5 #molecular #CNS #histopath #pathology #pathognosis #NEET #NEETSS

[Pathology Walker@Auto Tweet Bot @Patholwalker]

Invasive cribriform carcinoma of breast. #Pathology #Pathologist #BreastPath

[aung phyo @pathphyo]

A focus of micropapillary DCIS characterized by ducts expanded by epithelial proliferation displaying micropapillary architecture. There is background invasive micropapillary carcinoma.
#pathology #breastpath #DCIS

[Katrina Collins, MD || Pathologist @katcollmd]

#slidearchiveseries prostatic adenocarcinoma with mucinous component #gupath

✅ prognosis similar to non-mucinous cancers of similar Gleason score
✅ subtract mucin, grade based on underlying architecture
✅ mucin present (≤25 🆚 >25%) 
✅ final classification on resection

[Ankur Sangoi @slusagar]

#GUpath #endopath cystic adrenal mass

🔬adrenal endothelial cyst

⏬cont'd⏬

[Int J Surg Pathol @IJSPjournal]

#Hemepath meets #GUPath
Pitfall alert 🚨GATA3/p63➕ in urinary bladder lymphomas (some with colonization of overlying urothelium) may mimic urothelial carcinoma (in situ)
Weird bladder tumor? Consider doing a keratin!
👉🏼IJSP read of the day: https://t.co/hlRjemsQ1h
#PathTwitter

[Alireza Salem @AlirezaSalem2]

🔬Rosen Triad crashes your biopsy. All three besties showing up together:
Tubular carcinoma: fancy well-differentiated
LCIS: not invasive but still problematic
Columnar cell change: just showed up for vibes
#breastpath #pathX #pathTweeter @ColumbiaPath @ColumbiaPathRes @TheISBP

[Héctor-Enrique Torres-Rivas, MD, MIAC @duckhuca]

🦀 Medical record: Acute myeloid leukaemia.
💉 Lumbar puncture. CerebroSpinal Fluid.
🔬 Infiltration by Acute Myeloid Leukaemia.

#Cytology #CytoPath

[Craig Horbinski @CraigHorbinski]

A recurrent skull base #meningioma growing around a peripheral nerve

[Syed Z. Ali @sza_jhcyto]

CLASSIC "lymphocyte-like" naked nuclear morphology of an intrathyroidal parathyroid neoplasm on FNA. Needle rinse PTH levels were significantly elevated. (Thyroid, FNA)

[Sanjay Mukhopadhyay @smlungpathguy]

@MaiElzieny 19.
There is a concept PGY1s should know about in lung cancer: "spread through air spaces" or "STAS". This is tumor within alveolar lumens (green circles) beyond the edge of the main mass (red line). Associated with micropapillary growth, lymph node mets & poor prognosis

[Anna Vasileva @pathoblog]

Gastric biopsy — almost called it poorly differentiated carcinoma. Lesson learned: always dig deeper on low-grade gastric tumors.

Turned out to be metastatic melanoma. Patient had a history of melanoma. Never skip the clinical context. 🔬

#pathology #pathtwitter #gipath

[A. Sarah Erem @CakePath]

Warty Dyskeratoma Rocks:
🕳️ Crater / cup-shaped lesion = Architecture clue → start thinking WD immediately
🔓 Suprabasal acantholysis →Loss of cohesion (Darier-like)
🧬 Corps ronds + grains = Dyskeratosis → confirms pattern
🌿 Villous projections 🧱Sealing feature → helpful, almost specific
#dermpath #dermatology #dermatologia #dermtwitter #pathology #pathologists #pathTwitter

[Kala Suresh @kspatho]

@smlungpathguy @DianaEstherossi Yes please!