Human anatomy is beautifully designed… but incredibly confusing.
If you don’t tell me the biopsy is from the anorectum, I might call it Barrett’s esophagus from the opposite end 😅
#Dermpath#Pathology Why is it required for pathologists to notify the clinicians diagnoses of melanoma and MIS? I assume they will check the path results after their procedures.
We are not required to call for colon , bladder cancer etc .unless it’s unexpected. Thoughts ?
GI-Unexpected Findings in Small Biopsies
Anal ulcer 78 yo Male
S100+, Melanoma..?
Case signed as Melanoma but molecular test showed BRAF mutation which is rare in mucosal melanomas
New stains: Langerin and CD1a positive...
Final Diagnosis: Langherhans cell hystiocytosis
Lessons:
- Always run two or more markers for melanoma.
- If markers don't fit, think other differential diagnosis
Dr. Tang #USCAP #PathX #PathTwitter
Non-invasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP)
"An encapsulated/well demarcated neoplasm with follicular-patterned morphology and variable nuclear features of PTC, without capsular or vascular invasion"
-No well-formed papillae
-No psammoma bodies
-No more than 30% solid/trabecular/insular growth pattern
-No necrosis
-No high mitotic activity (should be less than 3 mitosis per mm2)
Dr. Dioufa #CAP24 #pathology #pathologists #PathTwitter #PathX #pathresidents #pathfellow
@david_terrano I am talking about dermatologists vs other doctors, nothing about patients. We S/O tons of breast cancer and other cancers etc. no doctors in other specialties asked to be notified of the cancer diagnosis. Some even asked us not to, because they can check the chart for results.