Noemi Reyes

God-fearing, Mother, MD, and Pathologist. 🇩🇴🇺🇸

[Syed Z. Ali @sza_jhcyto]

"Signet-ring overload" - This truly impressive peritoneal effusion is involved by a signet-ring cell carcinoma, suspected to be of urothelial/bladder in origin. The mucicarmine stain on the cell block appears so photogenic. (Cytospin and CB)

[Pathology mcqs @Pathology_mcqs]

True goblet cells contain acid mucin,show a triangular nucleus, and stain Alcian blue positive🔵

Pseudo-goblet cells are actually gastric foveolar cells with neutral mucin, showing PAS magenta staining🟣

#Pathology #Histopathology #PathologyMCQ #GIPathology #BarrettEsophagus

[Pathology mcqs @Pathology_mcqs]

🚨 Diagnostic Pitfall: Benign glands can mimic perineural invasion.
🔬 Close gland–nerve proximity ≠ malignancy.
🧠 True invasion requires circumferential encasement or intraneural spread.

#DiagnosticPitfalls #ProstatePathology #GUPathology #PerineuralInvasion

[Noemi Reyes @nr_path]

@DrCycloPath @pepeheffernan @IARCWHO Thank you for such a masterful explanation. That's an excellent way to learn and differentiate between each diagnosis.

[Noemi Reyes @nr_path]

@sza_jhcyto @AmerSwid Excellent work. The microscopic images are beautiful and clear.

[Syed Z. Ali @sza_jhcyto]

"Coffee beans" in a liver FNA from a patient with history of "adult granulosa cell tumor", diagnosed by my able fellow @AmerSwid, (smears and cell block).
IHCs with FOXL2, SF1, Inhibin and Calretinin confirms the dx.

[Pathology mcqs @Pathology_mcqs]

🔬 PEComa is a spectrum, not a single entity.

🧬 Classic → Clear epithelioid cells
🧩 TFE3 → Nested/alveolar growth
🩸 LAM-like → Spindled cells
🎯 Pattern recognition makes the diagnosis.

#PEComa #SoftTissuePathology #HighYieldPathology #TumorPathology #Oncopathology

[Lola Lozano @mdlozanoe]

High-Grade Urothelial carcinoma (HGUC). Voided urine, SurePath
#Cytopath @IACytology @EfcsYoung @SECitologia @cytopathology @cjvand @mtsiddi

[Mauro Saieg, MD, PhD, FIAC @MauroSaieg]

Now it’s cryptococcus. Characteristic birefrigent capsule, round to oval, thin walls. Sometimes you can even picture a “sunshine” appearance. Isn’t cytology beautiful ?? Happy Valentine’s you all !

[Syed Z. Ali @sza_jhcyto]

A combination of intracytoplasmic mucin and hydropic degeneration, resulting in cells that looks like "Big Balloons" - "Metastatic Pancreatic Adenocarcinoma" in ascitic fluid. How often do I personally ask for a mucicarmine stain? - almost never.

[Syed Z. Ali @sza_jhcyto]

Always photogenic - "Aspergillus" in a bronchoalveolar lavage (BAL). (cytospin)

[Charlie Herndon @DrCycloPath]

Postmenopausal bleeding in a 60-year-old woman.
Her pap smear is shown. What is your interpretation?
A) Negative for malignancy
B) High grade
C) Squamous cell carcinoma
#CytoPath #GynPath #PathTwitter #Pathology

[Advances in Reproduction @AdvReproduction]

The menstrual cycle

1. Menstrual phase (0:00 - 0:07)
2. Follicular phase (0:08 - 0:15)
3. Ovulation phase (0:16 - 0:27)
4. Lutheal phase (0:28 - 0:33)

[📹 IG design_cells]

[Ziad El-Zaatari @ziad_zaatari]

🔬 Succinate Dehydrogenase (SDH)-Deficient Renal Cell Carcinoma ~ Can you see the cytoplasmic inclusions with eosinophilic or pale flocculent material? #GUpath #KidneyTumors #Pathology #Urology

[Marco A Rdgz Florido @solcosao]

Diffuse right frontal tumor with no enhacing in a 28yo woman.

Gemistocytic astrocytoma

Something to remember:

* >20% gemistocytes are required to be considered a major tissue pattern

* it's associated with a focal gain of chromosome 12p

#Neuropath

[Charlie Herndon @DrCycloPath]

Pap from a 45-year-old woman, what is your 1st impression?
A) AGC
B) HSIL
C) NILM
#Pathology #PathTwitter #CytoPath

[Pathology mcqs @Pathology_mcqs]

🔬✨ Dive into the molecular pathology of adipocytic tumors! Understanding the key characteristics, molecular features, and histopathology of these fascinating entities is vital for diagnosis and research. 🧠💡

Perfect for those preparing for #NEETSS and #FRCPath! 🩺 #pathboards

[Noemi Reyes @nr_path]

@sza_jhcyto Marvelous sunset. Thank you for sharing.

[Noemi Reyes @nr_path]

Happy New year 🎈🎆🎊

[Lola Lozano @mdlozanoe]

Ascitic fluid positive for malignancy. Easy to recognize.
In PDAC, It's not uncommon to see isolated cells that can be quite anaplastic. The same can occur when there is peritoneal involvement, as in this ascitic fluid of a patient with PDAC 🔬❤️‍🩹