Omid B.

Breast pathologist, clinical pathologist &
rabid Arizona Wildcats fan

[Omid B. @omidb1973]

@SandraIxchelS Busy breast syndrome (BBS)!

[Omid B. @omidb1973]

@fouad_boulos Callenging case. The easy part is in situ process, likely SPC. There is clearly a mucinous component.A possible focus of "conventional invasion" on the H&E. I would need to see more/deeper to determine if that invasion is limited to the capsule, in which case it wouldn't count

[Omid B. @omidb1973]

@fouad_boulos This already has me thinking late on a Friday. Shame on you @fouad_boulos !

[Omid B. @omidb1973]

@Iam_RawleAlkins Bear down!

[Omid B. @omidb1973]

@fouad_boulos Mammary hamartoma...and a gorgeous example of one!

[Omid B. @omidb1973]

@MoAhmedMD Yes on vasectomy
Yes on adult circumcision
No one child circumcision
In california,a lot of this depends on whether you are in acute care facility or not.If you fall under the category of an acute care facility, then all specimens must come to pathology unless there is a waiver

[Omid B. @omidb1973]

@MateenH79781868 HGD

[Omid B. @omidb1973]

@jasonscheer Why didn't they do it for other players in this world cup?

[Omid B. @omidb1973]

@DDaneshbod If the biopsy was for a mass then I would call it fibroadenoma with calcs. If the biopsy was for calcifications then I would call it fibroadenomatoid change with calcs.

[Omid B. @omidb1973]

@fouad_boulos @washu_pathology DCIS...too high grade to call it ADH

[Omid B. @omidb1973]

@jasonscheer Happy for him!

[Omid B. @omidb1973]

@ShannonSharpe And why were they letting the ball roll on inbounds, preventing the clock from starting. Youre up 29...you want the clock to run! I have so many questions

[Omid B. @omidb1973]

@RazaHoda @Histo_Journal Perfect. I think the cT4dypT2 or ypT2 (cT4d) makes the most sense though Im sure ill get a call on that too! More and more my signouts are becoming a competition to ensure I dont get a future call!

[Omid B. @omidb1973]

@RazaHoda staging for inflammatory breast CA that had no prior biopsy and s/p neoad chemo and mastectomy with residual tumor not involving skin/lymphatics (pT2). Do you use ypT2, ypT4c (dont downstage) or cT4dypT2?AJCC states not to downstage IBC but is that only clinical stage?

[Omid B. @omidb1973]

@RazaHoda Much appreciated. AJCC should make it clear that "once a T4d, always a T4d" refers to clinical staging only. This concept is unclear to clinicians who then call US upset that we didn't stage it that way.

[Omid B. @omidb1973]

@brianonorio https://t.co/PcqKXlVYwA

[Omid B. @omidb1973]

@RazaHoda Little bastards!

[Omid B. @omidb1973]

@fouad_boulos Benign phylloides [unless there are bunch of stromal mitoses (as there is a focus of potential stromal "expansion"]

[Omid B. @omidb1973]

@channingfrye Bear Down!

[Omid B. @omidb1973]

@SandraIxchelS Nuclear grade 4 (lol)!