Dr. Pathology Boards

Harnessing the power of user-generated content to help AP/CP residents prepare for boards.

[Dr. Pathology Boards @PathBoards]

Brevity in writing is the best insurance for its perusal. #substance

[pathCast @pathologyCast]

What is your most likely diagnosis?

Courtesy: @drsandyya
@PathBoards #pathboards

[UAB Pathology @UABPathology]

Case of the week. The enlarged splenectomy specimen of a 44-year old man shows multiple variably sized blood-filled nodules throughout the cut surface (A-D). Immunophenotype: CD163+ (subset of cells), CD34+ (subset of cells), CD8 negative in red pulp sinuses.

[UAB Pathology @UABPathology]

Case of the week submitted by Dr. Yemelyanova. The patient is a 18 year old female with bilateral adnexal masses.

[Elizabeth Montgomery, MD @LizMontgomeryMD]

It's just a little collagenous colitis for a palate cleanser.

[M. Lisa Zhang, MD @MLisaZhang]

Recently found out about the new 2019 ASCCP guidelines for cervical cancer screening, with a shift toward risk-based clinical action thresholds: https://t.co/rt9gutRAzb
✳️Important to understand how our path diagnoses impact patient management!
#CytoPath #GynPath Thanks @cjvand!

[Zubair Baloch @aakasharmand]

Keep Parathyroid lesion in ur differential for cellular-FNA of small thyroid nodules @sam_albadri @SamKhader @EndoPath @mtsiddi @AshishC97225686 @LisaRooperMD @PathDocBoston @samyra_rashid @DiagnosticCyto @UEndopath @PennPathLabMed

[Kevin Kuan @kkuanMD]

Textbook case of intestinal #amebiasis:
Biopsies taken from a colon with many ulcers displaying "poached egg" appearances. Histologic examination shows the presence of E. histolytica in both trophozoites and cysts form. #PathTwitter #GIpath #microbiology #pathharryspotter

[Jen-Fan Hang, MD, FIAC @jfhang]

Typical FNA picture of an adenoid cystic carcinoma with uniform basaloid cells, microcystic architecture, and abundant hyaline globules. Check out the new @Pathoutlines article on malignant salivary gland FNA! https://t.co/v5kTNgHo1Z #cytopath #ENTPath #FNApath #FNAfriday

[M. Lisa Zhang, MD @MLisaZhang]

Hepatoblastoma, mixed epithelial and mesenchymal type:
🔸 Most <5yo
🔸 Epithelial (resemble immature hepatocytes) and mesenchymal (spindled) components
🔸 Nuclear β-catenin+ (80% cases) in both components

#FNAFriday #CytoPath #liverpath #GIpath #pedipath #Pathology @PathSpotters

[Emilio Madrigal, DO @EMadrigalDO]

Thyroid nodule FNA
🔴 Malignant (Bethesda 6)
🔴 MEDULLARY thyroid carcinoma
⚫️ ➕calcitonin, synaptophysin, chromogranin
⚫️ ➖ thyroglobulin
⚫️ PAX8 (variable and weak)
⚫️ Cyto: round, plasmacytoid, polygonal or SPINDLE cells in nests, cords, or follicles

#cytoPath #FNAFriday

[Syed Z. Ali @sza_jhcyto]

On low power, majority of you would think "PA from the Parotid". However, most would change the opinion on high power and once I disclose that the FNA came from a femoral lesion in a young male. Immature osteoid from "Osteosarcoma" appears extremely "myxoid".

[Vanda Torous MD @VandaTorousMD]

FNA clear cell renal cell carcinoma: Cells w abundant cytoplasm and w small cytoplasmic vacuoles. Can be difficult on liquid based preps where the cells r bland & may mimic histiocytes (low N:C, eccentric nuclei). The smears r helpful, w large vascular cohesive groups #cytopath

[M. Lisa Zhang, MD @MLisaZhang]

Parotid FNA with "plate-like" amylase crystals 💎 , associated with sialadenitis.
VS "floret-like" tyrosine crystals, which can be seen in pleomorphic adenomas and other neoplasms.

Feels like trivia fodder for @Sara_Jiang! 🤫

#FNAFriday #CytoPath #ENTPath #Pathology #pathboards

[Tyler Teichmeier M.D., MLS(ASCP) @PathTyler]

Today we had a nice example of a Pacinian Corpuscle Neuroma. It is a benign lesion composed of prominent pacinian corpuscles with variable patterns in the dermis. Typical corpuscles measure 1.0 - 1.5mm, these were slightly larger at 2mm. #dermpath #dermatology @PathBoards

[Binny K @b_histopath]

#pathologyeducation #someEd @PathBoards @mona8schmona

[Tyler Teichmeier M.D., MLS(ASCP) @PathTyler]

Despite looking like a low-grade Gleason adenocarcinoma of the prostate, this is a case of adenosis. It can present with small glands, smooth luminal borders, and nucleoli. The key here is the PIN-4 stain demonstrating basal cells. Scary! #pathology @PathBoards @UNMC_PathMicro