Laryngeal carcinosarcoma (sarcomatoid SCC). Sometimes you have to look v hard to find any evidence of epithelial differentiation. This was the only 1mm focus +ve for p40 and cytokeratins. Don’t believe it’s a sarcoma until you’ve done levels and every CK in your armoury #ENTPath
A giant of cancer pathology drawing a line in the sand. My view...unless you can show real impact on patient outcomes, much of this incessant splitting
and updating is self aggrandizement by those who wish to reinforce their position as courtiers in the ivory tower.
This weekend in A&E, I saw patients who couldn't get GP appointments
And I worked with GPs who couldn't get jobs as GPs
@NHSEngland make it make sense please as i can't.
Love my new book!
Of course chapter 14 is the best bit 😉
Recommended for all histopathology/forensic pathology/neuropathology trainees, as well as practising consultants. A wealth of autopsy knowledge from fabulous authors.
#autopsy#forensicpath#autopsyhistology
Merry Christmas to all those working in the NHS
Many staff in the NHS are grossly underpaid (even on Christmas day👇) but none more so than Resident Doctors who frequently graduate with >£100k debt
RT to support them & ask government to pay them ALL fairly #PayRestoration
Atlas of Adult Autopsy second edition (Kim Suvarna & Abi Sharp Eds) is now published! With a brand new chapter on autopsy histology (by me 😊).
https://t.co/oJ3DUP3HbQ
Microscopic colitis with giant cells. Female with autoimmune history and watery diarrhoea, negative micro and endoscopy normal. Unlike CD which has deep granulomas the giant cells in MCwGC are superficial and dispersed. Like CC and LC responds to budesonide. @drkeithsiau#GIPath
Perhaps I’ve had too much coffee but the forceps artefact in this skin biopsy shared with me by @ssaunders279 reminded me of the clashing tusks of a pair of rutting narwhals #pathart#dermpath@ACP_Pathologist