Trupti Mandalia @Pathmath1
Cellular pathologist #GynPath #GIPath Uk Joined May 2017-
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@drtimbracey @RhondaYantiss @kriyer68 @DraEosina @RaulSGonzalezMD @LizMontgomeryMD @RunjanChetty @diagnexia @Pathmath1 @ariella8 @jansen_marnix @DrMarkOng @SingJamieD @Teclis82 LAMN is correct. Like many tumors, if diagnosed at an early stage, it is cured by appendectomy. The same tumor at high stage can progress to pseudomyxoma. Using different names at different stages would be confusing. Mucocele is a gross term for dilated appendix filled with mucin
Mandible cyst and numb lip. Radiological mimic of dentigerous cyst, histologically resembles mucoepidermoid ca but MAML2 neg. This is glandular odontogenic cyst, rare and locally aggressive with up to 50% recurrence depending on initial treatment. Thanks to @sakhurram for advice!
Time for a fun GI poll (without the poll, because I refuse to subscribe and it appears to no longer be an option if you don't). Biopsy from a patient with a long-standing history of IBD. Dysplasia or nope (or indefinite, if you must)? #GIpath
Here are the key points made in this opinion piece.
PART 1📢 March2024 issue📚Focus macroscopic pathology🔬amazing interview Dr. Swati Bharadwaj talks with guest editor Dr. Murali Varma🎙️Varma challenges our core beliefs in macroscopic pathology, shedding light on concepts that need reevaluation. @MuraliV72899596 @DrSwatiBhardwaj…
2/3. #ENTpath knew Twas a benign growth that grew… From sinus to back of throat, where it did reside. Its stellate stroma bizarre but benign, Joanna’s polyp was giving her jip, and Eosinophils lacking seemed not a classical SNIP…
@ssaunders279 @GIJamesMD We’re very lucky at @RoyalDevonNHS to have an amazing team of GI histopathologists like @ssaunders279 - very much part of our #MDT
✅An interesting case and logically accompanied by special TIPS! #entpath #pathology
Adrenal gland, 24h in formalin. The yellow color is highly indicative of a pheochromocytoma. Prof. Lars Grimelius showed me this trick when I was a resident. Always satisfying to semi-diagnose something before cutting it up. #endopath #adrenalgland #pheochromocytoma
Really enjoyed the webinar @BrookeHowittMD Lots of practical tips With emphasis on morphological assessment 👏🏻👏🏻👍🏼
Really enjoyed the webinar @BrookeHowittMD Lots of practical tips With emphasis on morphological assessment 👏🏻👏🏻👍🏼
#GIPath #Surgpath #pathresidents 50-ish year old man found to have an incidental enlarged appendix - question neoplasm. What do you guys think?
Fenale, 70yo. Gastric Bx. #gipath #pathology
Unexpected postmortem finding of systemic amyloidosis with cardiac involvement in a patient with asbestos exposure and lung adenocarcinoma. No history of lymphoma or myeloma. @UKCardiacPath #Pathologists
This is a different case of IBD-associated dysplasia. Here the P53 and SATB2 were strikingly reversed. @DraEosina @RogerFeakins @jansen_marnix @GIjames @RhondaYantiss @ariella8 @SingJamieD @Pathmath1 @RunjanChetty @RaulSGonzalezMD @LizMontgomeryMD
#Gynpath recurrent ovarian endometrioid carcinoma infiltrating the intestinal wall showing pilomatrixoma -like changes..
Adult with enlarged level III lymph node. I failed miserably to make a diagnosis on this core biopsy. 🙄 I suspected the final diagnosis, but was let down by the IHC (that's my excuse, anyway). As usual, what are the differentials and what IHC would you want to see? #hemepath
Jerad Gardner, MD @JMGardnerMD
48K Followers 16K Following Dermpath/Sarcoma Pathologist @GeisingerPath. Co-founder @Kiko4docs. Deputy Editor @ArchivesPath. TEDx Speaker. Book Author: Survival Guide to Dermatopathology.Vikram Deshpande @Vik_deshpandeMD
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109 Followers 194 Following Professor of Pathology, Incharge Histopathology Lab,University College of Medical Sciences, Delhi Special interests: Telepathology, OncopathologyJerad Gardner, MD @JMGardnerMD
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12K Followers 709 Following Professor of Pathology, Harvard Medical School, GI Pathologist @BIDMCpath. Head GI Path. Editor-in-Chief Journal of Clinical Pathology @JClinPath_BMJAnkur Sangoi @slusagar
14K Followers 771 Following #GUpath Clinical Professor of🔬Pathology. “Take your work seriously, but never yourself” (Margot Fonteyn)Tristan Rutland MBBS .. @TristanRutland7
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19K Followers 130 Following Gastrointestinal & soft tissue pathologist. Professor of Pathology at University of Miami. Founder of @science_pressJanira Navarro @Janiranavarro
7K Followers 4K Following De todo un poco... Now, Breast and GYN Pathology Fellow 22-23. University of Rochester NY. Board Certified Anatomic and Clinical Pathologist.Raul S. Gonzalez, MD @RaulSGonzalezMD
12K Followers 125 Following GI Path & AP Research Director, Associate Prof @EmoryPathology. Chair @Pathologists Surg Path Cmte. Reviews Editor @Histo_Journal. Education Vice Chair @usgips.Gerônimo Jr. @GeronimoJrLapac
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20K Followers 6K Following Fog & Lime / bone & soft tissue pathologist / NYU Langone / associate professor / M.D. / still wandering.Mark Ong @DrMarkOng
5K Followers 348 Following Consultant Histopathologist based in England, UK. T and RT not medical advice. Opinions my own. Nisi dominus frustra.Leon Metlay @leon_metlay
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8K Followers 311 Following Cytomolecular Pathologist @MDAndersonNews | Sharing images in pathology 🔬Olaleke Folaranmi @DrGeeONE
14K Followers 3K Following Pathologist🔬#Dermpath #BreastPath #PlacentalPath #PathTwitter | Guitarist (Smooth Jazz, Rock) https://t.co/oueyN649QZVidya Monappa @vi_monappa
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3K Followers 2K Following Pathologist, MD ❤️#BstPath #CytoPath #BreastPath #DermPath #Digitalpathology + 🏊🚴☕🎨Dan Graham @DanGrahamMD
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2K Followers 1K Following Jack of most trades! Dad/Husband/Son/Pathologist/Researcher/Multimedia & AI enthusiast, Secretary BSOMP. Lead-NEOPATH Research Group.Amal Asar, FRCpath. @amalasar86
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3K Followers 2K Following Director Flow Cytometry-Research & Regenerative Medicine , #stemcells #BeTheMatch #advocacy #cellulartherapy #bookwriter #AABB #TEDxSpeaker #mentor #standardsAlphonse @AlphonseCharbel
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135K Followers 424 Following Hematologist/Bone marrow transplanter at UCSD/educator - loves teaching all of Twitter medicine, husband+father/Guitar 🎸/Nirvana best band ever!/Loves tacosAnother cervical biopsy...reported as LSIL...would you agree? Same biopsy at 2 levels 👇👇 #pathology #gynpath #PathTwitter
@drtimbracey @RhondaYantiss @kriyer68 @DraEosina @RaulSGonzalezMD @LizMontgomeryMD @RunjanChetty @diagnexia @Pathmath1 @ariella8 @jansen_marnix @DrMarkOng @SingJamieD @Teclis82 I’ve seen one “mucocele” that was a result of a diverticulum. Otherwise all are neoplastic (LAMN or SSA)
@RaulSGonzalezMD @drtimbracey @RhondaYantiss @kriyer68 @DraEosina @LizMontgomeryMD @diagnexia @Pathmath1 @ariella8 @jansen_marnix @DrMarkOng @SingJamieD @Teclis82 An “adenoma” ceases being an adenoma when the lamina propria and muscularis mucosae is encroached? The identical lesion is then transformed into a LAMN? I don’t use the term adenoma and I don’t think a lesion that looks like this needs to obliterate the lp/mm to make it a LAMN.
@drtimbracey @RhondaYantiss @kriyer68 @DraEosina @LizMontgomeryMD @RunjanChetty @diagnexia @Pathmath1 @ariella8 @jansen_marnix @DrMarkOng @SingJamieD @Teclis82 Mucocele is **not** a pathologic diagnosis. I would call this LAMN. Some people might call this (or something with even less mural change) a 'mucinous adenoma,' but I take the easy way out and stick with WHO/AJCC terminology.
@drtimbracey @RhondaYantiss @kriyer68 @DraEosina @RaulSGonzalezMD @LizMontgomeryMD @RunjanChetty @diagnexia @Pathmath1 @ariella8 @jansen_marnix @DrMarkOng @SingJamieD @Teclis82 LAMN is correct. Like many tumors, if diagnosed at an early stage, it is cured by appendectomy. The same tumor at high stage can progress to pseudomyxoma. Using different names at different stages would be confusing. Mucocele is a gross term for dilated appendix filled with mucin
The earliest stage of LAMN (pTis).Entire appendix processed and examined. Mucosal architecture lost with lamina propria replaced by fibrosis. Base section margin clear. No further treatment.Sent as mucocoele does this diagnosis exist any more? @RhondaYantiss @kriyer68 @DraEosina
#gynpath A combo of endometrioid carcinoma and endometrial Schistosomiasis.
Why are Fallopian tubes reminiscent of mythical creatures? #gynpath
Biopsies from a stricture in adult with ulcerative colitis. There was an invasive component too (not shown). #GIpath #pathology
Last chance to sign up for our very popular Endometrial Cancer update course. Plus you get to hear me talk about some interesting MMR deficient cases. Come join us! #gynpath #BAGP
Announcing our virtual one day course on ‘Practical Updates in Endometrial Cancer' for pathologists and trainees on Friday 15 March 2024. Registration closes soon. thebagp.org/events/list/ #PathTwitter #GynaePath #GynPath #BAGP
1/I hope you all missed the #yourdailyGleasongrading series 😂Still alive, back in business 👌 How would you grade this prostate cancer? Note the PNI... #GUpath #pathology Poll in the thread 👇👇
Mandible cyst and numb lip. Radiological mimic of dentigerous cyst, histologically resembles mucoepidermoid ca but MAML2 neg. This is glandular odontogenic cyst, rare and locally aggressive with up to 50% recurrence depending on initial treatment. Thanks to @sakhurram for advice!
The most perfect heart 💜 #PathTwitter #PathX #Cytology #pathology
Holding the first copy of my own print book is a feeling hard to describe. After so many online teaching tools and videos, I did not realize how happy a print book can make you. Thanks to my family and colleagues for all the support in building a very fulfilling career.
@Pathmath1 @SingJamieD @LizMontgomeryMD @RhondaYantiss @RaulSGonzalezMD @DraEosina @DrMarkOng @jansen_marnix @RunjanChetty @TristanRutland7 @ariella8 I do infrequently c/w right colon. Trying not let location influence me as much as it used to!
@Pathmath1 @SingJamieD @drtimbracey @LizMontgomeryMD @RhondaYantiss @RaulSGonzalezMD @DraEosina @DrMarkOng @jansen_marnix @TristanRutland7 @ariella8 On occasion Trupti. If it fulfills the criteria, I make the call. Just diagnosed one in the sigmoid colon: bona fide features. Rare in the rectum (if ever seen) in my experience.
@abobbyandrews @RaulSGonzalezMD @jansen_marnix @RhondaYantiss @DrMarkOng @Pathmath1 @pathkids @LizMontgomeryMD @GIJamesMD @ariella8 @DanGrahamMD @RunjanChetty He and Chris Paraskeva are the two most inquisitive and inspirational mentors I have ever had the fortune to meet. I am still in touch with Mark and will pass on your regards 🙏
@abobbyandrews @RaulSGonzalezMD @jansen_marnix @RhondaYantiss @DrMarkOng @Pathmath1 @pathkids @LizMontgomeryMD @GIJamesMD @ariella8 @DanGrahamMD @RunjanChetty yes it does. You might remember my now retired colleague Mark EF Smith. He brought the strange properties of VE-Cadherin to my attention years ago but I just remembered it when I saw the current case.
@Pathmath1 @SingJamieD @drtimbracey @LizMontgomeryMD @RhondaYantiss @RaulSGonzalezMD @DraEosina @DrMarkOng @jansen_marnix @RunjanChetty @TristanRutland7 @ariella8 Important to call on features rather than site, which also goes for R sided HP. Architectural deep crypt changes are complicated somewhat by more mucosal prolapse/polyp trauma changes on the left.
@Pathmath1 @drtimbracey @LizMontgomeryMD @RhondaYantiss @RaulSGonzalezMD @DraEosina @DrMarkOng @jansen_marnix @RunjanChetty @TristanRutland7 @ariella8 I'm recognising features in which I'm struggling to call anything else in left colon and rectum - if serrated crypt bases are dilated and there is no prolapse or lymphoid aggregates, I do push to SSL. I've noticed in pts with adenomas and younger patients.