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Lav S Punj, MBBS @punjbiopsy

Senior resident, going where learning takes me🗺️#2023DAPATrainee @cytopathology ejournalcomm @cytopathologyJ SoMeteam @EspTrainee supteam @DCF_path fellow'21 youtu.be/BYr71iJ2Hhk?fe… Singapore Joined January 2010
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Lav S Punj, MBBS retweeted
Human_Pathology Profile Picture

Human Pathology @Human_Pathology

a day ago

New in #HumPathol: Plasmacytoid Urothelial Carcinoma of the Urinary Bladder – a Clinicopathological and Molecular Analysis of 52 Cases. sciencedirect.com/science/articl… #pathology #PathTwitter #PathX #GUpath

Lav S Punj, MBBS retweeted
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Janira Navarro @Janiranavarro

5 months ago

Histologic clues LAMN vs ovarian origin -Hypermucinous epithelium -Subepithelial clefting -Scalloped epithelial contours -Mucin dissecting ovarian stroma Dr. Umetsu #CAP23 #everydayGI #GIpath #PathX #PathTwitter #pathology #pathologists

Lav S Punj, MBBS retweeted
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Craig Horbinski @CraigHorbinski

a day ago

Even with just a 2x objective, the diagnosis of this nerve sheath tumor is pretty obvious. (With all due respect to songwriter Stephen C. Foster: "Way down upon the SCHWANNee River, far, far away...") #pathology #neuropath #pathtwitter

Lav S Punj, MBBS retweeted
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Mai Elzieny @MaiElzieny

24 hours ago

My attending told me that plasma cell is like the melanoma of hematology (= the great mimicker), after this case.. I can’t agree more! Bone marrow biopsy from a patient with plasma cell neoplasm; H&E, CD138,&MUM-1. #PathX #PathTwitter #pathology

Lav S Punj, MBBS retweeted
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TheBatoolMD @TheBatoolMD

2 days ago

Here’s a quick one, on the spot Organ and diagnosis? #pathX #PathTwitter #Pathology

Lav S Punj, MBBS retweeted
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Jerad Gardner, MD @JMGardnerMD

6 days ago

60 yo man with 2 cm breast mass. One of the BEST examples ever! Can you make diagnosis from one pic, or is it #TooCloseToDiagnose? Digital slide: kikoxp.com/posts/4600. Answer ✅ youtube.com/watch?v=eLmPGd… #pathologists #pathology #pathTwitter #BSTpath #breastpath

Lav S Punj, MBBS retweeted
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Miruna Popescu, MD @MirunaPopescu13

a day ago

@JMGardnerMD Myofibroblastoma. Bland spindle cells and keloid type collagen. CK neg, Desmin pos, Rb1 loss.

Lav S Punj, MBBS retweeted
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British Association for Cytopathology @britishcytology

14 hours ago

An excellent case study for April. Urethral washings - Small Cell Neuroendocrine Carcinoma. britishcytology.org.uk/case-studies/a… #cytology #BAC @efcs @IAC

Lav S Punj, MBBS retweeted
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DavidSusterMD @MdSuster

a day ago

@pepeheffernan @smlungpathguy @TristanRutland7 @yro854 @SansanoValero @DrJuhlin @AmparoBenito @DrGeeONE @pembeoltulu @glinglerimek @kis_lorand Great case Pepe- i'd also like to add one thing to the discussion: mediastinal seminomas may present as *nearly entirely* granulomatous disease very closely mimicking sarcoid or some other reactive process. I will always use OCT3/4 (or equivalent) in these cases- See descriptions

Lav S Punj, MBBS retweeted
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Jerad Gardner, MD @JMGardnerMD

6 years ago

Lipomembranous change. Frilly “arabesque” infolding of degenerated adipocyte cell membranes. Intervening foamy histiocytes. Background sclerosis. Classic for lipodermatosclerosis (but can see similar pattern in other scenarios too). #dermpath #Pathology #dermatology

Lav S Punj, MBBS retweeted
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Syed Z. Ali @sza_jhcyto

a day ago

All the “M’s” you need - HSV cytopathic effect, PAP test. (SurePath)

Lav S Punj, MBBS retweeted
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Eduardo Alcaraz, MD PhD @edusqo

a day ago

I told my surgeon "not fully absorbable. At least, not yet". The good thing is that there is not recurrence of the malignancy. Diff Quik, Papanicolaou and H&E. #CytoPath #EndoPath #Surgicel Planned to be posted last #FNAFriday

Lav S Punj, MBBS retweeted
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Bahaa Youssef, MD @Bahaaeldin89

2 weeks ago

Pap smear from a patient with diffusely metastatic rectal adenocarcinoma. #cytology #cytopathology

Lav S Punj, MBBS retweeted
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Lola Lozano @mdlozanoe

2 days ago

Some tips for Monday🙂🙃: The same pigment (melanin) takes different forms in macrophages (thick granules—blue circles) and tumor cells (powdery—blue arrows) in melanoma #PathResidents @EfcsYoung

Lav S Punj, MBBS retweeted
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Monika Vyas @Mvgs1706

4 years ago

Endometriosis involving the bowel can present as a mass lesion and mimic adenoma/carcinoma on bx. Plus, those insanely reactive glands can play you along! Attention to the stroma and high index of suspicion can save the day! #GIpath #pathboards

Lav S Punj, MBBS retweeted
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Katrina Collins, MD @katcollmd

a month ago

#macrovsmicro 60F developed urinary symptoms several years after radical nephrectomy; found to have uterine fibroids managed by TAH BSO #gupath #gynpath #twofer #pathtwitter ☝🏼 metastatic clear cell renal cell carcinoma ✌🏼uterine leiomyoma

Lav S Punj, MBBS retweeted
RaulSGonzalezMD Profile Picture

Raul S. Gonzalez, MD @RaulSGonzalezMD

4 years ago

46/ Neuroendocrine tumors often metastasize to the liver. Very rarely, it appears they can arise as a liver primary. This is official in the new WHO. To make this diagnosis, a primary lesion from another site must be convincingly excluded.

Lav S Punj, MBBS retweeted
sza_jhcyto Profile Picture

Syed Z. Ali @sza_jhcyto

2 months ago

“Pen Test” confirming true psammoma body (PB) as opposed to thick colloid (or mucin). Gentle pressure on the cover slip with the tip of a pen while looking at the fragment under the scope will radially fracture a true PB (Thyroid, FNA, PTC). Same fragment, before/after the test.

Lav S Punj, MBBS retweeted
ZMaleki_cyto Profile Picture

Zahra Maleki, MD, MIAC @ZMaleki_cyto

2 years ago

Urine cytology, crystals can be found in different shapes and variable quantities in urine specimens. Cytopathology #211, #CytoPro @britishcytology @eva_wojcik @barkanga @IvanaKholova @IACytology @mdlozanoe @iremessa

Lav S Punj, MBBS retweeted
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Zahra Maleki, MD, MIAC @ZMaleki_cyto

2 years ago

Urine cytology, negative for high grade urothelial carcinoma, marked acute inflammation and fungal microorganisms consistent with Candida species, Cytopathology #212, #CytoPro @eva_wojcik @barkanga @PathPro @NayarRitu @IvanaKholova @iremessa @MozeticV @mdlozanoe @britishcytology

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