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Paul Drury @SkinPathology

Biomed scientist interest in #dermpath/#skin research/education + #pathology #bstpath #pedipath #hemepath #gynpath #gupath #gipath #breastpath #pathboards Perth, Western Australia Joined January 2011
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Paul Drury retweeted
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Jerad Gardner, MD @JMGardnerMD

2 months ago

Deep mass in NF1 patient. Diagnosis? More pics kikoxp.com/posts/17897 Answer ✅ youtube.com/watch?v=LBgsIa… Another example: kikoxp.com/posts/16855 #BSTpath #pathologists #pathology #pathTwitter

Paul Drury retweeted
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Raza Hoda, MD @RazaHoda

2 months ago

Case of Myofibroblastoma 🔬 A benign, well-circumscribed spindle cell tumor composed of myofibroblasts with hyalinized collagen, often admixed with adipose tissue and lacking breast ducts and lobules—typically positive for CD34 and desmin. #PathX #PathTwitter #breastpath

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Paul Drury @SkinPathology

2 months ago

@slusagar @drmehrarohit HoLEP on top, TURP on bottom.

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Charlie Herndon @DrCycloPath

3 months ago

#PathQuiz 🔬 A) Gastrointestinal stromal tumor B) Leiomyoma C) Schwannoma D) Inflammatory fibroid polyp #Pathology #GIPath Clue in caption 🧐

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Humberto Trejo Bittar, MD, FCAP @drHTBlungpath

3 months ago

Interesting case of the day: Elderly male with a large right lower lobe/hilar mass, biopsied. I don’t often diagnose carcinosarcomas. This one is particularly interesting to examine. As a word of caution, I suggest correlation with a resection specimen to confirm the interpretation. Thanks @EHJPathDiva for your help on this case. Again, rare cases are not rare at @MoffittNews. Lung carcinosarcomas are rare and highly aggressive malignancies, accounting for less than 1% of all primary lung cancers. They occur most commonly in older adults, with a strong association with cigarette smoking, and typically present as large, centrally located masses discovered at an advanced stage. Epidemiologically, these tumors fall within the broader category of pulmonary sarcomatoid carcinomas, a group known for poor outcomes and limited therapeutic responsiveness. Diagnostically, lung carcinosarcomas pose significant challenges, particularly on small biopsies, because the sarcomatous component may overshadow or entirely obscure the epithelial element, leading to potential misclassification as a primary sarcoma or spindle cell neoplasm. Conversely, when only the carcinomatous portion is sampled, the biphasic nature may not be recognized, obscuring the correct diagnosis. Accurate identification requires careful morphologic assessment, broad immunohistochemical evaluation to highlight epithelial differentiation, and awareness of their clinicopathologic spectrum. Recognition is crucial, as these tumors behave aggressively, metastasize early, and demand appropriate oncologic management aligned with their high-grade biology. #lung #thoracic #pulmonary #pulmpath #thoracicpath #pathology #MedEd #PathTwitter @USFpathology

Paul Drury retweeted
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Elizabeth Montgomery, MD @LizMontgomeryMD

3 years ago

Ugh. Melanoma fooled me. Two initial immunostains (desmin and actin) were negative - I regrouped and sorted it out. Not the first time - won't be the last. Melanoma's always there to humble us. #UMiamiPath

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Sumanta Das @SumantaDas_7

5 months ago

Middle-aged male. Peritoneal nodules. #PathX #PathTwitter #SurgPath

Paul Drury retweeted
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Elizabeth Montgomery, MD @LizMontgomeryMD

5 months ago

Distal rectal polyp - HPV-associated glandular neoplasms are rare and mimic tubulovillous adenomas. The mucin is peculiar and apical apoptotic bodies can be plentiful (arrow). Voltaggio L, et al. Mod Pathol. 2020 May;33(5):944-952. PMID: 31857682.

Paul Drury retweeted
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Raza Hoda, MD @RazaHoda

5 months ago

Case of Desmoid-Type Fibromatosis 〰️〰️🔬 ☑️ Long, sweeping infiltrative fascicles ☑️ Bland spindle cells and collagenous stroma ☑️ Associated with CTNNB1 and APC mutations #PathX #PathTwitter #breastpath

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Gloria Sura, MD @Gloria_SuraMD

a year ago

Excision of a mass from the parapharyngeal space reveals tumor cells arranged in an organoid (zelballen) pattern. What is the diagnosis? Answer: buff.ly/2hLDBy3 #PathArt #PathTwitter #MedTwitter

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Jose Candido @JCandidoXavier

a year ago

Paraganglioma Cervical nodule Epithelioid (but CK-) cells with eosinophilic cytoplasm, ovoid and salt and pepper nuclei, arranged in a nested pattern. Neuroendocrine markers + S100 +: sustentacular cells #path #pathology

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Jerad Gardner, MD @JMGardnerMD

a year ago

75 yo man w a nodule on the eyebrow. A perfect example of this entity! Answer ✅ youtu.be/4C7BDu6Ed-c?si… Amazing WSI digital slide: kikoxp.com/posts/3708. #Pathology #dermpath #dermatology #dermatologia #dermtwitter

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Dan Graham @DanGrahamMD

a year ago

60s F 7.8cm subscapular (inferior tip) mass, with focal rib erosion. Subfascial, possible intramuscular. Dx/IHC? More images below. #PathTwitter #PathX #BSTpath

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Tristan Rutland MBBS FRCPA IFCAP @TristanRutland7

a year ago

Adult female, reproductive age, omentum. #BSTpath #Gynpath #GIpath #Pathtwitter #Pathresidents

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Fouad Boulos @fouad_boulos

a year ago

Happy Monday everyone! This is an incidental finding in a reduction mammoplasty. What is your diagnosis? #breastpath #PathTwitter @washu_pathology @washupathedu

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Theodore Vougiouklakis, MD @TheodoreVMD

2 years ago

Invasive ductal carcinoma with osteoclast-like giant cells (Grossly “rusty” tumor)📘 📸 #pathology #pathtwitter #Breastpath #Breastpathology

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Paul Drury @SkinPathology

2 years ago

@msofopoulos @StuffIGross Yeh I started calling it Lunds and has just stuck now :)

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Charlie Herndon @DrCycloPath

2 years ago

BCOR IHC✅sensitive🚫specific for BCOR-altered Sarcoma Molecular for each BCOR fusion/ITD isn't available The IHC (+) trifecta of SATB2, cyclin D1, & BCOR* is specific and essential to diagnose BCOR-altered sarcoma *each (not all) + in other poorly diff tumors #BSTPath #PediPath ✅A

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Henry YANG @HENRYY_MD

3 years ago

65 year old man posterior auricular neck deep dermal nodule. easy peezy?#dermpath #PathTwitter #dermatology @et565 @ArjunRamaiya1 @kis_lorand @DrGeeONE @TristanRutland7 @trishstratuscom @MarcelaSaebL @redsnapperpath @AlomariDermpath @gonzadetoro

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