General Pathologist at Clinical Labs of Hawaii / Interest in BST & H&N

Straub Hosp, Honolulu, HI, USA
Joined June 2009
🧩 Kidney riddle Rare, certainly, but what a special morphology! A little question for the stain nerds: which stain would you try? #DxMindMap #KidneyPath #GUPath #PathTwitter @JHUpath @MGBpathology
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Nephrogenic Adenoma B E A U T I F U L 🥹 #GUpath #PathTwitter #PathX #pathology
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PAX8 positivity in lower urinary tract urothelial carcinoma (including different clones)! Seen in pTa & invasive alike. Not just a peculiarity of upper tract urothelial Ca. Important #IHCPath fact to be aware of imo #GUPath #PathTwitter
#GUpath TURBT, prior high grade pTa PUC yes there is some lovely PAX8 positive flat pattern nephrogenic adenoma, but you'll also notice background pTa PUC is ALSO PAX8 positive! (NA was p63 neg; PUC was p63 pos) ⏬cont'd⏬
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5cm breast mass in male patient. #PathX #PathTwitter
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Dan Graham retweeted
This slide took “Chinese letters” literally First differential: Fibrous dysplasia 😂😎
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85 man lung mass. Large IHC panel negative. Dx/ddx? #PathTwitter #PathX #ThoracicPath
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50s M perineal mass. Dx? #DermPath #PathX #PathTwitter
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60s M. Fungating arm mass. Sox10. Thoughts? #PathX #PathTwitter
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60s F w/ hyperparathyroidism. parathyroid nodule. Dx? #EndocrinePath #HeadandNeckPath #PathX #PathTwitter
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Thanks!
Replying to @DanGrahamMD
great Q! No minimum quant per say I report any %, as long as it is def chorio (syncytios+admixed cytotrophs; often assoc w/hemm). fortunately, per this paper limited chorio (<5%) likely not prognostic anyhow, but for completeness and to correlate with serum HCG I report any
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60s F 5cm hypoechoic thyroid nodule. Dx? #HeadandNeckPath #EndocrinePath #PathX #PathTwitter
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This is as good an example of Crooke hyaline change as you'll ever see, from a patient with Cushing's disease. Note the concentric rings on CAM 5.2. #pathology #neuropath #PathTwitter
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60s F with a cystic urachal lesion. Diagnosis? #PathTwitter @MGBpathology @MGHPathology
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4cm renal mass. To eat is human; to digest, divine.
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CD45+++, CD56+, CD4 patchy, CD43 patchy CD123, MPO, CD34, CD117, PAX5, CD20, CD3, CD138 k/l, TdT, CK, SOX10, MelanA negative. Thoughts? #HemePath #PathX #PathTwitter
70s M forearm nodule. Dx/workup? #PathX #PathTwitter
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