One of its kind: 53 F, breast mass with axillary LN, triple negative
GATA3, GCDFP15, mammaglobin and CK7 positive
P63, P40, calponin, S100, SOX10 Negative
Ki67 10%
While P40 positive in axillary LN
#PathX
#BreastPath
Set 1:
70 F, breast mass, signed out as invasive cribriform carcinoma in original lab
IHC:
Positive: AE1/AE3, SOX10, S100 and MUC4
Negative: HMWCK, ER, PR, HER2, synaptophysin, CD56, TRPS1, GATA3, DOG1, Calponin, P63, chromogranin, p40
Ki67 5%
What to add next? Thoughts
Set1:
I recently reviewed the pathology library archives and discovered these vintage virtual learning slides of old times from earlier period..oldies and goldies
A middle-aged lady patient presenting with multiple bilateral thyroid nodules and cervical lymph node metastases, if restricted to a single marker, which would be your selection? And what is your diagnosis
Last image is from the LN
#PathX
Sorry for being late regarding update about this case:
Positive IHC: PAX8, TTF1, thyroglbulin, BRAF, p63 (focal)
Negative: beta catenin, Pan-TRK, CDX2, CD10
Diagnosis is PTC-SD
Why not anaplastic? As it is small, confined to thyroid, no necrosis no brisk or abnormal mitosis


















































