Pathothama @pathothama

Is this EN or SK? 68M, buttock "mole". Check out the 20x & 40x views. How would you sign this out? 1. Epidermal Nevus 2. Seborrheic Keratosis 3. Verruca Vulgaris 4. Other (Comment below) #PathTwitter #DermPath #Pathology

56M presenting for routine screening colonoscopy. Biopsy of an ileocecal valve polyp shows classic dysplastic architecture of a tubular adenoma, but high-power inspection reveals a striking cellular finding: cells packed with coarse, bright refractile eosinophilic granules in adenomatous epithelium. (Hint: It involves a classic metaplastic visitor most commonly seen in male patients and the proximal colon!) Drop your full diagnosis below! #PathTwitter #GIPath #Pathology #MedEd

80M found to have an incidental bladder mass on imaging. Cystoscopy shows a bluish, sessile lesion. Microscopic evaluation reveals large, dilated, thin-walled vascular channels lined by a single layer of flattened, benign-appearing endothelial cells and filled with RBCs. No nuclear atypia, no mitoses, no necrosis. What is your top diagnosis? 1. Cavernous Hemangioma 2. Angiosarcoma 3. Arteriovenous Malformation Drop your rationale or key diagnostic criteria in the comments! 👇 #PathTwitter #UroPath #Pathology #MedEd

@SeeFisch Valid or not, it is here to stay until a better method is devised. However, using convoluted questions to express a simple concept is inappropriate.

Good morning, Pathology X! ☕️ Let's test our pattern recognition on this 200x H&E field from a prostate biopsy. Look closely at the pink, hypocellular stroma expanding within and around these infiltrative glands, causing distinct architectural distortion. What is your call on this classic stromal feature? Drop your thoughts below! 👇 #Pathology #PathX #GUPath #Uropath #DigitalPathology

63F with a subcutaneous thumb mass + h/o RA. 🩺 Palisading granulomas around central necrobiosis. Is it a Rheumatoid Nodule or Deep Granuloma Annulare? 🎭 What’s your diagnostic tie-breaker? 🔬 A) Core: Fibrin (RN) vs. Mucin (GA) B) Stain: Alcian Blue (+) for GA C) Infiltrate: Neutrophilic debris vs. clean palisading D) Trick Question: Call the clinician 📞 Drop your pearls below! 👇

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High-def camera locked to the scope. Let's see what’s actually on the glass. Cases starting soon. 🔬