@Carol2Path

PGY4 AP/CP @UWlabmedpath 🇺🇸 26-27 @StanfordPath #GYNpath fellow 😍 @RCSI_irl 22 alum 🇮🇪 Creator of #PathWebinarPearls 🧵I Trainee #PathTweetAward 23&24

 Seattle, WA
Joined September 2020
  • Tweets1.4K
  • Following682
  • Followers1.6K
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Carol N. Rizkalla, MD retweeted
Ankur Sangoi@slusagarJul 29
#GUpath TURBT from today's signout showing what I call "3/4 rule" of MP invasion (if tumor is three-quarters of the way around MP bundle but not technically IN bundle, I'll still call it MP invasion) for good measure, lower power shots show more typically pattern MP invasion
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Carol N. Rizkalla, MD retweeted
Ankur Sangoi@slusagarJan 22
#GUpath🧩time! 80ish M undergoes TURP ❓🔬🤔
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Carol N. Rizkalla, MD retweeted
Ankur Sangoi@slusagarJun 5
I'm honored to receive this @StanfordPath award! helps solidify my mantra: #ABT (always be teaching) also, go #GUpath‼️💪🏼🔬
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Carol N. Rizkalla, MD retweeted
Janira Navarro
@JaniranavarroMay 25
Routine minimum IHC for metastatic tumors - prostate cancer - Prostate markers: NKX3.1, AR - Neuroendocrine markers: Synaptophysin, chromogranin, and INSM1 - Others to consider: Ki67, p53, RB Per NCCN, all metastatic biopsies should undergo NGS testing. Dr. Chan #USCAP2026 #pathology #PathX #PathTwitter
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A little over two years ago, I stood in front of the @LoyolaStritch Class of 2026 as their M2 pathology instructor before heading to Michigan. Last week, I had the profound honor of returning to deliver their commencement address. Full circle in the best possible way. I spoke to them about curiosity, wonder, resilience. About the bone marrow, of course (I promise it made sense). I want them to remember that medicine is still sacred work. In a world moving faster and louder every day, I hope they protect the part of themselves that still pauses in awe at the privilege of caring for another human being. To the Stritch School of Medicine Class of 2026: thank you for allowing me to be a small part of your journey, both then and now. Watching you cross that stage was a privilege I will never forget. Never stop exploring. youtu.be/JRSdL1LpDrg?si=IuhG…

May 17, 2026

What an extraordinary full circle moment! A little over two years a...

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Carol N. Rizkalla, MD retweeted
GU Pathology Society (GUPS)@GU_Path_SocietyMay 4
📣 Join us for the next @GU_Path_Society Virtual Education Series! 🧬 Tumor Staging in GU Pathology (Part 1) 📅 June 23, 2026 | ⏰ 12–1:30 PM EST Featuring: 👨‍⚕️ Dr. Tekin @buraktekinmd 👨‍⚕️ Dr. Sangoi @slusagar 👩‍⚕️ Dr. Siegmund Register now 👉 us02web.zoom.us/webinar/regi…
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Carol N. Rizkalla, MD retweeted
Ankur Sangoi@slusagarMay 5
#GUpath orchiectomy w/embryonal carcinoma showing LVI in main specimen spermatic cord shows discontinuous (non LVI here) involvement current AJCC calls this pM1, but NCCN seemingly blows this off, saying to instead stage as pT3 🤔🔬🙈⁉️ ⏬cont'd⏬
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Carol N. Rizkalla, MD retweeted
Ankur Sangoi@slusagar31 Jan 2024
#GUpath: adult M, renal mass bx before you embark down growing DDx of pink renal tumors, don't forgot about angiomyolipoma! IMO, cathepsinK is the best #IHCpath here, > than melanA/HMB45
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Carol N. Rizkalla, MD retweeted
Fouad Boulos
@fouad_boulosApr 28
Yet another sneaky treacherous one... Keep your eyes wide open, children. #breastpath
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Carol N. Rizkalla, MD retweeted
Ankur Sangoi@slusagarApr 19
first time trainee sees his/her paper out in press
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Carol N. Rizkalla, MD retweeted
Charlie Herndon@DrCycloPathApr 17
#PathQuiz 🔬🧬 A) Chromophobe RCC B) Oncocytoma C) SDH-Deficient RCC D) Low-grade Oncocytic Tumor #Pathology #GUPath #KidneyPath
Incidental renal mass in a 55-year-old male. The tumor is well-circumscribed and mahogany-brown on gross inspection. Solid growth of eosinophilic cells with bland nuclei lacking prominent nucleoli @IARCWHO

ALT Incidental renal mass in a 55-year-old male. The tumor is well-circumscribed and mahogany-brown on gross inspection. Solid growth of eosinophilic cells with bland nuclei lacking prominent nucleoli @IARCWHO

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🧩 Bloody Bladder When signing out this lesion, what clinical question comes to mind? 👨 65-year-old man • Prior prostate adenocarcinoma? 👩 45-year-old woman • Prior cervical carcinoma? not always. So… what’s the diagnosis? 🤔 #DxMindMap #BladderTumor #PathTwitter #JHUPath
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Carol N. Rizkalla, MD retweeted
Ankur Sangoi@slusagarApr 15
while not formally staged since not "carcinoma", rarely can you get "pT3a" histology🔬 (vascular/adipose/pelvicalyceal invasion) doesn't change Dx! (but if occurs, probably worth confirming Dx by doing NGS to rule out DDx entities) PMID: 38422612
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Carol N. Rizkalla, MD retweeted
Charlie Herndon@DrCycloPathMar 31
✅ Endometrial atypical hyperplasia / EIN 🎯 • Defined as a geographical lesion where the glandular volume exceeds the stromal volume. • Shows significant cytological atypia (loss of polarity, rounded nuclei) distinct from background glands. • It is a clonal proliferation and a direct precursor to low-grade endometrioid adenocarcinoma. • Often associated with loss of PTEN or PAX2 expression.
The geographical region is visible at low magnification: its architecture shows aggregates of glands that exceed the volume of stroma. @IARCWHO

ALT The geographical region is visible at low magnification: its architecture shows aggregates of glands that exceed the volume of stroma. @IARCWHO

Densely packed endometrial glands with little intervening stroma. @IARCWHO

ALT Densely packed endometrial glands with little intervening stroma. @IARCWHO

The nuclear and cytoplasmic features of the crowded glands differ from those of the entrapped non-atypical gland. @IARCWHO

ALT The nuclear and cytoplasmic features of the crowded glands differ from those of the entrapped non-atypical gland. @IARCWHO

The atypical gland with enlarged, irregularly distributed nuclei (left) is distinct from an adjacent non-lesional gland (right). @IARCWHO

ALT The atypical gland with enlarged, irregularly distributed nuclei (left) is distinct from an adjacent non-lesional gland (right). @IARCWHO

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Carol N. Rizkalla, MD retweeted
Janira Navarro
@JaniranavarroMar 29
Endometrial Adenocarcinoma: Depth of Invasion – Challenging scenarios 🔬 ✅ Avoid the cornu – naturally thinner, can lead to over-staging ✅ Tumor in a leiomyoma? Include it in your invasion measurement if it’s the deepest point ✅ Invasion from adenomyosis in outer half? Stage as pT1b (per ICCR & ISGyP). Dr. Joehlin / Dr. McGregor - Short course #USCAP2026 #pathology #PathX #PathTwitter
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The International Society of Gynecological Pathologists Education Committee proudly congratulates the recipients of ISGyP trainee presentation awards at USCAP Texas, March 2026! 🎉👏 #Pathology #Gynaepath #Gynpath #PathTwitter
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Carol N. Rizkalla, MD retweeted
Ankur Sangoi@slusagarMar 30
no better way to start a Monday than with #beautyinb9 #GUpath nephrogenic adenoma! simple prostatectomy for BPH, remote h/o 3+3 prostatic adenocarcinoma
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Carol N. Rizkalla, MD retweeted
Charlie Herndon@DrCycloPathMar 28
#PathQuiz 🔬🦴 _______ rearrangement A) USP6 B) FN1 C) COL12A1 D) GRM1 #Pathology #SoftTissuePath #BonePath #MolecularPath Clue in caption 🧐 @IARCWHO
A 22-year-old male presents with chronic pain in his proximal tibia. Imaging shows an eccentric, metaphyseal, lobulated lytic lesion with a sclerotic margin. Stellate cells embedded in a myxoid matrix are seen on the right with more cellular areas containing round cells on the left @IARCWHO

ALT A 22-year-old male presents with chronic pain in his proximal tibia. Imaging shows an eccentric, metaphyseal, lobulated lytic lesion with a sclerotic margin. Stellate cells embedded in a myxoid matrix are seen on the right with more cellular areas containing round cells on the left @IARCWHO

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Carol N. Rizkalla, MD retweeted
Charlie Herndon@DrCycloPathMar 29
EWSR1::____ fusion A) WT1 B) CREB1 C) ATF1 D) FLI1 #PathQuiz 🔬 #Pathology #SoftTissuePath #MolecularPath Clue in caption 🧐
A 24-year-old female presents with a longstanding mass in her foot involving the plantaris tendon. Cords and nests of epithelioid cells with pale cytoplasm and prominent macronucleoli @IARCWHO

ALT A 24-year-old female presents with a longstanding mass in her foot involving the plantaris tendon. Cords and nests of epithelioid cells with pale cytoplasm and prominent macronucleoli @IARCWHO

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Carol N. Rizkalla, MD retweeted
Charlie Herndon@DrCycloPathMar 27
#PathQuiz 🔬 A) Endometrial polyp B) Adenomyoma C) Low-grade endometrioid carcinoma D) Atypical polypoid adenomyoma #Pathology #GYNPath @IARCWHO Clue in caption 🧐
A 39-year-old woman presents with infertility and a 2 cm polypoid mass in the lower uterine segment. These lesions typically contain irregular, often architecturally complex endometrioid glands, often with squamous morules, set within myomatous or fibromyomatous stroma. @IARCWHO

ALT A 39-year-old woman presents with infertility and a 2 cm polypoid mass in the lower uterine segment. These lesions typically contain irregular, often architecturally complex endometrioid glands, often with squamous morules, set within myomatous or fibromyomatous stroma. @IARCWHO

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