@LangerPath

#Pathologist 🔬 Always and forever learning. Hospital Universitario San Pedro. #CytoPath #HemePath #EndoPath

 Logroño, España
Joined March 2017
  • Tweets2.8K
  • Following897
  • Followers1.3K
73Media
Ferruginous bodies in BAL. Dumbbell-shaped, golden yellow to black with Pap, blue with Perls an golden yellow with H&E. Happy to have seen them for the first time outside of the books! 😁 #cytopath #cytology
12
96
3
228
Last case before holidays. 🦀 Medical record: anal neoplasm. 🦵🏽 Subcutaneous lesion on the leg. 🖥️ Hypoechoic, irregular edges. 📏 36mm. 💉 Ultrasound guided FNA / CNB performed by Interventional Pathologist (Dr @LangerPath) 2️⃣5️⃣ and 1️⃣4️⃣ g. 🔬 Metastatic Squamous Cell Carcinoma.
7
16
1,526
💉 Another Pathologist is completing her training in Interventional Pathology within the Pathology Department at @HUCA_Asturias. 👏🏽 It has been a pleasure to share our experience (US FNA and US CNB) with Dr Tamara @LangerPath from Hospital Universitario San Pedro @riojasalud.
2
6
24
535
CC391. Gloomy Sunday case. Organ and diagnosis? When I show you the histological image (the day after tomorrow), it might become clearer to you. In my opinion, few tumors—if any—look like this after FNA of a XYZ tumor (adult). In a few years AI will spot it in seconds #cytopath
8
27
65
4,781
One of our brilliant residents showed me this case. Supraclavicular lymph node. No other clinical information at the moment. Micropapillary to papillary structures, some mitoses, some mucin production. (Short thread follows):
12
150
6
354
68,966
Tamara Zudaire retweeted
Charlie Herndon@DrCycloPathFeb 27
🍤#Pancreas #CytoQuiz🧐🧐🔬🔬 A) Pancreatic pseudocyst B) Lymphoepithelial cyst C) Serous cystadenoma D) Mucinous cystic neoplasm #Pathology #Cytology #PathTwitter Clue in caption 🧐
https://storage.googleapis.com/pathology-hub-0/_asset_library/textbooks/Cyto_Pancreatobiliary_WHO/figure_images/22669.jpg

ALT https://storage.googleapis.com/pathology-hub-0/_asset_library/textbooks/Cyto_Pancreatobiliary_WHO/figure_images/22669.jpg

2
8
1
22
3,366
Tamara Zudaire retweeted
Charlie Herndon@DrCycloPathFeb 27
#CytoQuiz 🔬 #Pancreas🍤 A) Acinar Cell Carcinoma B) Solid Pseudopapillary Neoplasm C) Pancreatic Adenocarcinoma D) Pancreatic Neuroendocrine tumor #Pathology #Cytology Clue in caption 🧐
A 28 year old woman presents with a well circumscribed solid and cystic mass in the tail of the pancreas discovered during a workup for abdominal pain. Tissue fragment resembling a papillary frond with central capillary and clinging neoplastic cells with scant poorly defined cytoplasm and bland nuclei @IARCWHO

ALT A 28 year old woman presents with a well circumscribed solid and cystic mass in the tail of the pancreas discovered during a workup for abdominal pain. Tissue fragment resembling a papillary frond with central capillary and clinging neoplastic cells with scant poorly defined cytoplasm and bland nuclei @IARCWHO

4
8
30
1,875
Asian male with enlarged node. FH with eosinophilic micro-abscesses. What's the IHC? #hemepath #pathelective #forfun
8
90
149
Tamara Zudaire retweeted
Charlie Herndon@DrCycloPathFeb 20
🔬 #CytoQuiz 19-year-old with a firm nodule on the index finger. A) Granular Cell Tumor B) Epithelioid Sarcoma C) Epithelioid Angiosarcoma D) Clear Cell Sarcoma
Cells with abundant well-defined eccentric cytoplasm and paranuclear inclusions.

ALT Cells with abundant well-defined eccentric cytoplasm and paranuclear inclusions.

2
12
41
3,487
Tamara Zudaire retweeted
Charlie Herndon@DrCycloPathFeb 25
#CytoQuiz 🔬🧐 A) Myxoid Liposarcoma B) Extraskeletal myxoid chondrosarcoma C) Myxofibrosarcoma D) Chordoma #Pathology #Cytology Clue in caption 🧐
A 50 year old male presents with a slowly enlarging mass in the deep soft tissues of the thigh. FNA is performed. Moderately cellular smear with fragments of fibrillary stroma @CytoAtlas

ALT A 50 year old male presents with a slowly enlarging mass in the deep soft tissues of the thigh. FNA is performed. Moderately cellular smear with fragments of fibrillary stroma @CytoAtlas

2
9
22
1,649
Tamara Zudaire retweeted
Charlie Herndon@DrCycloPathFeb 25
#CytoQuiz #BreastPath🔬🧐 A) Ductal Carcinoma B) Fat Necrosis C) Phyllodes Tumor D) Fibroadenoma #Cytopath clue in caption 🧐
Dual population of epithelial and stromal cells with single intact stromal cells @CytoAtlas

ALT Dual population of epithelial and stromal cells with single intact stromal cells @CytoAtlas

3
5
3
26
4,224
70 yo M no relevant PMH. Buccal mucosa ulcer biopsy (see H&E). Waiting on GMS. Do you buy cryptococcus? @ParasiteGal @LangerPath
4
5
10
562
Tamara Zudaire retweeted
TigerHemePath@Tiger_heme26 Jun 2024
BMB 41 yo male. All these cells are positive for CD3, CD5, CD2, CD7. In the pics you can see the CD4 and CD8. What is your diagnosis? What other stains would you like to see?
8
16
57
8,130
More on anaplastic large cell lymphoma (ALCL) mimickers: Enteropathy associated T-cell lymphoma (EATL) may exhibit anaplastic morphology, with pronounced inflammatory background consisting of histiocytes, eosinophils, small lymphocytes, and plasma cells. Furthermore, EATLs with large cell or anaplastic morphology are often CD30+ and sometimes EMA+. In the setting of a localized mass to the gastrointestinal tract and history of celiac disease, EATL would be on top of the differential, even if the morphology and strong CD30-positivity are reminiscent of ALCL. However, in rare instances, where EATL with anaplastic morphology presents with involvement of extra-gastrointestinal organs, this could cause serious diagnostic challenges, as illustrated in this report @Histo_Journal➡️pubmed.ncbi.nlm.nih.gov/2653… #hemepath #pathology #pathX #pathtwitter #lymsm #MedEd #SoMe
Siba El Hussein, MD@SibaElHussein1 Dec 2023
🩸Continuing with the theme of ALCL-mimickers, extranodal NK/T-cell with anaplastic morphology is an underrecognized variant that seems to be highly aggressive & potentially misdiagnosed 🩸Below is a photo of a case of extranodal NK/T-cell lymphoma with a striking anaplastic morphology & homogenous CD30 expression by IHC; It is also positive for MUM1 expression, which is typically seen in ALCL 🩸One way to bring extranodal NK/T-cell lymphoma back to the differential, in the setting of a CD30-positive "anaplastic-looking" lymphoma, particularly in the head & neck area, is to perform EBER systematically in T-cell lymphoma cases. EBER is typically positive in extranodal NK/T-cell lymphoma & negative in ALCL Photo credits & more on this variant➡️journals.lww.com/ajsp/fullte… #hemepath #PathTwitter #lymsm #MedTwitter #pathX #surgpath #ENTpath
40
76
7,898
Illustration of a case of Burkitt lymphoma in the intestine with characteristic variable/ patchy SOX11 expression pattern. SOX11 may come in handy in tricky cases when you need more evidence to push for Burkitt lymphoma vs other mimickers #hemepth #lmsm #pathtwitter #PathX #MedX
1
35
96
5,768
Unicentric Castleman disease-plasma cell variant:Preserved overall lymph node architecture and marked plasmacytosis in interfollicular areas,with a subset germinal centers showing regressive changes reminiscent of Castleman disease-hyaline vascular variant #Hemepath #HemepathMDA
4
35
74
What do you see in the interfollicular region of this lymph node? What is the most likely etiology for this finding? #hemepath
19
73
1
208
Tamara Zudaire retweeted
TigerHemePath@Tiger_heme19 May 2024
Axillary LN, 29 yo woman. What are the arrows pointing at?
9
24
2
89
15,801
Follicular lymphoma with BCL2 rearrangement by FISH & unusual overexpression of CCND1 by IHC (CD5 & SOX11 negative; CCND1 rearrangement negative by FISH). This rare finding has been reported previously➡️shorturl.at/lzDOU but is worth to be aware of #hemepath #lymsm #PathX
1
32
2
77
5,601
Relapsed classic Hodgkin lymphoma (CHL) with brighter PAX5 expression then typically accepted for CHL, and associated new emerging follicular lymphoma in the same lymph node biopsy (bottom right of Figure 1) #hemepath #lymsm #pathX #MedX #SoMe #Surgpath #MedTwitter #Pathtwitter
36
1
90
6,136
Follicular lymphoma with abundant extracellular eosinophilic material, mimicking amyloid deposition: An unsual variant to be aware of #hemepath #lymsm #pathtwitter #MedEd #SoMe Check a similar but more prominent case by @sanamloghavi @BloodJournal➡️ ashpublications.org/blood/ar…
4
39
2
110
6,571
Load more