Hematopathologist, cytopathologist, flow cytometrist, student, teacher, and nerd.
Stanford, CA
Joined March 2011
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FNA can be uniquely leveraged to analyze site to site tumor heterogeneity in patients with follicular lymphoma using single cell RNA seq, TCR and BCR sequencing, and flow. Great work @SteveLongMD. @drruizcor ashpublications-org.laneprox…
We need more FNA studies like this one, perhaps with an additional longitudinal component to study how these clonal differences evolve over time. Lots of work to do @drruizcor @SteveLongMD @vighnesh_w @PoonamVohra3 @BalassanianRon @UCSFcytopath
Joshua Menke, MD retweeted
Lymphoma FNA!
with Josh Menke and @drruizcor
Good smears, flow cytometry and cell blocks.
Quality FNA=Quality Diagnosis
Joshua Menke, MD retweeted
Twitter has now shown that everything we have been saying about them (and their other compatriots) is correct. Big action to follow!
40 year old man with retroperitoneal lymphadenopathy and spinal lytic lesions. Flow is negative. Any additional studies? @evemariecrane @hematopatho @hematogones @chriscogbillmd @SteveLongMD @DitaGratzinger @brent_tan
ALT Germinal center
ALT Plasma cell rich area
ALT Kappa immunostain in plasma cell rich area
ALT Lambda immunostain in plasma cell rich area
Congrats to @NaomiAkagiMD on an excellent platform presentation on body fluid supernatant NGS at USCAP! @drruizcor @diannang #ucsfcytopath
Textbook Warthins tumor in tail of parotid from a smoker. Imaging was worrisome for lymphoma based on necrosis @lucymhan @conniechenMD #UCSFcytology
Please take a few minutes to participate in this brief survey from our cytopathology hematopathology collaborative group! @DitaGratzinger @SteveLongMD @drruizcor @UCSFcytopath
Participate in Cytopathology-Hematopathology Interinstitutional Collaborative’s (CHIC) research study about practice patterns for #lymphoma #FNA biopsies to understand how lymphoma fine needle biopsies are handled in pathology departments & groups. stanford.io/2tyqwJT
Thanks to all the attendees of the ultrasound guided FNA workshop! @AshishC97225686 @PoonamVohra3 #ICC2019 – at Sydney, New South Wales
Excited to be teaching ultrasound-guided FNA biopsy in Sydney with these incredible colleagues! You can see our setup with tofu and jello practice models in the photo. @UCSFcytopath – at Sydney, New South Wales
40 year old North African man presents with 2 weeks of shortness of breath, fatigue, cough, and subjective fever. Chest CT is markedly abnormal (attached). Thoracentesis is done. Diagnosis?#UCSFcytopath #UCSFcow @ekhanafshar @SteveLongMD @vighnesh_w @evemariecrane @chriscogbillmd
ALT H&E cell block
ALT MGG stained smear
ALT Pap stained smear
ALT Chest CT shows extensive bilateral pulmonary nodules and nodular consolidation with diffuse ground-glass opacity. Additionally, bilateral pleural effusions and hilar lymphadenopathy are present.
Great ideas all. Here are the EBER, HHV-8 and CD20 stains. Any other stain requests?
ALT EBV by in situ hybridization (EBER)
ALT HHV-8
ALT CD20
Expertise is gained by time and deliberate practice (10,000 hrs per this article!). See as many images as u can 🔬 hbr.org/2007/07/the-making-o…
