
@premcharlesi
iAccount based inIndia
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pathologist,Tamilnadu, India.
erode, tamil nadu, india
Joined February 2012
- Tweets35.2K
- Following4.9K
- Followers2.6K
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Prem Charles retweeted
70 years male mid esophagus growth #git pathology
Prem Charles retweeted
A striking bone marrow dyserythropoietic change but no anemia | ASH Image Bank | American Society of Hematology imagebank.hematology.org/ima… #ASHImageBank
Prem Charles retweeted
🔬 Diagnostic Challenge: Can you solve this liver mass?
A 28-year-old woman presents with a 2.4 cm liver mass. There is no cirrhosis and no hepatitis. 😮 Before you panic, look closely at the slides. 👀
Prem Charles retweeted
Flat Epithelial Atypia (FEA), left pic
Focal Atypical Ductal Hyperplasia (ADH), right pic
Dr. Allison. 2026 Diagnostic Pathology Update #USCAP #pathology #PathX
Prem Charles retweeted
Replying to @Vik_deshpandeMD
@Vik_deshpandeMD @dr_amenona @RitikaBhat23 @premcharles @pembeoltulu @DrGeeONE @adi_agnihotri @Swathiprabhu5 @Praachy27 @vi_monappa
🔬 Beyond Root Cause Analysis: Rethinking Patient Safety in Histopathology
Diagnostic errors rarely arise from a single failure. They often reflect complex interactions between people, processes and systems.
This insightful review by Omar E Rakha and Emad A Rakha, proposes a practical, systems-based approach to incident investigation—shifting the focus from assigning blame to redesigning systems, preventing recurrence and driving continuous improvement.
Because safer pathology begins not just with identifying what went wrong, but with understanding why and making lasting changes.
Link to the full article here bit.ly/3VF3AVU
Prem Charles retweeted
Attendant at Indian Oil Bunk, Kottivakkam, OMR, tried a cute trick.
He filled up petrol for ₹5,240. Peeked into vehicle, made a remark about interiors, stood covering the amount, and quietly entered ₹5,640 in the card machine, and asked me to enter PIN.
I frowned. Said, “Sema makkunu nenachitingalla?” He smiled sheepishly, said sorry, and corrected the amount instantly.
Can’t relax for a minute, engayum. 🥲
Prem Charles retweeted
Which case meets criteria for low-grade DCIS on core biopsy?
Case A: top images
Case B: bottom images
Always ask: if this were the entire lesion, with nothing left in the excision, would I still classify it as low-grade DCIS?
It is difficult to diagnose DCIS on core biopsy. Per Dr. Allison’s experience, many cases fail to meet the size criteria.
Final diagnosis
• Case A: DCIS
• Case B: Borderline lesion (~2 mm, less uniformly involved) — ADH bordering on DCIS
Dr. Allison. 2026 Diagnostic Pathology Update #USCAP #pathology #PathX
Prem Charles retweeted
Intramuscular myxomas are one of a limited number of soft tissue tumors that are more likely to arise in women than in men. The cell in the center still has mucopolysaccharide material in its cytoplasm and has not yet extruded it into the pool of myxoid material.
Prem Charles retweeted
DCIS : Stage 0 Cancer , Stage 1 Debate .
📌It is one of the most contested diagnoses in oncology .
#Post 1 : What is DCIS ?
- abnormal epithelial cells confined within the breast ducts .
- surrounded by an intact myoepithelial layer and basement membrane.
- Breaching the basement membrane makes it invasive ductal carcinoma ( IDC )
- Considered a non obligate precursor of IDC
- Not life threatening by itself , because it cannot spread.
- It matters because it is the immediate precursor to potentially lethal invasive disease.
- Progression model :Wellings and Jensen.
#BreastCancer #BreastCancerAwarenessMonth #DCIS #Pathology
Prem Charles retweeted
Colloid cyst! Nice clues as usual🤣
What's this third ventricular lesion? Seems like quite a COLLision at the crossroads of the CNS ventricles. #pathology #neuropath #pathtwitter
Prem Charles retweeted
75 years male with salivary gland swelling #salivary gland pathology with h/o smoking
Prem Charles retweeted
☹️
#NEWSUPDATE || Milky Mist நிறுவனத்தில் ஆய்வு செய்ய உத்தரவு | #CentralFoodSafetyDepartment | #Tamilnadu | #Paneer |#TNFoodsafety | #PolimerNews
Prem Charles retweeted
Charcot–Leyden crystals from a case of allergic bronchopulmonary aspergillosis (ABPA)- fungus not pictured here
Found these crystals oddly cute and pretty today.
#PulmPath #PathTwitter #LungPath #MedTwitter
Prem Charles retweeted
12years male ;c/o headache, vomiting
With heterogeneous solid cystic lesion in brain #cns pathology
Prem Charles retweeted
CLL made it to my heme collection. This time with increased large cells. #hemepath #pathology #pathx #pathtwitter #pathart
Prem Charles retweeted
Thigh mass , 80 years male patient #soft tissue pathology

















































