@drHTBlungpath @MoffittNews In my opinion a frozen section does not add anything if the tumor is peripheral and well away from the margin.
English
David Larson
1.4K posts
David Larson
@dmlarsonpath1
Community Hospital Pathologist in Iowa. Former Navy Pathologist USN CAPT(ret) #CYTOPATH #FCAP
Iowa, USA Inscrit le Ekim 2016
885 Abonnements1.7K Abonnés
Had a long day of frozen sections today at @MoffittNews. Performing intraoperative consultations is a big part of our practice as pathologists. I enjoy seeing everyone, particularly my surgical colleagues. Controversial topic: how do you feel about gross-only assessments for margins in anatomic lung resections? #lungpath #pathology #PathTwitter #moffitt #pulmpath
English
@MilitaryHealth @DeptofDefense The underlying assumptions of BRAC were wrong. Building a combined Walter Reed and Bethesda on top of an aging Bethesda was a mistake and the DOD, the government and the tax payers are continuing to pay for those decisions.
English
Following the recent floods at @WRNNMC, @DeptofDefense leaders surveyed the damage and are taking action to address the aging infrastructure.
Full story: dvidshub.net/news/490075/do…
English
English
@dmlarsonpath1 @DukeU @DukeHealth @DukePathDept @DukeAlumni I might have to now that I won’t be surrounded by the beautiful Duke Blue!
English
After nearly a quarter of a century at Duke, it's with mixed emotions that I’m sharing that I am moving to Tampa.
Grateful for an incredible journey here as learner and teacher.
THANK YOU to my amazing colleagues!
Excited for the next chapter and embracing new challenges!
English
@OGdukeneurosurg Fraternal twins are diamniotic dichorionic. Indentical twins can be any of those pairings depending on when the fertilized egg splits.
English
@AMontasserMD @IntSocUropath I use the rule of “too”
Too many glands
Too small
Too crowded
Too round
Crystaloids help also but can’t fit that in the above.
English
Quizz time for #Pathresidents
🔬 Prostate core: At this power, what features support the diagnosis of malignancy?
(I’ll post higher power images later ⏳)
#GUpath #PathTwitter #PathX #Pathology
English
@Sara_Jiang @megothelioma Remember, blue is a primary color. You can’t have green without blue.
English
@dmlarsonpath1 @megothelioma It should be taken as strong evidence of the innate superiority of green dots that I’d choose it over my signature Duke Blue!
English
I'll continue this heated discussion from the resident room here on #pathtwitter:
Which dotting pen color reigns supreme?
#pathx #pathology #Poll #pathresidents
English
@Sara_Jiang @megothelioma I’ll never understand how someone so well educated , academically gifted, an excellent speaker and a mentor to so many can be so wrong and lead others astray about this. Also, you are a Duke “BLUE” Devil, you should show your pride. I am a Kentucky Wildcat. Go big BLUE!
English
@megothelioma @dmlarsonpath1 The #GreenVSBlue has all the features of the best pathology fights:
-Totally subjective
-Does not make a difference in patient care
-We will duel to the death for our cause
GIF
English
English
@megothelioma @dmlarsonpath1 it’s time to unbury the hatchet again! 💚✅💚✅💚✅
English
@VandaTorousMD I personally don’t like atypical unless I am worried about a malignancy and can’t quite call it or exclude it. As such in your case I would call benign and give differential since I don’t see anything concerning for malignancy. My 2 cents.
English
@dmlarsonpath1 'Benign' is not a Milan category, non-neoplastic is. Neoplasm is still on the differential in this case. I clarify when I use the category atypical that it may represent a neoplasm or non-neoplastic process& in cases w amylase crystalloids the particular neoplasm of concern is WT
English
The subsequent parotidectomy showed a salivary duct cyst w metaplastic change (note the FNA tract here)
Amylase crystalloids are assoc'd w benign non-neoplastic processes (such as oncocytic cysts) and benign neoplastic lesions (Warthin tumor)
1/3 #CytoPath #ENTpath #PathTwitter
Vanda Torous MD@VandaTorousMD
Here is an interesting & challenging case: Parotid FNA with rare oncocytic groups in a background of innumerable amylase crystalloids Which #MilanSystem category would you place this is? #CytoPath #ENTpath #PathTwitter
English
@VandaTorousMD Why call it atypical? Why not benign with the differential you have listed?
English
However, if the oncocytic groups r rare, I would only call atypical w a note stating it could be an onocytic cyst or a benign neoplasm (ie WT)& correlate w radiology
Overall, amylase crystalloids r a very reassuring finding!
Check out our prior article👉 pubmed.ncbi.nlm.nih.gov/33296146/
English
@WBAMCArmyMed That’s not the MSC logo. That is the Medical Corps logo.
English
@seanhussey20 You’ll find something great. That retirement check gives you lots of flexibility to do what you want.
English
Had my first counseling meeting (virtual) with the Transition Readiness Program today. Starting one year out. Went over the way ahead and set up my next step: 90 min class in person with TRS. Will walk-in for that class in next 2 weeks. Honestly a little anxious about separating.
English
What we do matters to patients. @Pathologists
Dick Vitale@DickieV
Only cancer patients know the anxiety in waiting for the Pathology results . Praying the tissues removed in surgery r not cancerous . Yes to be honest I am scared but no matter I will count on Dr Zeitels to determine a plan to attack whether dysplasia ( pre cancer ) or cancer .
English
Surgeon giving credit to the Pathologist and the Pathologist getting a shoutout from Dickie V.
Dick Vitale@DickieV
Back at hotel- Dr Zeitels informed me that he removed tissues on my vocal cords to be analyzed by pathologists . Will have analysis when I meet with him at 1pm Wed. Report will define whether Dysplasia ( pre cancer ) or cancer.That info will determine plan for treatment. 🙏🙏🙏
English
@GersonPaull_MD I would not say common but I do see cases where there is a mixture and rare cases of just endometrium.
English
David Larson retweeté
Happy Quasquicentennial -- a big word to celebrate the 125th anniversary of the Navy's Hospital Corps. Check out the awesome video recognizing the incredible service of Corpsmen past and present.
English
Tell me anything about this structure but whatever you do don’t name it… please.
English
English
