Brie Schmidt

@iSeeRacist Please expose this person who thinks that Black people are garbage. See the last screenshot for the final blow.

@RacismDog Please repost this racist who obviously thinks Black people are the scum of the earth.

@RawaMuhsin Get a fungal stain

68 ♀️ with abdominal skin lesion More pics below For opinions

@RACARR51 I’m tired of people going after my race just to win an argument. He was a jerk to the other man who was white. People hide behind social media. I am not sure I would take the high road in person.

@BSchmidtDpath Going high is hard!😇

@Dermpathl @STEVENKOLKERMD Thank God they have sense.

@BDavidDermpath @STEVENKOLKERMD That testing is not used for decision making where I practice up here in Canada. I do sense that surgical oncologists do offer & advocate for sentinel node biopsied on most pT1b melanomas. They quote the likelihood of a positive node according to nomograms or other tools they use

Is an invasive melanoma, 0.9 mm in thickness, with 3 or more mitoses/mm2 truly pT1b? I would contend that an invasive melanoma that is 0.8 mm-1.0 mm in thickness with 3 or more mitoses/mm2 is closer to a pT2 melanoma. Maybe it doesn't matter as SLN status would supersede it?

All you need is one stain… #dermatology #dermpath

@Dermpathl @STEVENKOLKERMD Some take the Holy Grail Castle testing into account.

@STEVENKOLKERMD Do all centers uniformly do a sentinel lymph node biopsy on pT1b melanomas?

#dermpath #pathology #dermatology Recent case I had of cutaneous involvement by known granulomatosis with polyangiitis. These were photos I shared with the clinician who was concerned for infection.

More very good #dermpath learning cases to come. It’s been very busy lately and I fell off the map.

3) IHC to confirm (🧦10 and PRAME). I let out an audible gasp when I got saw them, but was also very relieved that I didn’t go down the tubes with this one (I had great training from @MightyDermPath)! Got the PRAME after the 🧦 for re-excision feasibility purposes.

2) Where is the disruption? It’s not at the DEJ like one would see in an interface process. It’s INTRAEPIDERMAL (unzippering). Remember melanocytes lack desmosomes=no adherence Also, see how jumbled and grey the epidermis is? Another clue.

1) Another land mine of a case. TRUST YOUR EYES AND TRAINING. 70 y.o 👩 upper arm. “NUB vs BCC” #dermpath Looks like a BLK, right? What is a big clue that it’s NOT!

@FadeHubb Sociopath

This kid really tried to stomp on a baby monkey

@STEVENKOLKERMD I wonder if this is what I’m working up! I got spooked because of the cytology and it’s S100 positive, desmin negative. Well-circumscribed and has perineurium.

Don't get too close to a schwannoma (neurilemmoma) or you might get frightened. If you perform FNA, the patient might jump off the table in pain. Two forearm soft tissue tumors that can appear histologically concerning, but are benign are schwannoma and nodular fasciitis.

Scabies Is Making a Comeback - WIRED apple.news/AwMBFDV7IQbeJA…

@remimazorts @Dermpathl Good differential. I wouldn’t have stained it because I can see some of the cells have desmosomes. MIS would have blown out the basal layer due to lack thereof. The background AK is also a clue.

@Dermpathl Pagetoid SCCis. Ddx melanoma.

Shave biopsy from the right neck of a late 80s man. Clinical impression: "AK" #dermpath #pathology

@redsnapperpath @Josesordo It’s always nice to see these!

@BDavidDermpath @Josesordo If I was in the prostate I would call this a little baby corpora amylacea as it does have a nice concentric ring when you focus up and down and CA is a benign “product” of the cellular aging process

It’s been a while…and this little thing caught my eye 👁️ #dermpath

@Josesordo @redsnapperpath It’s a Gottlieb body.

@redsnapperpath Waiting the answer, because I don’t know what it is 🙈 .. seems like foreign body or something

@STEVENKOLKERMD @mvmd0908 A

When diagnosing basal cell carcinoma, how often do you use the diagnosis metatypical BCC in your reports. A. Never or close to never B. 0.3-1% C. 1-5% D. 6-10% E. > 10% 2nd question: Is metatypical BCC the same as BCC with squamous differentiation or basosquamous CA.

13/ x.com/Janiranavarro/…