Jim Lewis Jr.

@ihartpathology @VUMCPathology Love that you tweeted our case!

Thyroidectomy from patient with MEN2A + RET mutation. What’s your diagnosis? What hormone is likely elevated? Answer and pearls in the comments! #PathTwitter #MedEd #MedTwitter #endocrinology

@HeadandNeckPath Super articles and presentations from USCAP!

NASHNP Proceedings (20MAR22) Emerging Bone and Soft Tissue Neoplasms in the Head and Neck Region By Bin Xu rdcu.be/cJwfE #HeadNeckPathol #HNPJ #HeadandNeckPath #Pathology #ENTPath #PathologyTweet

@VUMCPathology Welcome all!!! We are thrilled to have you training with us!

@HeadandNeckPath Did you hear about the woman who grew vocal cords in the laboratory? The results speak for themselves!

A basic unit of laryngitis = 1 hoarsepower! I just couldn't resist the pun for my buddy @LewisPath

@HeadandNeckPath I will forward that to my friend Lary…Lary N Gitis.

Please share: we welcome additional applicants and look forward to learning and practicing with you all. #path_SIG

We would love to see your applications, budding surgical pathologists!

@travisakers Imagine how good she’ll be at “raising“ children! #Lewispath

@megothelioma You post great path pics Dr. Megothelioma!

Thyroidization in an end-stage kidney #PathTwitter #MSGPath

@KStashekMD Pleomorphic “liver”sarcoma? Lipids everywhere!

@megothelioma @VUMCPathology Thanks for a lovely example of a benign curiosity lesion. Here is the rare massive version on CT imaging from a middle aged patient. The entire abdomen is myelipoma!

Now this is a cool diagnosis - myelolipoma. A thin rim of adrenal cortex lines an area of mature fat and hematopoietic elements. This case even had some osseous metaplasia. #PathTwitter #MSGPath

Tricky tumors when they arise in the thyroid gland because they can resemble papillary carcinoma, showing papillae, abortive nuclear irregularities like PTC, and PAX8 expression. Must look for the secretory material!

This was a great event - thanks to CAP for supporting the Guidelines process and this event. @bfaquin @LewisPath #capchat @Pathologists

@Pathologists @bfaquin Thanks all for attention. The most important thing we can do as pathologists is to be consistent in what tests we do for pts with head and neck SCC. The guidelines are a start for this - and can shift in time as the field shifts. #capchat @Pathologists @bfaquin @LewisPath

In our last 5 minutes can Drs. @BFaquin & @Lewispath please share their key takeaways from the HPV testing guidelines? #capchat

Nuclear only or cytoplasmic staining only does not count, no matter the intensity or distribution - must be nuclear and cytoplasmic. For any equivocal p16 stains (borderline), your can do HPV-specific testing to resolve (RNA ISH best). #capchat @LewisPath @bfaquin @Pathologists

@AmyHDeekenMD @Pathologists @nicnac0 @bfaquin @EntPath We hope that the formal CAP Evidence Based Guidelines publication would provide pathologists with the back up to insist that p16/HPV specific testing not be performed for non-oropharyngeal and non-squamous carcinomas. #capchat @AmyHDeekenMD @LewisPath @bfaquin @Pathologists

@bfaquin @LewisPath how has it been getting your labs to follow the recs? #capchat

@Pathologists @bfaquin Good for you all. Is it DNA ISH or RNA ISH? Both "work" for high risk HPV detection by performance different. RNA ISH is more sensitive and specific for transcriptionally active high risk HPV. @Pathologists #capchat @bfaquin @JScapaPathMD @LewisPath

. @LewisPath @bfaquin

@Pathologists @bfaquin p16 should be positive in >70% of tumor cells, in both nucleii AND cytoplasm, and with at least moderate intensity in order to use as prognostic marker and surrogate if high risk HPV. #capchat @bfaquin @Pathologists @LewisPath

. @LewisPath @bfaquin