Michael Feely, DO

Interested in the crossroads of pediatric and adult GI pathology? Members can join us today at 12:00 PM EST for a free e-Learning forum. Please see the details below! #GIPS #GIpath #pathology

What do all of these beautiful cases have in common besides being found in the most exciting organ system of the body? They have all been featured as one of our Cases of the Month! Interested in sharing a case with a worldwide audience? 👀⬇️ #GIPS #GIpath

@DrLaurenceGalea Agree with the other folks below. These are trisacryl gelatin microspheres which among many utilities can be used for prostatic artery embolization to treat BPH. Great pictures!

TURP for BPH Anyone has seen these before ? Thought about gelatin microspheres/similar but only history is prior intravesical BCG Appreciate any opinions #PathTwitter #PathResidents #GUPath #Pathology #Prostate

Thanks so much to everyone that has clicked their way through our questions. It's curious, and perhaps not surprising, to see where we all land on this. We'll be sure to let everyone here know how this all shakes out.

Have 5 minutes? A resident and I are attempting to understand reporting variability in ischemic bowel cases and would love to hear your practice through this survey. Nothing fancy, but a boots on the ground kind of project. #pathology #GIpath #UFpath ufl.qualtrics.com/jfe/form/SV_89…

@ariella8 @JasonPathology @ParasiteGal @Histopatolomon @nucleololailo @Vik_deshpandeMD @ashokparameswar @olopeznu @DraEosina @Mvgs1706 @drtimbracey This is the rhabditiform larvae of Strongyloides making their way back in. Nice example!

#Pathbugs 1/ Calling the CSI team for identifying this one, this is colon bx patient with HIV, I diagnosed Strongyloides in gastric mucosa, but this one ,what do you think @JasonPathology 🤔. Look 2 sets of pics ↘️

@appy_vashi Renal you say…… I think we have an interloper.

70y/F right renal tumour

Polypoid lesion of sigmoid colon. Not a frequently seen one 🙃 #PathTwitter #GIpath #BeautyInBenign

@Teclis82 @LizMontgomeryMD @Voltaggiol @IHC_guy @smlungpathguy @TristanRutland7 @lbsmithmd @RaulSGonzalezMD Cool! I’ve never caught a case. Perhaps I need to pay more attention. If you’re up for a fun surprise do a BRAF IHC.

An unusual #GIPath finding from a GEJ biopsy - ciliated cell heterotopia (/metaplasia?). Per @LizMontgomeryMD/@Voltaggiol’s ‘Biopsy interpretation of the GI mucosa’ - likely incidental. Good enough for me! Anyone else seen this before? Any other thoughts?

@YarisDombrovsky @IHC_guy @stephen_lagana @emma_furth @RAStandish @RaulSGonzalezMD Any molecular on this one? Would be interesting to see if there’s a BRAF.

Greetings! Tumour of the ascending colon, male 59 yo Would you call it NEC? Stains in replay Slides via link below pathpresenter.net/public/display… and everything is in our group in Telegram: t.me/gi_pb_path @IHC_guy @stephen_lagana @emma_furth @RAStandish @RaulSGonzalezMD #GIPSOC

@Gut_BMJ @NStockerSAT Waldenstroms versus amyloid, favor the former. Whipples should have a subtle blue-gray tinge to the macrophages and should be PAS positive. In one panel shown here it looks negative. Great case.

Read the interesting #GISnapshot #GUTSnapshot on "White small bowel in a patient with chronic diarrhoea" via bit.ly/3QQ2Zdf Do you know the diagnosis? @NStockerSAT #VillusAtrophy

@navale_pooja @Vik_deshpandeMD @RaulSGonzalezMD @Deyali7 @Mvgs1706 @RunjanChetty @brian_odum We do. We have a very active advanced GI group that essentially expects it. Honestly I also prefer it too because it ensures some uniformity in reporting amongst our group of GI paths.

Question to GI pathologists Do you use a synoptic for esophageal endoscopic mucosal resection specimens if encountered with intramucosal adenocarcinoma? Just want to be uniform in my approach! TIA @Vik_deshpandeMD @RaulSGonzalezMD @Deyali7 @Mvgs1706 @RunjanChetty @brian_odum

@TGeorgeMD @UF @UFHealthCancer @ASCO I hear the pathologists you get to work with are pretty cool too. 😎 #UFpath

🚨Interviews ramping up!! Not too late to join our team w/ #career in GI Medical Oncology @UF & @UFHealthCancer. Leadership opps also avail. If interested or ??: DM, email or find me at @ASCO #GI23. Confidentiality ensured👇🏻 explore.jobs.ufl.edu/en-us/job/5246…

Great work by an awesome multidisciplinary team here at UF! @UFHealth #UFpath

@DraEosina @Histopatolomon @yro854 @Elenacolcri Any history of prior barium study?

Help! 📢 "10 mm whitish rectal plaque", old male. Have u ever seen these particles inside macrophages? Golden, refractile, non birefringent, PAS&Perls negative. We suspect might be related to past prostate vaporization therapy? Other ideas? Happy 2023! #GiPath #Pathology

Another one for the bucket list. Beautiful case of an alien invader.

@RaulSGonzalezMD Go Gators!

Innocent colonic tubular adenoma, or vicious man-eatin' gator? Maybe some of our #gipath colleagues in Florida could weigh in ... #pathology #PathTwitter

@jansen_marnix All things considered this would be consistent with condylomata lata.

@MFeelyDO Do you have a bit more clinical info? This does not look like a primary chancre. (syphillis is on the rise in most urban areas so I'm genuinely concerned)

Apparently these things come in a “plasma cell light” version now? I see more treponema IHC in my future. Nice case shared by a colleague. #GIpath #IDpath #UFpath

This was a perianal lesion in a young adult. Scouring their chart revealed a brief mention of "partner recently dx with syphilis". I shudder to think what the result could have been w/o that hx. Lessons: - Trust no one. Always check the chart. - It. Can. Always. Be. Syphilis.