@drHTBlungpath @MoffittNews In my opinion a frozen section does not add anything if the tumor is peripheral and well away from the margin.
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David Larson
1.4K posts
David Larson
@dmlarsonpath1
Community Hospital Pathologist in Iowa. Former Navy Pathologist USN CAPT(ret) #CYTOPATH #FCAP
Iowa, USA شامل ہوئے Ekim 2016
885 فالونگ1.7K فالوورز
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
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@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.
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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…
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@dmlarsonpath1 @DukeU @DukeHealth @DukePathDept @DukeAlumni I might have to now that I won’t be surrounded by the beautiful Duke Blue!
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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!
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@OGdukeneurosurg Fraternal twins are diamniotic dichorionic. Indentical twins can be any of those pairings depending on when the fertilized egg splits.
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@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.
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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
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@Sara_Jiang @megothelioma Remember, blue is a primary color. You can’t have green without blue.
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@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!
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I'll continue this heated discussion from the resident room here on #pathtwitter:
Which dotting pen color reigns supreme?
#pathx #pathology #Poll #pathresidents
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@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!
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@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
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@megothelioma @dmlarsonpath1 it’s time to unbury the hatchet again! 💚✅💚✅💚✅
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@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.
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@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
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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
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@VandaTorousMD Why call it atypical? Why not benign with the differential you have listed?
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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/
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@WBAMCArmyMed That’s not the MSC logo. That is the Medical Corps logo.
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@seanhussey20 You’ll find something great. That retirement check gives you lots of flexibility to do what you want.
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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.
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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 .
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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. 🙏🙏🙏
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@GersonPaull_MD I would not say common but I do see cases where there is a mixture and rare cases of just endometrium.
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David Larson ری ٹویٹ کیا
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.
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Tell me anything about this structure but whatever you do don’t name it… please.
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