If your path practice is thinking about adopting AI, go lay down on the couch until that urge disappears. #PathSky

#PathSky #Pooh

A rarity - colleague's case. Young man c/o testicular swelling for a month which he attributed to contact sports. Then upon workup was found to have a very high b-hCG and lung mets. Orchiectomy showed pure choriocarcinoma. This focus here shows LVI. #PathSky

Look at this perfect lil focus of LVI (invasive mucinous carcinoma of the breast). #PathSky

A classic my breast attending would present on at conferences - usual ductal hyperplasia with comedo type necrosis. This finding was seen in a radial scar. Important not to overcall! #PathSky

Consult from a colleague. Radical prostatectomy for prostate cancer and incidental CIS cancerizing the ducts. A doubly justified surgery. #PathSky

Older woman with history of breast cancer. New focus found on imaging mid chemo regimen. My initial concern was heme related until these stained nicely for CAM5.2.

This is treated invasive ductal carcinoma. #PathSky

Nothing particularly interesting - prostatic adenocarcinoma with a mitosis that reminds me of the Batwing. Also been experimenting with raw images on my iPhone and editing them. Curious if there's a difference in sharpness. #PathSky

A devastating day for American healthcare.

Soft tissue mass in the axilla. S100 and SOX10+, no h/o skin malignancies. An example of a Schwannoma with ancient changes. #PathSky

I swear I see more interesting breast diagnoses in private practice than I ever did at academic institutions. Invasive micropapillary carcinoma from today's pile. #PathSky

😂

Update: Cultures grew Crypto neoformans.

A beautiful glomangioma! Presented on the forearm of an older man. #PathSky

I spy with my eye a Savi scout reflector. #PathSky

The King has spoken - PIPS is the best academic conference in the tri-state area! #PathSky #PIPS2025 #Princeton

Biopsy of one of multiple white patches seen in esophagus. H&E showed no acute inflammation and only the barest hint of parakeratosis. No glycogenic acanthosis either. GMS teased out these critters. #PathSky

#PathSky - Does anyone here use AI programs for any sort of path at their practice? If so, could you please dm me? Thx in advance!

Corpora amylacea in prostate adenocarcinoma, an uncommon sighting. #PathSky

I'm slowly realizing one of the breast surgeons may not understand that there's breast tissue in the axilla...

Beautiful CIS from today. #PathSky

Another case from this past week. Lung biopsy for new lung nodule suspected to be cancer.

Nearly thought I had to sign out medical lung but then I saw granulomas with asteroid bodies. And then the numerous yeast!

Currently pending cultures and PCR. #PathSky

Beautiful Warthin tumor from today's pile. #PathSky

It's kind of astonishing how some clinicians in the community do not do or take CME seriously. They just go through training and never get updates for the rest of their lives. It's a shame for us and for their patients.

A slightly messy set of pictures. Young female, breast mass, post partum. This is a lactating adenoma with infarction.

I love seeing entities I only previously read or heard about. #PathSky

Gastric biopsy in an older male with a history of anemia. If I weren't in private practice I would have done the iron stain but I did the next best thing and confirmed he was taking iron sulfate. #PathSky

Work enemy is acting up today and I want him to stub his toe real bad.

Here's a beautiful pleomorphic adenoma from the submandibular gland! #PathSky

Colleague's case. They were very kind to share this with me. There was a clinical concern for malignancy and this biopsy thankfully will get the patient the appropriate line of treatment. Likely hepatic sarcoid. #PathSky

For some reason the clinician didn't think this was a horn. Regardless, a beautiful little squamous cell ca in situ. #PathSky

I feel like the more I hear about the state of academic medicine in the US, especially path, it really makes me wonder when the other shoe is going to drop. It seems like we're all hurtling towards imminent collapse and there'll be no one left to train the next generation. #PathSky