Hi #pathology tweeples! I just realized that the callus I have on my pinky is from using it to steady my hand as I dot π(with my green pen of course π). I must dot A LOT! πͺπ¬
I have some #path (mostly) dotting related questions out of curiosity.
Does anyone else have a dotting pen-induced callus? (Just me? I hope I'm not alone. π€π)
Which is your dominant hand βπ€? I am right-handed.
Do you dot with your dominant hand? I dot with mine.
Do you drive the slides π¬ with your dominant hand? I'm right-handed. I use my right hand to drive the slides and dot and my left hand to focus.
What color pen do you prefer? I have a stash of green π pens to make sure I'm never out! (I can only have 4 options in the poll.) We use red for #cytopath QA.
Thank you all for participating! ππ³πΏπ΅π±
Inspired by the Q from @CPHpath, do you drive with your hand or the stage? ποΈvs.π¬
Just going to keep adding as more Qs pop up! This is fun! #pathology tweeples are the best!
Changing the objective... I use my dominant hand. Basically I do everything with my right hand except focus. (Although for the manicure π I have to use both hands π).
Inspired by @israhkhan, when you drive the slide do you:
β’ β’ β’
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2/ The biomarkers provide predictive information (how a patient may respond to targeted therapy) as well as prognostic information. It helps to organize patients into treatment groups that follow different algorithms and guidelines.
3/ Biomarkers are evaluated in routine clinical mgmt of patients with breast cancer. The 3 routinely tested:
Hormone receptors (HR): Estrogen receptor (ER) and Progesterone receptor (PR)
&
Human epidermal growth factor receptor 2 (HER2)
44 yo woman. On req: "faint grouped microcalcs." #breastimagers separate calcs and no calcs cores into separate containers (so helpful!). There was only one block of cores with calcs. Here are the #breastpath images. Thoughts? Next steps?
You are all thinking the way I did! For cases with calcs, I always review the imaging, and in particular the specimen radiograph, to see the morphology of the calcs I should look for. Check out the imaging from @DrJordanaP π
The tiny calc in the initial levels of the CNB are not the same as the calcs seen on imaging. We need to find those calcs --> LEVELS! (I haven't heard it called steps before! I like!) #breastradpath correlation is so important here!
We are excited to share the first case in our #breastimaging and #breastpath correlation series! This case highlights challenges of imaging/management and the pathologic diagnosis.
56 yo woman with left breast focal asymmetry and calcifications. Screening mammogram. @DrJordanaP
Diagnostic mammogram and ultrasound were performed. A presumed ultrasound correlate was found with calcs and vascularity. What is the next step? What BI-RADS would give? @DrJordanaP
Breast excision. What is your diagnosis? Would you do stains? #breastpath
Thanks everyone! This is LCIS involving collagenous spherulosis. I did IHC. The e-cad was stronger than I expected but showed granular staining so I followed up with p120 and beta-catenin to illustrate the different stains.