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Jason Scapa, MD Profile picture
Jason Scapa, MD
@JScapaPathMD
Pathologist in the OC, CA 🍊☀️🔬Training stops: @StanfordPath, @UCLA_pathology, @dgsomucla, @UCLA. FCAP @pathologists #SCPMG #GoBruins Tweets≠medical advice.
Dec 7, 2019 • 13 tweets • 5 min read
.@StanfordPath Saturday!
📝 58 YO female with elevated CA125 with colonic mass
🔬 Poorly differentiated epithelioid malignancy intercalating between colonic lamina propria
IHC: CK7+, CK20-, CDX2-, PAX8-, GATA3-, S100-, synapto-
#stanfordpathsaturday #MedEd #pathologytwitter This one stumped us at first...is this primary, is it a met? We considered breast, gyn, gastric, and melanoma. We talked to the the gastroenterologist who insisted that colonoscopy was suggestive of primary colon cancer. So we proceeded to perform MSI, shown below.