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Ankur Sangoi Profile picture
Ankur Sangoi
@slusagar
#GUpath Clinical Professor of🔬Pathology at Stanford; EDM🎧fanatic; proud dad of 2 boys; rockchalkjayhawk🏀; 🏃🏾‍♂️☕️✈️; tweets=my own opinion
Jan 15, 2019 • 9 tweets • 5 min read
#GUpath puzzler time!
(for those of you familiar with this case, please keep 🤫!)

middle aged M found to have bilateral breast enlargement. Work-up revealed elevated serum PSA. MRI-guided prostate biopsy done of abnormal area seen on imaging.

🔬?🤔? my DDx:
▶️Gleason 5+5 prostatic adenocarcinoma (for all new bx cases, I always do confirmatory prostate #IHCpath)
▶️plasmacytoid urothelial carcinoma
▶️signet ring GI tract adenocarcinoma
▶️metastatic lobular carcinoma