1/2020 Massive pericardial effusion in an elderly male. Metastatic lung adenocarcinoma. #cytology#CytoPath#cellblock#lungca Pap stain, MGG, cell block and IHC. 1. Multilayered cell balls, smooth outlines, psammoma body 2. Acini in CB @kriyer68@smlungpathguy@VijayPatho@kriyer68@smlungpathguy@VijayPatho@drsys02@Swathiprabhu5@pathridle_susan@nandishvs * Reactive mesothelial cells can show atypia & proliferation spheres, however - knobby oultline
* Proliferation spheres (cell balls) are solid with stromal cores in mesotheioma unlike carcinoma
* Mesothelial cells: peripheral condensed cytoplasm, vacuoles (intercellular windows)
Dec 27, 2019 • 5 tweets • 3 min read
Winding up 2019 with this #Grossognosis#pathology case. Happy new year 2020 to all my #pathtwitter friends. K/c/o gastric carcinoma , elderly patient.
The most likely diagnosis of the above gross is: