The University of Michigan Department of Pathology is made up of nearly 190 faculty and 850 staff who provide the best patient care and research possible.
What was your path to pathology?
In our new series
#MyPath2Path
we'd like to know when you realized that you wanted to be a pathologist.
Share a tweet or video and use
#MyPath2Path
and we'll share your story.
We begin the series today with the inimitable Dr. Henry Appelman:
Here is this week's
#COTW
!
Woman in her 20’s had painful lesion on her finger, present for several years. Reported pain on touching the lesion or when she did not wear gloves in the cold. Exam revealed 0.5 cm red-blue nodule on distal aspect of first finger.
What's your guess?
#Pathology
Twitter: Let's try something new for
#FollowFriday
#FF
If you work in pathology and have less than 2000 friends/followers, reply to this and tell us who you are!
Let's follow ALL who reply to this tweet and support each other!
Ready for the
#COTW
from Dr. Katelyn Zebrowski?
A 60-year-old woman presents with a vulvar lesion which has been increasing in size. An excisional biopsy was performed. What is your diagnosis?
Are all pathologists introverted?
Do pathologist not like working with people?
Do pathologists only do autopsies?
Madelyn Lew, MD, sets the record straight on some misconceptions about pathologists.
#realtalk
#recuts
#UMichPath
🔬 Genitourinary
#Pathology
, day 4
➡ What's your
#dailydx
of this testicular lesion?
➡ With what syndrome(s) is it associated?
➡ We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
#GUPath
🔬
#DailyDx
theme this week: Bone & Soft Tissue
#Pathology
➡️ Day 1: What’s your diagnosis of this nodule?
➡️ In what anatomic location are these most commonly seen?
➡️ We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
#BSTPath
🔬
#DailyDx
Dermato-
#Pathology
Day 5:
➡️ What’s your diagnosis of this face lesion in a 56-year-old woman?
➡️ We’ll tweet the answer and some quick facts on Monday!
#UMichPath
#DermPath
🔬
#DailyDx
theme this week: Pediatric
#Pathology
➡️ Day 1: What’s your diagnosis of this face lesion?
➡️ What is the most common age group affected and what is the typical disease course?
➡️ We’ll tweet the answer and some quick facts tomorrow!
#UMichPath
#PediPath
In regards
#Melanoma
, Dr. Lori Lowe is giving all types of excellent tips: when measuring Breslow thickness with associated nevus—measure only to invasive melanoma, NOT nevus; and the do’s and don’ts to indicate Tumor Mitotic Rate (TMR).
#NFPath2019
#UMichPath
Congratulations to
#UMichPath
resident
@MeredithKHerman
for being this year's runner-up for her piece, "The Lives We Hold", in the
@RCPath
Art of Pathology competition! This year's theme was pathologists and patients.
#UMichPath
is excited to welcome
@KMirza
to our team as the new Director of the Division of Education, Assistant Chair of Education, and professor of hematopathology. Read Dr. Mirza's story on his
#Path2Path
and how he came to Michigan.
🔬
#DailyDx
theme this week: Bone & Soft Tissue
#Pathology
➡️ Day 1: What’s your diagnosis of this nodule?
➡️ We’ll tweet the answer and some quick facts tomorrow!
#UMichPath
#BSTPath
AMAZING!
In less than 24 hours Chase was able to raise over 15k for DIPG research!
Now
@mohurstjr
has joined in and challenge and will dye his hair orange if we raise 73K!
⬇️ Help
#ChadTough
raise money and awareness by giving now! ⬇️
🔬This week’s theme: Gastrointestinal
#pathology
➡️Day 1: What’s your
#DailyDx
of this liver mass? (Note the background liver on the right of the low-power)
➡️What are the key features of this entity?
➡️We’ll tweet the answers & some quick facts tomorrow!
#GIPath
#UMichPath
🔬 Sinonasal Pathology, Day 3:
➡️ What’s your
#DailyDx
of this lesion?
➡️ We’ll tweet the answers, some quick facts, and the next case tomorrow!
#UMichPath
#ENTPath
Are you ready for this week's
#CaseoftheWeek
?
30 y/o female presents with a vesicular rash in her intertriginous areas. Some vesicles have progressed to bullae, ruptured, and formed a crust. Lesions are pruritic, burning, and malodourous.
What is your diagnosis?
🔬This week’s
#COTW
from
@WRPears
:
The patient is a woman in her 60s: What is the anatomic site and the diagnosis?
Diagnosis and answers on Friday!
#PathTwitter
We are *really* excited to share a preview of our next video!
We recently invited a patient behind-the-scenes to see how
#pathologists
&
#MedicalLaboratoryScientists
diagnosed and monitored her leukemia.
Brenda's Story is set to premiere Fri, April 5:
Check out the
#COTW
from Dr. Mark Rudolf!
This 0.2 cm yellow nodule in the renal cortex was discovered incidentally at autopsy. What is your diagnosis?
🔬 Gastrointestinal
#Pathology
, Day 2
➡️ What’s your
#DailyDx
of this liver mass?
➡️ With what genetic abnormality is this associated, and with what other entity has a link been proposed?
➡️ We’ll tweet the answers & some quick facts tomorrow!
#GIPath
#UMichPath
🔬 This week’s theme: Gynecologic
#Pathology
➡️ Day 1: What’s your
#DailyDx
of this ovary? Similar findings were present in both ovaries.
➡️ What could be associated with this finding?
➡️ We’ll tweet the answers & some quick facts tomorrow!
#GYNPath
It's Wednesday, which means it's time for the
#COTW
!
Here is the case...
- A type of carcinoma commonly seen in children and young adults.
- What are the three different types of cells?
- What does complete surgical excision look like?
What's your diagnosis? Let us know!
🔬 Bone & Soft Tissue
#Pathology
, Day 2
➡️ What’s your
#DailyDx
of this soft tissue lesion from a child?
➡️ What genetic alteration 🧬 is associated with this entity?
➡️ Answers and quick facts tomorrow!
#UMichPath
#BSTPath
🔬
#DailyDx
theme this week: Gastrointestinal & Liver
#Pathology
➡️ Day 1: What’s your diagnosis of this liver?
➡️ What ancillary test(s) would you perform?
➡️ We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
#GIPath
#LiverPath
🔬 This week's
#DailyDx
theme: Prostate
#Pathology
➡️ One of these things is not like the other! Can you tell which image is different from the others?
➡️ We’ll tweet the answer and some quick facts tomorrow!
#UMichPath
#GUPath
Day 5: Final day of our ovary series.
What’s your
#DailyDx
of this oophorectomy? Which gene mutations are typically present in these?
We’ll tweet answers, some quick facts, and the next case tomorrow!
#umichpath
#GYNPath
🔬
#DailyDx
theme this week: Vulvovaginal
#Pathology
➡️ What’s your diagnosis of these two lesions (from different patients)?
➡️ What can you predict about one patient versus the other?
➡️ We’ll tweet the answers, some quick facts, and the next case tomorrow!
#UMichPath
🔬 This week’s theme: Breast
#Pathology
➡️ Day 1: What’s your
#DailyDx
of this breast mass?
➡️ What genetic abnormality do these tumors demonstrate?
➡️ We’ll tweet the answers & some quick facts tomorrow!
#BreastPath
#UMichPath
🔬
#DailyDx
theme this week: Breast Pathology
➡️ Day 1: What’s your differential diagnosis of this breast lesion & what do you favor?
➡️ What diagnostic features do you look for to make this diagnosis?
➡️ We’ll tweet the answers and some quick facts tomorrow!
#BreastPath
🔬
#DailyDx
theme this week: Pediatric
#Pathology
➡️ Day 3: What’s your diagnosis of this breast mass in a 16-year-old?
➡️ We’ll tweet the answer and some quick facts tomorrow!
#UMichPath
#PediPath
🔬 Gastrointestinal
#Pathology
, Day 3
➡️ What’s your
#DailyDx
of this pancreas mass?
➡️ What is the expected immunoprofile?
➡️ We’ll tweet the answers & some quick facts on Monday!
#GIPath
#UMichPath
🔬 Pulmonary
#Pathology
, Day 2
➡️ What’s your
#DailyDx
of this lung finding?
➡️ What ➕stain would help confirm the diagnosis?
➡️ Answers & quick facts tomorrow!
#UMichPath
#PulmPath
🔬
#DailyDx
theme this week: Gynecologic
#Pathology
➡️ Day 1: What’s your diagnosis of this endometrial curettage?
➡️ What laboratory findings would you expect to see in this patient?
➡️ We’ll tweet the answer and some quick facts tomorrow!
#UMichPath
#GynPath
🔬
#GYNPath
Day, 1:
➡️What’s your
#DailyDx
of this tissue protruding from the cervix?
➡️We’ll tweet the answer, some quick facts, and the next case tomorrow!
#GYNPath
#umichpath
Our
#CaseoftheWeek
!
35 M with hx of hypertension & Marfan syndrome with chest pain radiating to his neck becomes diaphoretic and collapses with no pulse and dies.
Postmortem exam consistent with the images. What is the histologic manifestation of the patient’s cause of death?
🔬 This week’s theme: Genitourinary
#Pathology
➡️ Day 1: What’s your
#DailyDx
of this bladder mass?
➡️ What anatomic location in the bladder wall is this most commonly found?
➡️ What ➕ and ➖ stains would support your Dx?
➡️ Answers & quick facts tomorrow!
#UMichPath
#GUPath
🔬 Thoracic
#Pathology
, Day 1:
➡️ What’s your
#DailyDx
of this lung wedge?
➡️ What is the expected immunoprofile?
➡️ We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
#PulmPath
#WhatsYourDx
: Children and adolescents can develop this, but occurs primarily in adults, w/ women and men equally affected. Not an infection and not contagious. Chronic inflammatory skin disorder that causes areas of thickened, inflamed, red skin, and scales:
@cebulka26
#COTW
🤔
🔬 Bone & Soft Tissue
#Pathology
, Day 3
➡What's your
#DailyDx
of this femur mass?
➡Mutations in what gene(s) are found in these tumors?
➡We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
#BSTPath
Here is this week's
#CaseOfTheWeek
from
@JasmineSaleh
of
#UMichPath
.
25 y.o. F presents with multiple tumors on her scalp. Shave biopsy performed.
What is your diagnosis?
What syndrome may it be associated with?
Answers to be shared on Friday!
#PathTwitter
🔬 Gynecologic
#Pathology
, Day 3
➡️ What is your
#DailyDx
of this uterine mass?
➡️ What stains would you expect to be positive to confirm the diagnosis?
➡️ We’ll tweet the answers and some quick facts on Monday!
#UMichPath
#GYNPath
🔬 Vulvovaginal Pathology, Day 3
➡️ What’s your
#DailyDx
of this vaginal lesion?
➡️ What genetic rearrangements might you see in this lesion?
➡️ We’ll tweet the answers, some quick facts, and the next case tomorrow!
#UMichPath
#GYNPath
🔬 What is your This week's
#DailyDx
theme:
#Neuropathology
➡️ What's your diagnosis of this dural lesion?
➡️ What other histologic patterns/features would convey a similar grade?
➡️ We’ll tweet the answer and some quick facts tomorrow!
#UMichPath
🔬 This week's
#DailyDx
theme: Gynecologic
#Pathology
➡ Day 1: What's your diagnosis of this endometrial curettage?
➡ What stains would you consider ordering to confirm?
➡ We’ll tweet the answer and some quick facts tomorrow!
#UMichPath
#GYNPath
Holding the title of Chief Resident at Michigan Medicine Department of Pathology, one of the top academic pathology residency programs in the country, is a challenging yet exciting responsibility. For the 2022-2023 year, this honor and responsibility belong to Dr. Batoul Aoun.
🔬
#DailyDx
theme this week: Head & Neck
#Pathology
➡️ Day 1: What’s your diagnosis of this parotid mass?
➡️ We’ll tweet the answer and some quick facts tomorrow!
#UMichPath
#ENTPath
Check out
@IMHolmes_DO
's
#COTW
!
35-year-old female with a history of irritable bowel syndrome undergoes a small intestine biopsy which shows the following: What do you see? What’s your diagnosis?
🧠
#Neuropathology
- Day 2
➡️ What’s your
#DailyDx
of this intradural spinal mass?
➡️ What WHO grade is it?
➡️ What is a major factor for predicting survival?
🔬 We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
#NeuroPath
🔬 Pediatric
#Pathology
, Day 5
➡️ What’s your
#DailyDX
of this tibia mass?
➡️ In what age group is this entity most common what anatomical location within the bone is this most likely arising?
➡️ We’ll tweet the answers and some quick facts on Monday!
#UMichPath
#PediPath
🔬 Genitourinary
#Pathology
, Day 2
➡️ What’s your
#DailyDx
of this nodule adjacent to the testis?
➡️ What ➕ stains would support your Dx?
➡️ What recurrent genetic alterations were recently described in this entity?
➡️ Answer & quick facts tomorrow!
#UMichPath
#GUPath
🔬 Bone & Soft Tissue
#Pathology
, Day 2
➡What's your
#DailyDx
of this large bone mass?
➡How are these tumors graded?
➡We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
#BSTPath
🔬 Gastrointestinal & Liver
#Pathology
, Day 2
➡️ What’s your
#DailyDx
of this liver mass?
➡️ What’s the most common recurrent genetic alteration found in this entity?
➡️ Answers & quick facts tomorrow!
#UMichPath
#GIPath
#LiverPath
🔬Dermato-
#Pathology
, Day 2
➡️ What is your
#DailyDx
of this skin excision from a pediatric patient?
➡️ With what genetic alteration 🧬 are these associated?
➡️ Answers and quick facts tomorrow!
#UMichPath
#DermPath
🔬 This week’s theme: Pulmonary
#Pathology
➡️ Day 1: What’s your
#DailyDx
of this central lung mass?
➡️ What is the predicted immunoprofile?
➡️ Answers & quick facts tomorrow!
#UMichPath
#PulmPath
We're back with another
#CaseOfTheMonth
!
51 y.o. F presents with vaginal bleeding and a mass protruding from her vagina. Imaging shows the mass arises from the posterior cervix. Clusters of cysts filled with clear fluid along the entirety of the mass.
What is your diagnosis?
🔬 This week’s theme: Head and Neck
#Pathology
➡️ What’s your
#DailyDx
of this parotid mass?
➡️ What stains would you do to confirm your diagnosis?
We’ll tweet the answers & some quick facts tomorrow!
#ENTPath
#UMichPath
🔬
#DailyDx
Neuro
#Pathology
Day 4:
➡️ What’s your diagnosis of this CPA mass in a 1 y/o?
➡️ What molecular finding would you expect to find in this tumor?
➡️ We’ll tweet the answers and some quick facts on Monday!
#UMichPath
#NeuroPath
🔬 Breast
#Pathology
, Day 2
➡️ What’s your
#DailyDx
of this breast biopsy?
➡️ How would you “topline” the biopsy diagnosis?
➡️ What do you predict the receptor status will be?
➡️ We’ll tweet the answers & some quick facts tomorrow!
#BreastPath
#UMichPath
🔬
#DailyDx
theme this week: Head & Neck
#Pathology
➡️ Day 1: What’s your diagnosis of this parotid mass?
➡️ What is the expected immunoprofile?
➡️ We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
#ENTPath
🔬 Gynecologic
#Pathology
, Day 2:
➡️ What’s your
#DailyDx
of this ovary?
➡️ What ➕ stain(s) would help confirm the Dx or narrow the differential?
➡️ We’ll tweet the answers & some quick facts tomorrow!
#UMichPath
#GYNPath
🔬
#DailyDx
theme this week:
#Neuropathology
.
➡ What’s your diagnosis of this cerebellar mass?
➡ With what syndrome is this associated?
➡ We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
#NeuroPath
🔬 Ovary
#Pathology
, Day 5:
➡️ What’s your
#DailyDx
of this ovarian mass?
➡️ With what gene mutations are these associated?
➡️ We’ll tweet the answers, some quick facts, and the next case tomorrow!
#UMichPath
#GYNPath
.
🔬
#DailyDx
theme this week: Head & Neck
#Pathology
➡️ Day 1: What’s your diagnosis of this nasal mass?
➡️ What ➕ and ➖ stains would support your Dx?
➡️ Answers & quick facts tomorrow!
#UMichPath
#ENTPath
#BreastPath
, Day 2.
What’s your
#DailyDx
of this breast core biopsy?
What stain is typically positive, and what recurrent genetic alteration is associated?
We’ll tweet the answers, some quick facts, and the next case tomorrow!
#UMichPath
🔬 Gynecologic
#Pathology
, Day 1
➡️ How would you 'topline' your
#DailyDx
of this vulvar cyst?
➡️ From what structure(s) did it most likely develop?
➡️ We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
#GYNPath
.
@sarahnfarran
shared this weeks
#COTW
!
18-year-old healthy female with a left medial arm 7 mm violaceous papule, tender to palpation. What is your diagnosis?
🔬 Gynecologic
#Pathology
, Day 2
➡️ 2 endometrial samples, 2 findings.
➡️ What is present in 1? What is present in 2?
➡️ We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
#GYNPath
🔬 Genitourinary
#Pathology
, day 2
➡ What's your
#dailydx
of this kidney tumor?
➡ What additional testing would support your diagnosis?
➡ We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
#GUPath
🔬 This week's
#DailyDx
theme:
#GIPath
➡ Day 1: What's your diagnosis of this colonic biopsy?
➡ What stain would be positive? Where in the colon do these most commonly occur (proximal/distal)?
➡ We’ll tweet the answer and some quick facts tomorrow!
#UMichPath
🔬
#DailyDx
, Breast
#Pathology
Day 4:
➡️ What’s your diagnosis of this breast mass?
➡️ What clinical history do you suspect in this patient?
➡️ We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
#BreastPath
🔬
#DermPath
, Day 2
➡️ What’s your
#DailyDx
of this skin lesion?
➡️ What stain(s) could you order to confirm?
➡️ We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
🔬Bone & Soft Tissue
#Pathology
, Day 3
➡️ What’s your
#DailyDx
of this lower extremity mass?
➡️ What genetic alteration do these tumors typically harbor?
➡️ We’ll tweet the answers and some quick facts tomorrow!
#UMichPath
#BSTPath