Vanda Torous MD
@VandaTorousMD
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Cytopathologist, Associate Professor @MGHpath @HarvardMed | Director of Cytopath QA/QI | Interests #CytoPath #GynPath #BreastPath #PatientSafety #QI #MedEd
Boston, MA
Joined March 2017
IMPRESSIVE example, with a perfect Cyto-Histo correlation in a "Pancreatic Adenosquamous Carcinoma" metastatic to the liver. A highly aggressive subtype of PDAC with a mean survival of 12 months or less. (FNA with core biopsy and p40 IHC).
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๐ Happening at 10:30am today at #ASCyto25: @VandaTorousMD and @bfaquin lead Short Course 9 - "Solving the Mystery: Metastatic Cancer of Unknown Primary in the Head and Neck" See Dr. Torous' recent Cases in Quality & Safety on a related topic: https://t.co/n3W3x81esz
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๐ Next up at #ASCyto25: Editorial Advisory Board member @VandaTorousMD leads Short Course 3, โQuality Improvement in the Cytopathology Laboratory: The Who, What, Why, & Howโ See her study on how amendments help reveal errors & drive better lab practices: https://t.co/P6XVsjD8GT
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With the known history of renal cell carcinoma, this tissue fragment in the cell block of a pleural effusion is diagnostic of metastasis and may not even need confirmation by a PAX8 IHC.
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So easy to disregard these malignant cells as "reactive mesothelial" in a pleural fluid involved by the patient's known gastric adenocarcinoma. A closer look depicts faint cytoplasmic mucin.
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Significance of ROSE in gross examination of FNA specimens and small core biopsies. Here are core biopsies of a lymph node with metastatic melanoma , note their black color. #CytoPro @IACytology @IAPCentral @JHUPath @cytopathology #melanoma
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Beautiful "chicken wire" appearance of colloid... though perhaps for spooky season it should be known as the spider web appearance! ๐ธ๏ธ#CytoPath #PathTwitter #PathArt ๐ธ๏ธ
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Impressive appearance of malignant epithelial fragments suspended in pools of mucin, creating a vague "whirlpool" appearance - "Colloid Carcinoma of Breast". (FNA)
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"Translating cells into answers" @sza_jhcyto @IACytology #IACMember @mtsiddi @cytopathology @SECitologia @SEAP_IAP @ESP_Pathology Reed-Sternberg cell (blue arrow), some eosinophils (orange arrows), and lymphocytes: Hodgkin lymphoma. Cytopathology, what else? ๐๐๐ฏ
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Classic architecture of a "Papillary Thyroid Carcinoma" on FNA. Focal features suggest a "Tall Cell" subtype. It's not uncommon to find a second pattern of singly dispersed cells.
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๐ฌPap smear #cytology (ThinpPrep) with large atypical cells and hyperchromatic groups of extramammary Paget disease. โ๏ธ๐โ H-E and CK7 correlation. #Cytopath #Gynpath #HSILmimic #Papanicolaou #cytopathFamily Have all a happy weekend!! ๐๐ซถ๐ฝ
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Multinucleated giant cell chomping keratin debris in this squamous cell carcinoma #CytoPath #PathTwitter
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Do you practice #cytology? Are you an @cytopathology member? If you want a voice in the future of #CytoPath make sure you take the time to VOTE ๐ณ๏ธ Your vote decides the next set of leaders. Sets the course for the future. Let ASC be your voice VOTE https://t.co/wb9s8eZwoY
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This BAL revealed an unusual and striking finding: โก๏ธDisseminated strongyloidiasis in an immunocompromised patient #CytoPath #PathTwitter #PathBugs
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Exemplary floret-like ๐ผ tyrosine crystalloids associated with a pleomorphic adenoma #CytoPath #PathTwitter
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Collision of good versus bad in this pelvic wash: sheet of benign mesothelial cells versus metastatic high-grade serous carcinoma #CytoPath #PathTwitter
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