Anupama Arya @AnupamaArya12
Principal Consultant Pathology. Cytopathology is a passion. Appreciate pathart. A new plant parent. New Delhi, India Joined November 2020-
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CC326. Intraoperative sample of a 1 cm slowly growing lung nodule. The Diff-Quik comes the first. When I saw it, and it took me several seconds, I heard the voice of Eduardo @edusqo whispering at me: "stain it with H&E". All yours, I already have the frozen section. @DrBMcGinn
Touch imprint from a high-grade glioma: -🪼 fibrillary background -🕸️endothelial/vascular proliferation -🔬high cellularity with nuclear pleomorphism #CytoPath #braintumors @EfcsYoung
Salivary gland "Acinic Cell Carcinoma" may occasionally assumes a very "histiocytic" appearance on FNA, as nicely shown in this case. DD in such scenario includes - Mucoepidermoid CA, Secretory CA, Metastatic RCC and Benign cyst with macrophages.
75 yrs/F with left breast lump. 4 ml dark brown fluid aspirated. For your valuable opinion. #FNAC @pepeheffernan @surgpathlahore @DrVasudevPrabhu @AnupamaArya12 @vi_monappa @Venkateshgilly2 @padmapathology1 @pkmadridista @marquess_raj @DrGeeONE @ArvindKhanijo #cytopath
60/F Ascitic fluid. #pathtweet #cytopath #pathresidents #psammomabodies
9 yrs M with multiple right cervical node for 8 months. For your valuable opinion. #FNAC @pepeheffernan @surgpathlahore @DrVasudevPrabhu @AnupamaArya12 @vi_monappa @Venkateshgilly2 @padmapathology1 @pkmadridista @marquess_raj @DrGeeONE @ArvindKhanijo #cytopath
CC320. Gloomy Sunday case. It's all about wrinkles/ aging: "When you are old and gray and full of sleep And nodding by the fire, take down this book, And slowly read, and dream of the soft look Your eyes had once, and of their shadows deep" Organ? Which ones are the old and gray?
10/F, ovarian mature teratoma with multiple Peritoneal nodules. Images from Peritoneal nodules #pathology #pathologists #gynepath
#pathCast #ENTPATH LIVE with Dr. @HeadandNeckPath youtube.com/watch?v=I7_96U…
The unwritten rule on #PathTwitter #PathX when you see a case of MC...you post it! Nice images of Molluscum Contagiosum to brighten your day ..☺️ #Dermpath #Dermatology #IDPath
#ENTPATH What's New in Thyroid Gland 5th edition WHO (Dr. @HeadandNeckPath, Head & Neck Consultations; lesterthompsonmd.com ) 🗓️ Feb 27, 2024 - 12:00 PM (ET, NYC)
PSAMMOMA bodies (although quite specific when combined with cytomorphology) are rarely seen on FNA smears of “Papillary Thyroid Carcinoma”. This completely intact one is the best that I have seen over the years.
Very useful article for #cytopath colleagues who signs out #pancreaticFNA! I find these cases particular challenging in daily practice! I wasn’t also aware of Type-II AIP with more atypia rate!! Take a look!
Very useful article for #cytopath colleagues who signs out #pancreaticFNA! I find these cases particular challenging in daily practice! I wasn’t also aware of Type-II AIP with more atypia rate!! Take a look!
Myoepithelial cell-rich “Pleomorphic Adenoma”. (Parotid FNA)
Happy to share with you all 👇🙏😊 Big thanks @RaulSGonzalezMD💐 @JLHornick 💐 and all my co-authors 😊 Colorectal Carcinoma With Sarcomatoid Components: Report of ... : The American Journal of Surgical Pathology journals.lww.com/ajsp/abstract/…
4 yrs M with solitary left cervical node for 1 month. For your valuable opinion. #FNAC @pepeheffernan @surgpathlahore @DrVasudevPrabhu @AnupamaArya12 @vi_monappa @Venkateshgilly2 @padmapathology1 @pkmadridista @marquess_raj @DrGeeONE @ArvindKhanijo #cytopath
#PathTwitter cervical node in a 39/M for 9 months. For your valuable opinion. @pepeffernan @DRJSSURI @surgpathlahore @Venkateshgilly2 @ArvindKhanijo @AnupamaArya12 @atman_ci @ArvindKhanijo @pkmadridista @marquess_raj @DrVasudevPrabhu @vi_monappa @DrGeeONE @ElmiraKomissar6
In the lung, I arise in young people (even teenagers!), more common centrally. I am composed of bland cells but I am malignant. I have an "in-between" cell type. I harbor a fusion (hint: mastermind-like!). Who am I? #pathology #pulmpath
Jerad Gardner, MD @JMGardnerMD
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CC326. Intraoperative sample of a 1 cm slowly growing lung nodule. The Diff-Quik comes the first. When I saw it, and it took me several seconds, I heard the voice of Eduardo @edusqo whispering at me: "stain it with H&E". All yours, I already have the frozen section. @DrBMcGinn
@pepeheffernan @DrBMcGinn @DonTohE @Histiocita @Quique_rs @Jaysharav53 @DrGeeONE @atman_ci @DrDanok @Mansour_cytopat @saray_gonul @essel_eda 😅 beautiful, Pepe, but not sure what that amorphous material is. Necrosis vs amyloidosis 👀. By the way, I was now watching this medullary thyroid carcinoma with Congo Red. Yes, saturday 🤭. Quiet room, no ☎️, no ROSE, just me and my cases 😄. #ILookLikeAPathologist
Touch imprint from a high-grade glioma: -🪼 fibrillary background -🕸️endothelial/vascular proliferation -🔬high cellularity with nuclear pleomorphism #CytoPath #braintumors @EfcsYoung
Salivary gland "Acinic Cell Carcinoma" may occasionally assumes a very "histiocytic" appearance on FNA, as nicely shown in this case. DD in such scenario includes - Mucoepidermoid CA, Secretory CA, Metastatic RCC and Benign cyst with macrophages.
@kr_abhisek @pepeheffernan @surgpathlahore @DrVasudevPrabhu @AnupamaArya12 @Venkateshgilly2 @padmapathology1 @pkmadridista @marquess_raj @DrGeeONE @ArvindKhanijo Looks malignant to me as well
@kr_abhisek @surgpathlahore @DrVasudevPrabhu @AnupamaArya12 @vi_monappa @Venkateshgilly2 @padmapathology1 @pkmadridista @marquess_raj @DrGeeONE @ArvindKhanijo It looks malignant to me (from the comfort of my sofa, thousands of miles away from the patient)
@kr_abhisek @pepeheffernan @surgpathlahore @DrVasudevPrabhu @AnupamaArya12 @vi_monappa @Venkateshgilly2 @padmapathology1 @marquess_raj @DrGeeONE @ArvindKhanijo Advice a biopsy and give it as suspicious for malignancy Coz 4th pic shows cellular atypia and few cells look bizarre
75 yrs/F with left breast lump. 4 ml dark brown fluid aspirated. For your valuable opinion. #FNAC @pepeheffernan @surgpathlahore @DrVasudevPrabhu @AnupamaArya12 @vi_monappa @Venkateshgilly2 @padmapathology1 @pkmadridista @marquess_raj @DrGeeONE @ArvindKhanijo #cytopath
“Juneberry” trees in my backyard, with a beautiful white bloom.
“It is crucial that pathologists recognize the significance of basic assessment, including growth patterns, architectural features, and cytological attributes, as key factors when establishing a diagnosis. IHC should be regarded primarily as an aiding tool and not a substitute…”
Not a member of IA (immunoaddicts anonymous) who stains everything, and I think routine morphology is the centerpiece of any diagnostic work-up - but WHEN you need IHC, here is a little something we wrote to guide you when assesing endocrine tumors! sciencedirect.com/science/articl…
Biopsy images @PulmPathSoc @ADamronMD @ChristinaGoveas @vi_monappa @Swathiprabhu5
"Grossing in cytology" 🧐👀 FNA of mediastinal lymph node. It may be good (anthracosis).... Or not... : melanoma mets (bottom) "Similar macroscopic appearance, but different at the 🔬🔬🔬 #CytoPath #LovingCytopathology
@pepeheffernan @kr_abhisek @archibhat3 @surgpathlahore @DrVasudevPrabhu @AnupamaArya12 @Venkateshgilly2 @padmapathology1 @pkmadridista @marquess_raj @DrGeeONE @ArvindKhanijo HL is what I am also thinking Pepe in view of those giant cells
@pepeheffernan @archibhat3 @surgpathlahore @DrVasudevPrabhu @AnupamaArya12 @vi_monappa @Venkateshgilly2 @padmapathology1 @pkmadridista @marquess_raj @DrGeeONE @ArvindKhanijo Thank you for this DD, didn't cross my mind..🙏
@kr_abhisek @pepeheffernan @surgpathlahore @DrVasudevPrabhu @AnupamaArya12 @vi_monappa @Venkateshgilly2 @padmapathology1 @pkmadridista @marquess_raj @DrGeeONE @ArvindKhanijo Atypical lymphoid proliferation. Excision biopsy and IHC for dx.
@kr_abhisek @archibhat3 @surgpathlahore @DrVasudevPrabhu @AnupamaArya12 @vi_monappa @Venkateshgilly2 @padmapathology1 @pkmadridista @marquess_raj @DrGeeONE @ArvindKhanijo Those large atypical cells accompanied by small lymphocytes and a granuloma make me consider Hodgkin’s lymphoma.
@kr_abhisek @pepeheffernan @surgpathlahore @DrVasudevPrabhu @AnupamaArya12 @vi_monappa @Venkateshgilly2 @padmapathology1 @marquess_raj @DrGeeONE @ArvindKhanijo There are few cells that are really bizarre and some show molding too It could be a lymphoproliferative disorder I would suggest you recommend them a biopsy coz I've also seen some bizarre forms even in a Kochs patient
9 yrs M with multiple right cervical node for 8 months. For your valuable opinion. #FNAC @pepeheffernan @surgpathlahore @DrVasudevPrabhu @AnupamaArya12 @vi_monappa @Venkateshgilly2 @padmapathology1 @pkmadridista @marquess_raj @DrGeeONE @ArvindKhanijo #cytopath
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