C. Christofer Juhlin @DrJuhlin
MD, PhD @ Karolinska, Stockholm, Sweden. Endocrine pathologist and PI. Research involves thyroid cancer, parathyroid neoplasia, adrenal tumors and GEP-NETs. Stockholm, Sweden Joined April 2009-
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Important messages from our Spanish guru. Keywords to keep in mind - ALWAYS: 1. Check for oncologic history 2. Compare with previous slides Applicable to all parts of our speciality. Do this before you rush orders for IHC/ICC!
Important messages from our Spanish guru. Keywords to keep in mind - ALWAYS: 1. Check for oncologic history 2. Compare with previous slides Applicable to all parts of our speciality. Do this before you rush orders for IHC/ICC!
6/ Thanks to my colleague Aaron Hoschar for brainstorming these examples with me today. Can we add more examples to the list? @pepeheffernan @rovingatuscap @Sinchita_Roy @angelpanizo1 @slusagar @mdlozanoe @IHC_guy
1/ Tweeples, can you add to this list? This is a list of IHC markers that usually stain the same but sometimes don't, providing a clue to the diagnosis. Let's examine a few scenarios. Follow the thread #ihcpath
3/ When synapto is pos, chromo is usually pos too (e.g., many neuroendocrine neoplasms) Chromo pos but synapto neg can be a clue to parathyroid tissue pubmed.ncbi.nlm.nih.gov/31119524/ @kis_lorand @DrJuhlin
”Hey Chris, the paper could really use some pretty images in purple and pink! Are you in?”
Pitfalls in Everyday Thyroid Path @DrJuhlin @EndoPath @HeadNeckPathol @PennPathLabMed @pembeoltulu @PapSociety @mdlozanoe @DianaEstherossi @MariaGoobs @PathDocBoston @IACytology @sza_jhcyto
Very proud to join the editorial board of such a great journal as @HeadNeckPathol! (In fact, IKEA and science have a lot in common; everyone brings their own ideas to the table, hoping it all fits together in the end. And we all end up looking for the missing piece…)
Very proud to join the editorial board of such a great journal as @HeadNeckPathol! (In fact, IKEA and science have a lot in common; everyone brings their own ideas to the table, hoping it all fits together in the end. And we all end up looking for the missing piece…)
Super rare stuff, with brilliant images and case discussion! This paper nearly put my own muscles in a periodic pause. Congrats Dr Sadow! 🤩
Super rare stuff, with brilliant images and case discussion! This paper nearly put my own muscles in a periodic pause. Congrats Dr Sadow! 🤩
Architectural heterogeneity in Follicular Nodular Disease - reason for some AUS in FNA @DrJuhlin @EndoPath @sza_jhcyto @DiagnosticCyto @DianaEstherossi @mdlozanoe @PoonamVohra3 @edusqo
Large oncocytic #adrenal cortical tumors are always worrisome for carcinoma. Here is one that I think is benign- no invasion, no necrosis, no mitotic activity and Ki-67 is very low. #Endocrine atypia is common. From a distant state via our consultation practice @UMichPathology.
Jerad Gardner, MD @JMGardnerMD
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Honored to have @JLHornick from @BWHPath be @Pathology_URMC's Research Day keynote speaker #PathTwitter #PathX #Meliora
@DrJuhlin @UnTeduk0521 Wow very interesting #npath
It was so much fun @_HarjotGill! Thank you all for inviting me, and for being so kind!
Thank you @smlungpathguy for visiting and educating us about lung pathology! It was a blast getting to know you as an educator and as a funny person. I can’t wait to dive into the world of thoracic pathology! 💕
@HandNPath @PathDocBoston @HeadNeckPathol @NASHNPath Congrats Juhlin ,👍
👏🏼❤️🇧🇷❤️🇧🇷❤️👏🏼 #ENTPath link.springer.com/journal/12105 @HeadNeckPathol
@PathDocBoston and I would like to welcome Dr. Pablo Agustin Vargas to the Editorial Board of Head and Neck Pathology. An excellent edition to the team and contributing to the journal's international reputation! Welcome! #HeadNeckPathol #ENTPath
@Histopatolomon @smlungpathguy @TristanRutland7 @yro854 @SansanoValero @DrJuhlin @AmparoBenito @DrGeeONE @pembeoltulu @glinglerimek @kis_lorand I love imagining those granulomas forming within the tumor, in complete silence. And all of a sudden years later they are all over. “Sarcoidosis: abnormal immune reaction in genetically susceptible patients to unknown antigens”. Some of these antigens are produced by tumors
@PathDocBoston @IKEA @DrJuhlin @HeadNeckPathol @NASHNPath @karolinskainst Congratulations @DrJuhlin
@smlungpathguy @rovingatuscap @Sinchita_Roy @angelpanizo1 @slusagar @mdlozanoe @IHC_guy TTF1 and thyroglobulin are two good thyroid markers, expcept for medullary thyroid carcinoma that is thyroglobulin negative
"Stain it with H&E"
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
6/ Thanks to my colleague Aaron Hoschar for brainstorming these examples with me today. Can we add more examples to the list? @pepeheffernan @rovingatuscap @Sinchita_Roy @angelpanizo1 @slusagar @mdlozanoe @IHC_guy
5/ Synaptophysin pos, chomogranin neg can be a clue to thoracic SMARCA4-deficient undifferentiated carcinoma #pathology #pulmpath
1/ Tweeples, can you add to this list? This is a list of IHC markers that usually stain the same but sometimes don't, providing a clue to the diagnosis. Let's examine a few scenarios. Follow the thread #ihcpath
3/ When synapto is pos, chromo is usually pos too (e.g., many neuroendocrine neoplasms) Chromo pos but synapto neg can be a clue to parathyroid tissue pubmed.ncbi.nlm.nih.gov/31119524/ @kis_lorand @DrJuhlin
GI tract schwannomas usually don't show alternating Antoni A and B areas & Verocay bodies are absent. This one is trying its best at nuclear palisading. ☝🏻What they do have is a beautiful cuff of lymphoid tissue. S100+ Don't forget to r/o GIST! #PathTwitter #GIPath #BSTPath
Middle ear neuroendocrine tumour - every day is a learning day. Thanks @DrJuhlin #PathTweetAward
Well, it's NOT a metastatic pluri-hormonal "NET-kenstein monster" of the GI tract! This is a middle ear neuroendocrine tumor! ✅Well diff NET from L cells ✅CgA+, SYP+, INSM1+ ✅L cell profile ("hindgut") with SATB2+, PP+, gluc+ ✅Keratins+ (differ from PGL) ✅Rarely serotonin+
@smlungpathguy I've said it before and I'll say it again. If you take pictures for a publication which includes writing the figure legends and any pathology descriptions, you have contributed "significantly" to that paper and should be a co-author. I require this first.