Jacob Smalberger, M.D. @JacobSmalberger
Dermatopathologist 🇺🇸🇿🇦 #dermpath Orlando, Florida, USA. Joined December 2021-
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20s♂️ in good health, 4 months hx of 'cyst' axilla. Tons of eos, mostly in the dermis, also focally in the epidermis. Slam dunk persistent/exuberant arthropod 'bite', or something else? What would you include in the ddx? Ty! @mccalmo @HENRYY_MD @PIorfino @DiegoMoralesN @et565
would love your support - please consider pre-ordering! (link below)...so #thankful for @hansenwriter for agenting this book and @Katie_Crumpton for the illustrations and @TurnerPub for bringing it to final product @MetamorphLitAg @astound_us #picturebooks @kiBookaBooks
would love your support - please consider pre-ordering! (link below)...so #thankful for @hansenwriter for agenting this book and @Katie_Crumpton for the illustrations and @TurnerPub for bringing it to final product @MetamorphLitAg @astound_us #picturebooks @kiBookaBooks
60s♀️trunk, R/O BCC. Nevus, and something else. What would you call this...some kind of eccrine benignoma? syringoma? Thank you! 🙏 #dermpath @mccalmo @HENRYY_MD @AlomariDermpath @DiegoMoralesN @PIorfino @ChristineJKoMD @ArjunRamaiya1 @et565 @david_terrano @FrozenSections
60s popliteal fossa, RO wart. What would you call this...pilar cyst? ty!🙏 #dermpath @mccalmo @HENRYY_MD @DiegoMoralesN @FrozenSections @ChristineJKoMD @ArjunRamaiya1 @et565 @Vollkorntutgut @vincenzopolizz7 @MarcelaSaebL @JamesSampson123 @TristanRutland7 @DanGrahamMD @VHNguyenMD
70s♂️index finger, RO SCC Would you call this an angiofibroma? If yes, would it open up a can of worms... tuberous sclerosis? #dermpath @mccalmo @HENRYY_MD @DiegoMoralesN @FrozenSections @DrAldehyde @VHNguyenMD @PIorfino @ChristineJKoMD @et565 @vincenzopolizz7 @JamesSampson123
70s♂️scalp RO Pilar Cyst Something we don't see everyday, especially at this site (scalp) #dermpath @mccalmo @HENRYY_MD @JamesSampson123 @DrAldehyde @ViralBhanvadia @gonzadetoro @DanGrahamMD @PIorfino @DrGeeONE @ChristineJKoMD @DiegoMoralesN @ArjunRamaiya1 @VHNguyenMD
Jerad Gardner, MD @JMGardnerMD
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Fifth Dimension dermpath: Up-up and away in my beautiful balloon — my beautiful ALK-fused pigmented Spitz nevus with ballon cell change, that is…
"This lesion always intrigues me..." kikoxp.com/posts/39926/pu… @JacobSmalberger @mccalmo @et565 @SGottesmanMD @TristanRutland7 @PIorfino @marcela @SimonRoyMD @EssaoudiMohamed @ArjunRamaiya1 @DrGeeONE @kis_lorand @gonzadetoro
@HoustonArsenal @JacobSmalberger @mccalmo @et565 @MarcelaSaebL @melanopath @tonitatirado @gonzadetoro @ArjunRamaiya1 @redsnapperpath @kis_lorand @DrGeeONE @VHNguyenMD @EssaoudiMohamed @david_terrano @PIorfino @SGottesmanMD @TristanRutland7 here are other stains… SOX 10 and PRAME
#dermpath_lowpower_diagnosis let's practice "silhouette" diagnosis of some skin tumors @JacobSmalberger @HoustonArsenal @VHNguyenMD @MarcelaSaebL @ArjunRamaiya1 @PIorfino @gonzadetoro @DrGeeONE @kis_lorand @EssaoudiMohamed
Nested Melanoma. #dermapath 47 yo F. Thigh lesion. It is not Spitz tumor @JacobSmalberger @mccalmo @et565 @MarcelaSaebL @melanopath @tonitatirado @gonzadetoro @ArjunRamaiya1 @redsnapperpath @kis_lorand
I called it "ALK- negative, spindle cell type "Epithelioid Fibrous Histiocytoma"... Master Tim, @mccalmo you agree?😉😂
@HENRYY_MD @JacobSmalberger @et565 @PIorfino @SGottesmanMD @MarcelaSaebL @TristanRutland7 @gonzadetoro @ArjunRamaiya1 @DrGeeONE @SimonRoyMD @redsnapperpath @mccalmo @david_terrano Yes fully agree with you, and it’s thought to be related to another tumor called “polypoid dermal non neural granular cell tumor”😁here’s our paper about this newly described entity 👇🏻 academic.oup.com/jscr/article/2…
@EssaoudiMohamed @JacobSmalberger @et565 @PIorfino @SGottesmanMD @MarcelaSaebL @TristanRutland7 @gonzadetoro @ArjunRamaiya1 @DrGeeONE @SimonRoyMD @redsnapperpath @mccalmo @david_terrano A lot of of "contradictory" terms in the name though😂---such as Spindled "Epithelioid"... and ALK negative EFH
#beautyinbenign #dermpath This tumor whenever it shows up on my scope, I get a feelings of happiness.... just gorgeous! 60 year old abdomen @redsnapperpath @PIorfino @TristanRutland7 @m_isamarte @MarcelaSaebL @ArjunRamaiya1 @TBrennster @mccalmo @david_terrano @JacobSmalberger
@thenerdyderma All great thoughts!! Thanks all for chipping in. It is fun and pretended we were in pre-IHC era and how pathologists sign out these cases. The cells here are small "basaloid" "clear" and "histiocytoid", but if I can sense any clues that will be slightly myxoid stroma-It is BCC😊
I always find it fascinating to observe this entity. The prominent epithelioid cells, devoid of BAP1 nuclear expression, stand in stark contrast to the smaller, banal nevus component, which exhibits retained expression. 😆🔬 BAP1-inactivated melanocytoma #dermpath #MDACCPath
$bqe.v - #chilliquid stock Stock has ranked highly since December (green), stock price has been catching up. Some interesting price action today...
Did you guys enjoy the total solar eclipse today? it is amazing view!!! my phone can not take good clear pictures but here is one from NASA😉
Dose 8 (of 10) personalised anticancer vaccine administered last week as experimental treatment for my #glioblastoma. Sore arm for a couple of days but otherwise feeling good. Thanks @ProfGLongMIA, @MariaG20057502 & @MelanomaAus team for organising & delivering! I hope everyone…
Sometimes you get lucky and get a section that’s just right.😌 Check out these 2 cases (same dx) where I got really 🍀. On left, 55yo F temple. Rule out BCC vs Seb Hyp. 2nd case on right is a 52 yo M Rt nasal ala. “NUB”. #dermpath #histology #dermatology