Philippe Vielh @PVielh
MD, PhD, FIAC Director of Cytopathology Ex President IAC Paris, France Joined February 2019-
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“Pleomorphic Adenomas” are often quite “cellular” and stroma can be exceedingly difficult to appreciate on Pap stain (not a reason to call them “atypical”). Parotid FNA
@gokceterzio Only when I see basaloid epithelium without myoepithelial cells and stroma. It’s extremely difficult and often impossible then to exclude other neoplasms in the DD (AdCC, BCA, BCACA, etc). Hypercellularity alone is not enough.
Peritoneal effusion with an unexpected guest. ICC (on smear) leaves no doubt.....Cytomegalovirus infection. 🧐🫣🎯💡🔬 #Cytopath, what else?
Thank you @CytopathologyJ for sharing - congrats to @GhazalKhajir and the strong collab btw @Yale_Urology and @yalepathology within @YaleMed
Thank you @CytopathologyJ for sharing - congrats to @GhazalKhajir and the strong collab btw @Yale_Urology and @yalepathology within @YaleMed
This study explores the use of the PARIS system v2 in the interpretation of upper urinary tract cytology samples. #CytoJ buff.ly/40vcdk4
“Too many rings to count” - Pleural fluid involved by a GI tract Adenocarcinoma. (Cytospin)
Classic #breastpath lesion🏛️🫶🏼; Lactating adenoma of breast 📍Well circumscribed proliferation of doubled layered glands 🧼📌with vacuolated cytoplasm 🔬May resemble FA or tubular adenoma with lactational change ⛲️ℹ️ @Pathoutlines pathologyoutlines.com/topic/breastla…
TGIF. Normal cells for Friday: Pancreatic acini (EUS-FNA)🔬🙌 #PathTwitter #cytopath
“Painful Needles” - A case from this morning. Foot lesion seen on FNA, consistent with gouty tophus/urate crystals.
NOT follicular epithelium and colloid in this Thyroid FNA, the findings seen here are consistent with metastasis from the petient’s known “Breast Ductal Carcinoma, mucin producing”.
"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
“Tadpoles and Fibers” - Squamous Cell Carcinoma of the Urinary Bladder in voided urine.
"Hanging from a star": Pancreatic Solid-pseudopapillary neoplasm. Have a nice week 💫✨🍂🍁🙌🔬🔬 #PathTwitter #pathresidents
Patients will get thier inhalers at $35 at the pharmacy! I salute you @SenSanders
Patients will get thier inhalers at $35 at the pharmacy! I salute you @SenSanders
The diagnostic dilemma of Cystic Papillary Thyroid Carcinoma on FNA. Diagnostic cells could be rare, usually single and may show fine cytoplasmic vacuoles “soap bubbles” (red circles), but still significantly different from macrophages (green cicles).
“Hairy” mucin aspirated from a Mucinous Neoplastic Cyst of the Pancreas. (Cell Block)
Can't leave #USCAP2024 and Baltimore without visiting Johns Hopkins @HopkinsMedicine and saying hello to Dr. Syed Ali @sza_jhcyto. Thank you so much for your hospitality and for your time 🙏🏽. What an astonishing institution! So much history, so many pioneers. #CytoPath
Thyroidectomy revealing a follicular lesion with capsular invasion but without papillary nuclear features. What is the diagnosis? Answer: buff.ly/3HQ3OiI #PathArt #PathTwitter #MedTwitter
Lola Lozano @mdlozanoe
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“Pleomorphic Adenomas” are often quite “cellular” and stroma can be exceedingly difficult to appreciate on Pap stain (not a reason to call them “atypical”). Parotid FNA
@gokceterzio Only when I see basaloid epithelium without myoepithelial cells and stroma. It’s extremely difficult and often impossible then to exclude other neoplasms in the DD (AdCC, BCA, BCACA, etc). Hypercellularity alone is not enough.
Peritoneal effusion with an unexpected guest. ICC (on smear) leaves no doubt.....Cytomegalovirus infection. 🧐🫣🎯💡🔬 #Cytopath, what else?
No talking, no thinking, just enjoying 🌹❤️🕊 #Sunday #Spring Best wishes to all #PathTwitter #pathX #cytopath
Had pleasure to meet and cheer for Temple residents and colleagues @PAPathologists They Did fabulous at Path Jeopardy tournament ! @israhkhan @templepathology @MdTushir @DZenezan @DioufaNikolina @whosainastro @AlisaNobee @belogrivceva_e
Helsinki views and windows: ready for National Cytotechnology meeting
Don’t understand what it means? Don’t worry, here comes Google Translate. 😄
@edusqo @milyabadli @USFNA_SPAIN @IACytology @asocolpat @Alejovelez28 @CitologiaSac @ACitopatologia @SECitologia @rositadeolivop1 Bien hecho!! Ahí nos veremos 👍👍
Imprints are a valuable tool for learning cytopathology 🔬💡🧠Make the most of them! #Cytopath Meningioma: -🪼clusters and sheets of monomorphic cells -🪶Wispy/feathery cytoplasm -🪹Bland nuclei (look for INCI) -🌪️🟣Meningothelial whorls and psammoma bodies are classic findings
First visit to Azienda Ospedaliera Universitaria Federico II. Thank Dr Troncone for the hosting!
Dogwood bloom.
Japanese Snowball bush.
My Japanese garden, gleaming with intense spring colors.
Waited for 90+ minutes 😄