General pathologist specializing in urologic path (tweets #gupath ). Trustee of American Board of Pathology. Also love music, sports, my wife and two boys.

Joined February 2014
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A lot of residents and students want to know what a day in the life of a private practice pathologist is like: Here's my day 730-8: Arrive and get logged in. Today was a password change day. Had to fix a lot of stuff with email program, Epic, phone, etc. 1/10
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Matthew Wasco retweeted
Join our upcoming MiSP meeting! 🔬Connect, share ideas, and discuss the latest in pathology. Saturday December 6, 2025 The Henry, Autograph Collection | Dearborn, Michigan Register now to be part of the conversation! wjweis.association-service.o…
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Matthew Wasco retweeted
Our October newsletter is in 🎃🍂 Read here: linktr.ee/MichiganSocietyofP… Receive more updates & news by signing up here: shorturl.at/D1yIE Shout out to the medical student/ trainee forum for their efforts to curate this special edition! #MiSP2025
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Matthew Wasco retweeted
Thinking about a future in pathology?🔬 Tune in to our panel discussion top learn more! Save the date 📣 Thursday Oct 9, 2025 6pm ET Register: umich.zoom.us/webinar/regist…
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Been lurking for awhile there but if you're there please connect. bsky.app/profile/gleason4plu…

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Comments are helpful - there has been lots of discussion on what topics are appropriate for general AP/CP boards and what topics are "fellowship level" - please look through and comment (easy to do by means of a survey-type response that can be found at the link)
The draft Content Specifications for certification exams are open for public review. Residents & fellows may use them as general study guides as they prepare for exams. Please note-the drafts are not final and may be updated following feedback. #pathboards bit.ly/3CeFzLs
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We are very excited to hear from our Pathology community to help refine these guidance documents for our residents and fellows.
The draft Content Specifications for certification exams are open for public review. Residents & fellows may use them as general study guides as they prepare for exams. Please note-the drafts are not final and may be updated following feedback. #pathboards bit.ly/3CeFzLs
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17 Oct 2024
#GUpath prostate biopsy: controversies in applying volume of core involved: ❓95% of core involved by prostate cancer? 🆚 ❓15% of core, discontinuously involved there's data on both sides...so use your judgement and explain how you arrived at your reporting!
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11 Oct 2024
if you’re seeing PSA level “97.20 ng/ml” somewhere on pros bx path report, its likely wrong 97.20 is the ICD code for elevated PSA I’ve seen this error often! Mistake gets passed along patient chart! May not be a false neg bx that didn’t correlate! example here👇🏽
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Agree, no need for total submission. In our lab we routinely have partially submitted for years, and our rates of detecting T3 disease are probably higher than most. A good PA or grosser helps, as does correlation with bx/imaging. Low threshold to go back and submit more. #gupath
Why is prostate sampling so unique? Radical prostatectomies are the only resection specimens routinely submitted in total for histological examination with significant workload implications for pathologists and laboratories. Is this really necessary?
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Matthew Wasco retweeted
🚨Excited to share publication of the G-MINOR trial today in @EUplatinum. This cluster-crossover trial enrolled 338 patients at high risk of local recurrence post-RP and randomized them to /- genomic testing (Decipher). G-MINOR Trial on genomic classifier testing (Decipher)🧬
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Matthew Wasco retweeted
I'm thrilled to be able to share this report from the symposium CAncer or Not Cancer?: Evaluating and Reconsidering GG1 prostate cancer (CANCER-GG1?), out today @JNCI_Now When is prostate cancer really cancer? academic.oup.com/jnci/articl…
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Matthew Wasco retweeted
Gallbladder, cholecystectomy:_______ No prior history of cancer. How would you sign this out? Which stains would you order? #GIpath #PathX #COTW #2for1
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Matthew Wasco retweeted
MRI target-only biopsy misses 15% of GG2-5 and 43% of GG4-5. Conclusion: I will continue to do targeted systematic biopsies
25 Sep 2024
After 4 years of the GÖTEBORG-2 trial, MRI-targeted biopsy led to less detection of clinically insignificant prostate cancer than systematic biopsy without compromising the detection of cancer that may affect survival. Read the full trial results: nej.md/4ewOjKT
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If anyone else uses the LLM AI apps, I'm getting a bit frustrated with them. I asked it a simple question about a great 1990s movie and it had no idea what it was talking about g.co/gemini/share/899a930c47…
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Single best description of AI I’ve ever read, from the great Ted Chiang.
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Matthew Wasco retweeted
We are delighted to announce the election of Dylan Miller, MD, to the ABPath Board of Trustees, effective January 1, 2025. Dr. Miller's extensive expertise and experience will be invaluable to the Board. Please join us in welcoming Dr. Miller! #pathology abpath.org/2024/08/abpath-we…
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Matthew Wasco retweeted
What’s life like at @UMichPath #PathMatch2024 ? 〽️ Here’s why I love #UMich reasons you should consider coming here! #michigander #path2path #pathmatch24
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Matthew Wasco retweeted
We are saddened to hear of the recent passing of former ABPath Trustee William W. McLendon, MD. His legacy in Pathology, Laboratory Medicine and leadership will continue to inspire us. More on his life and contributions on the ABPath website: bit.ly/4cg9ajV.
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Matthew Wasco retweeted
Annual reminder that 32° is better than 102° and I will die on this hill
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Matthew Wasco retweeted
"As you grow older, it becomes okay to say, “I don’t know.” People don’t like ambiguity when they are younger; they want everything in black and white. But many things about pathology (and life!) are ambiguous. There are always shades of grey." thepathologist.com/outside-t…

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