Our Gynecologic Pathology cases @UMiamiPathology are fascinating! Here’s a striking example of pilomatrix-like high-grade endometrial carcinoma (PiMHEC), a recently described entity mostly driven by CTNNB1 mutations. Look for solid basaloid growth with conspicuous central tumor cell necrosis, and pilomatrix-like keratinization with the hallmark ghost cells. This case also had a focal conventional FIGO grade 1 endometrioid component. IHC shows diffuse nuclear β-catenin with loss of PAX8 and ER in the pilomatrix-like component. These tumors are believed to behave aggressively.

Bloody hell! 😫 Let’s review vascular lesions of the breast this week! Case of Hemangioma 🩸🔬 A well-circumscribed proliferation of bland, anastomosing vascular channels lined by a single layer of endothelial cells. #PathX #PathTwitter #breastpath

What’s that inside the gastric crypts of an immunocompromised person? 🪱Strongyloides stercoralis! ✨Adult worms, eggs, and rhabditiform larvae reside in gastric pits or interepithelial tunnels. #Microbiology #gipath #MHPathology #cwru #pathX #PathTwitter

What exactly is this finding and what is it specific for? Read more in the only modern series with culture/PCR confirmation: pubmed.ncbi.nlm.nih.gov/4138…

HSV esophagitis and the beauty of classics! 😍 Hello 3Ms! Multinucleation, Margination, and Molding 🤩 @UMiamiPathology 💚🧡 @MelissapathMD

#Pathresidents #Surgpath #breastpath #pathology An incidental finding in a reduction mammoplasty in a 50 year old woman with no significant history. Read on for a poll and a quick discussion.

Ready to tackle my first Breast Pathology rotation! 💪 Lookout @RazaHoda ’s breast quizzes 😏😎🎯 #Pathology #PathTwitter #PathX

Honored to receive the 1st place award at MetroHealth’s 2026 Patient Safety Awareness Week Poster Contest. Our project improved transfusion safety through implementation of electronic matching of patient and specimens (PPID/PSID) sent to the laboratory for type and screen.

#PathQuiz 🔬 A) Endometrial polyp B) Adenomyoma C) Low-grade endometrioid carcinoma D) Atypical polypoid adenomyoma #Pathology #GYNPath @IARCWHO Clue in caption 🧐

Poster presentation @TheUSCAP 2026!! It was an incredible experience connecting with many residents and attendings 😇 #pathresident #pathology #uscap2026 #pgy2

Happy Match Day! Can you tell we're excited?!

#PathQuiz 🔬 ________fusion A) SS18::SSX B) FUS::DDIT3 C) EWSR1::FLI1 D) PAX3::FOXO1 #Pathology #SoftTissuePath #Sarcoma Clue in caption 🧐

7yo with a firm, slowly growing subcutaneous nodule on the upper arm. Present for months, non-tender. Excised. H&E, 4x and 10x. What's your diagnosis? 🔬 #PathTwitter #Dermpath #WhatIsYourDiagnosis #MedTwitter

In case you’ve ever had difficulty seeing the fine network of capillaries in adipose tissue, this image is for you! #pathology #MHPathology #cwru #PathTwitter #pathX

hydatid cyst in the lung

Top 100 Best Hospitals in the World (2025) 1. 🇺🇸 Mayo Clinic – Rochester 2. 🇺🇸 Cleveland Clinic 3. 🇨🇦 Toronto General – University Health Network 4. 🇺🇸 The Johns Hopkins Hospital 5. 🇸🇪 Karolinska Universitetssjukhuset 6. 🇺🇸 Massachusetts General Hospital 7. 🇩🇪 Charité – Universitätsmedizin Berlin 8. 🇮🇱 Sheba Medical Center 9. 🇸🇬 Singapore General Hospital (SGH) 10. 🇨🇭 Universitätsspital Zürich 11. 🇫🇷 AP-HP – Hôpital Universitaire Pitié Salpêtrière 12. 🇨🇭 Universitätsspital Basel 13. 🇺🇸 Ronald Reagan UCLA Medical Center 14. 🇩🇪 Universitätsklinikum Heidelberg 15. 🇨🇭 Centre Hospitalier Universitaire Vaudois 16. 🇯🇵 The University of Tokyo Hospital 17. 🇺🇸 Stanford Health Care – Stanford Hospital 18. 🇩🇰 Aarhus Universitetshospital 19. 🇺🇸 The Mount Sinai Hospital 20. 🇩🇰 Rigshospitalet – Copenhagen University Hospital 21. 🇺🇸 Brigham and Women’s Hospital 22. 🇧🇷 Hospital Israelita Albert Einstein 23. 🇩🇪 LMU Klinikum 24. 🇨🇦 Sunnybrook Health Sciences Centre 25. 🇰🇷 Asan Medical Center 26. 🇫🇷 CHU Lille – Hôpital Claude-Huriez 27. 🇦🇹 AKH Wien / Medical University of Vienna 28. 🇳🇴 Oslo Universitetssykehus 29. 🇫🇷 Hôpital Européen Georges Pompidou 30. 🇰🇷 Samsung Medical Center 31. 🇳🇱 Amsterdam UMC 32. 🇨🇦 Mount Sinai Hospital (Toronto) 33. 🇬🇧 St Thomas' Hospital 34. 🇺🇸 Cedars-Sinai Medical Center 35. 🇩🇪 Universitätsklinikum Hamburg-Eppendorf 36. 🇯🇵 St. Luke’s International Hospital 37. 🇮🇹 Grande Ospedale Metropolitano Niguarda 38. 🇺🇸 Northwestern Memorial Hospital 39. 🇺🇸 UCSF Medical Center 40. 🇧🇪 UZ Leuven 41. 🇩🇪 Medizinische Hochschule Hannover 42. 🇰🇷 Seoul National University Hospital 43. 🇫🇮 Helsinki University Hospital 44. 🇮🇹 Policlinico Universitario A. Gemelli 45. 🇩🇪 Klinikum rechts der Isar (TU Munich) 46. 🇰🇷 Severance Hospital – Yonsei University 47. 🇺🇸 University of Michigan Health 48. 🇳🇱 Erasmus MC 49. 🇪🇸 Hospital Universitario La Paz 50. 🇺🇸 Mayo Clinic – Jacksonville 51. 🇳🇱 UMC Utrecht 52. 🇪🇸 Hospital Universitario 12 de Octubre 53. 🇨🇭 Les Hôpitaux Universitaires de Genève (HUG) 54. 🇮🇹 Ospedale San Raffaele – Gruppo San Donato 55. 🇺🇸 Duke University Hospital 56. 🇦🇹 Landeskrankenhaus Innsbruck 57. 🇨🇦 North York General Hospital 58. 🇯🇵 Kameda Medical Center 59. 🇪🇸 Clínic Barcelona 60. 🇮🇱 Tel Aviv Sourasky Medical Center 61. 🇮🇹 Istituto Clinico Humanitas 62. 🇦🇺 Royal Prince Alfred Hospital 63. 🇺🇸 Hospital of the University of Pennsylvania 64. 🇳🇱 Radboud UMC 65. 🇨🇭 Klinik Hirslanden Zürich 66. 🇩🇪 Uniklinik Köln 67. 🇺🇸 Mayo Clinic Hospital – Phoenix 68. 🇰🇷 Seoul National University – Bundang Hospital 69. 🇸🇪 Sahlgrenska Universitetssjukhuset 70. 🇪🇸 Vall d'Hebron University Hospital 71. 🇫🇷 ELSAN – Santé Atlantique 72. 🇺🇸 Houston Methodist Hospital 73. 🇮🇹 Policlinico Sant'Orsola-Malpighi 74. 🇩🇪 Universitätsklinikum Freiburg 75. 🇫🇷 CHU Bordeaux – Pellegrin 76. 🇪🇸 Hospital General Universitario Gregorio Marañón 77. 🇺🇸 NewYork-Presbyterian Hospital – Columbia & Cornell 78. 🇳🇱 Leiden University Medical Center 79. 🇪🇸 Clínica Universidad de Navarra 80. 🇸🇬 National University Hospital (NUH) 81. 🇯🇵 Kyushu University Hospital 82. 🇸🇪 Akademiska Sjukhuset (Uppsala) 83. 🇧🇷 Hospital Sírio-Libanês 84. 🇬🇧 Guy’s Hospital 85. 🇩🇰 Odense University Hospital 86. 🇬🇧 University College Hospital (London) 87. 🇰🇷 Gangnam Severance Hospital 88. 🇬🇧 Addenbrooke’s Hospital 89. 🇨🇦 Montreal General Hospital – MUHC 90. 🇫🇷 Hôpital de la Timone (AP-HM) 91. 🇯🇵 Nagoya University Hospital 92. 🇨🇦 Centre hospitalier de l’Université de Montréal (CHUM) 93. 🇺🇸 NYU Langone Hospitals – Tisch Hospital 94. 🇦🇺 The Alfred (Melbourne) 95. 🇦🇹 Kepler Universitätsklinikum 96. 🇦🇺 Royal Melbourne Hospital – Parkville 97. 🇮🇳 All India Institute of Medical Sciences – Delhi 98. 🇯🇵 Keio University Hospital 99. 🇦🇹 Universitätsklinikum Graz 100. 🇹🇭 Bumrungrad International Hospital (Bangkok) Note: Based on expert surveys, patient experience data, hospital quality metrics, and PROMs. Source: NEWSWEEK and Statista

Important Skin lesion....

What if you have a lesion that looks like an NIFTP but is at the surgical margin? If the positive margin is focal, call it: - NIFTP, focally present at margin and add a comment (pic 2) If the positive margin is extensive, it is recommended to call it: - Follicular neoplasm, present at margin and add a comment (pic 3) Dr. Nishino - 2025 Diagnostic Pathology Update #USCAP #pathology #PathX

We are thrilled to announce that we have been named a 2026 High Performing Hospital for Maternity Care by U.S. News & World Report, the highest designation possible in the publication's annual Best Hospitals for Maternity Care ranking. Learn more: metrohealth.org/en/newsroom/…

Case of So-Called Acinic Cell Carcinoma 🔬 ☑️ Serous acinar differentiation, granular cytoplasm 🍇 ☑️ Seen in close association with microglandular adenosis 👯‍♂️ ☑️ Lacks NR4A3 mutations seen in the salivary gland 🧬 #PathX #PathTwitter #breastpath