Image of early desquamation of the inner hair follicle root sheath which is a feature of CCSA
A beautiful example of the sine qua non for diagnosis of central centrifugal scarring #alopecia. Premature desquamation of the inner root sheath (in the s/c fat here). Rupture too. May be focal so keep those 👀 open😉
#pathology
#dermatology
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Natures master architect at work this morning 💙
Glorious morning at JPUH 😉
OSCE season in full swing.
😅
Summer has certainly arrived 🧡
My name is Jay 💙
#nature
Sunday alarm clock!😉
Beautiful colours 💜
A beautiful Sunday rose ❤️
How to diagnose #ScarringAlopecia
#pathology
#dermatology
Happy Sunday!
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#FrontalFibrosingAlopecia
📸1 Normal isthmus. Stem cell location. If destroyed = permanent alopecia. 👀4 arrector pili + seb glands.
📸2 Damaged isthmus. 👀4 muscle. No seb glands. Concentric fibrosis & lymphocytes outside.
#dermatology #pathology
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My name is Rose 🌹
I love teaching 💚 #MedEd #Pathology
So cute 😉
Ready for takeoff! 😅
My soprano garden singer this evening!
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#UsualEpithelialHyperplasia doesn’t get more florid than this.
#Cytokeratin5 positive.
#ER variable.
Note that the apocrine cells next door are CK5 and ER negative.
#BreastPath
#pathology
#BlueskyPath
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Lassoed! #BCC encircling a nerve.
#PerineuralInvasion
#pathology
#pathsky
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#SolarLentigo
🔬Bulbous elongation of hyperpigmented rete ridges
🔬Increase in basal melanocytes
🔬In contrast to #LentigoMaligna no crowding of melanocytes and no 'clonal' atypia. Occasional mildly atypical cells OK
🔬Sun damaged collagen/elastin
😉💜
#Pathology
#Blueskypath
May has arrived and that means I can view another beautiful example of #histology art from @lamellipodium on #Twitter. Always brings ☀️ to my office 💜
#pathology
#bluepath
Beware of mucin lobules associated with vessels in a breast biopsy 📸 1. A key feature of mucinous carcinoma 📸 2. Seen on FNA's but easily missed on biopsies if no epithelial islands seen.
#pathology
#BreastPath
#BluePath
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The great deceptor at work again! #ColumnarCellChange colonised by #InsituLobularNeoplasia.
Top tip! Always look carefully at busy columnar lined ducts.
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#pathology
#BreastPath
#BluePath
#MycosisFungoides #CTCL
Atypical intraepidermal lymphocytes tagging along the basal epidermis with halos. No spongiosis. This case really doesn’t need immunohistochemisry to confirm #classic 😉
#pathology
#dermpath
#bluepath
Requiescat in pace 🕊️
#diabetes
A beautiful example of #RadialScar. The clue to this diagnosis is to identify the characteristic elastotic stroma (distinct from a fibroblastic tubular carcinoma stroma) & then hunt for #myoepithelial cells at high 🔍
#pathology #blueskypath #bluepath
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The discohesive metastatic menace 😈
#LobularCarcinoma
📸 1 Endometrial invasion
📸 2 Bone marrow invasion (paratrabecular)
#pathology
#breastpath
#blueskypath
#pathsky
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Meet some lovely friends/colleagues/star students 4om #NorwichMedicalSchool @uniofeastanglia #pathology #MedTwitter #MedEd 💚❤️💙💜
Happy St.Patricks Day to y’all!
☘️💚☘️💚
Not exactly #pathology or #pathsky
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On the lymphatic highway en route to the axilla. #BadNews #BreastCarcinoma #TumourEmboli
Hope everyone has a good weekend 💚
#pathology
#BluePath
#BreastPath
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Not commonly seen without a clinical mass!
#PagetsDisease of nipple with associated invasion. Also #HGDCIS in subareolar ducts. Usually #ERNegative & #Her2Positive.
#pathsky
#Pathology
#BreastPath
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