Anne Herdman Royal, MD
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anneherdmanroyal.bsky.social
Anne Herdman Royal, MD
@anneherdmanroyal.bsky.social
Mom. Wife. Pathologist (surgical/GI/liver/panc). My opinions are entirely my own and do not reflect those of my employer/institution.
She/Her
This is simply perfect 🤌🏻
April 3, 2025 at 10:19 PM
March 20, 2025 at 10:17 PM
Any clinical significance to amyloid in a pancreatic well-diff neuroendocrine tumor? Assoc with systemic amyloidosis, tx target or anything?
My partner ordered a Congo red on this case and left for me to report, and I can’t find much in the literature.
Do I need to care? 😁
#GIpath #GIsky #PathSky
March 18, 2025 at 3:52 PM
Submitted by colorectal surgeon as “anal mass concerning for squamous cell carcinoma” #ButItsNot
Thought it had a fair chance of being anal gland carcinoma (CK7+/CK20-/CDX2-) #ButItsNot

Adenocarcinoma of the anal canal with a colorectal phenotype (CK7-/CK20+/CDX2+)
#PathSky #GISky
January 27, 2025 at 6:02 PM
January 24, 2025 at 2:20 PM
Future’s so bright, I have to wear post-mydriatic slip-ins…….😎🔬
January 22, 2025 at 7:47 PM
Mistook this breast duct for a hare shaft……😆
#PathSky
#waaahwaaaaah
#IGotJokes
January 21, 2025 at 4:07 PM
Haven’t seen these bad boys in a while - Gamna-Gandy bodies (in atrial myxoma). Classically assoc. w/SCD in the spleen, but also rarely seen w/any condition of chron hemorrhage. Represents a fibrotic reaction to extravasated hemosiderin, w/iron pigment & calcium deposition.
#PathSky #H&E #HistoNerd
January 14, 2025 at 10:35 PM
Our soon-to-be-not-so-shadow president dropping medical knowledge bombs in the new year!

#TheMoreYouKnow
#OrProbablyDontKnowIfYouWereBornVaginally
#SoThankfulIWasBreechOrIMayNotHaveGottenIntoMedSchool
January 3, 2025 at 4:38 PM
Please be extra-nice to your friends and loved ones in healthcare in December 😬
#WeAreNotOK
December 16, 2024 at 3:18 PM
#TeamWarm, because I gotz the ADHD and sensory processing disorder. Why are you threatening me with those cool whites?? 😁
December 8, 2024 at 7:31 AM
only to be constantly derided as “greedy” and unworthy of a well-compensated career. When broken down to an hourly rate the compensation is far less attractive, let me assure you. There are few other highly compensated professionals that work as many hours and with as much risk on their backs, 5/
December 7, 2024 at 8:13 AM
Please say hello to Donut Royal
December 6, 2024 at 3:50 PM
If this isn’t proof that we’re living in a late-stage capitalistic hellscape, I don’t know what is.
#WhatAreWeEvenDoing
December 5, 2024 at 1:15 AM