Views expressed are my own. She/Her.
#MedSky #PathSky #LiverSky #GastroSky
🔬Immunity and the Liver: A trio of interesting cases 🧐
⭐️ Drs Emily Wilson & Jingmei Lin (Wake Forest), Joshua Wong & Sadhna Dhingra (Houston Methodist), and Julia Gallardo & James Mitchell (UT Southwestern)
📨 Check your email for registration info!
#pathsky #liversky
Hepatocellular carcinoma (HCC) accounts for approximately 80% of cases globally.
💡 A new Commission outlines evidence-based recommendations for action to reduce the global HCC burden: tinyurl.com/yzxvktkw
Hepatocellular carcinoma (HCC) accounts for approximately 80% of cases globally.
💡 A new Commission outlines evidence-based recommendations for action to reduce the global HCC burden: tinyurl.com/yzxvktkw
#TeachingPoints #kidneypath #renal #pathology
#TeachingPoints #kidneypath #renal #pathology
See link in comments for the case!
#Pathology #PathologyOutlines #Diagnosis
See link in comments for the case!
#Pathology #PathologyOutlines #Diagnosis
Dive in to see how the liver microenvironment shapes TRM immunity, pathology & therapeutic potential!
Dive in to see how the liver microenvironment shapes TRM immunity, pathology & therapeutic potential!
#OpenAccess
#MedSky #EndoSky #LiverSky #HepSky
#OpenAccess
#MedSky #EndoSky #LiverSky #HepSky
#MedSky #GastroSky
#MedSky #GastroSky
💊 Immunotherapy may be used as a bridge to transplant for iCCA
🌊Plan for 3 month washout period or increased risk of rejection (T cell- & antibody-mediated)
#USCAP2025 #pathsky #liversky
💊 Immunotherapy may be used as a bridge to transplant for iCCA
🌊Plan for 3 month washout period or increased risk of rejection (T cell- & antibody-mediated)
#USCAP2025 #pathsky #liversky
😲5-10% of HCC can express CDX2
❗️SATB2 can also be seen in HCC: 40-60%!
HCCs with the above usually poorly diff, poor prognosis
🟤5-10% of HCC are K20+
📖Remember that "biliary" keratins, K7 & K19, can also be seen in HCC; the latter can be prognostic
#USCAP2025 #pathsky #liversky
😲5-10% of HCC can express CDX2
❗️SATB2 can also be seen in HCC: 40-60%!
HCCs with the above usually poorly diff, poor prognosis
🟤5-10% of HCC are K20+
📖Remember that "biliary" keratins, K7 & K19, can also be seen in HCC; the latter can be prognostic
#USCAP2025 #pathsky #liversky
🎨 Pigments which can be seen in the liver: iron, copper, gold, melanin, and silver!
🍴 Silver supplements exist, so do instructions on how to DIY (no medical indication exists); can also be exposed via occupation, topical, or inhalation exposure
#USCAP2025 #pathsky #liversky
🎨 Pigments which can be seen in the liver: iron, copper, gold, melanin, and silver!
🍴 Silver supplements exist, so do instructions on how to DIY (no medical indication exists); can also be exposed via occupation, topical, or inhalation exposure
#USCAP2025 #pathsky #liversky
😱Fulminant necrosis with collapse can mimic cirrhosis
🔬Quality trichrome impt!Necrosis supported by granular necrotic appearance on HE, Kupffer cells (HE, PAS/D), two-toned trichrome (one-toned in F4), reticulin may be hard to interpret
#USCAP2025 #pathsky #liversky
😱Fulminant necrosis with collapse can mimic cirrhosis
🔬Quality trichrome impt!Necrosis supported by granular necrotic appearance on HE, Kupffer cells (HE, PAS/D), two-toned trichrome (one-toned in F4), reticulin may be hard to interpret
#USCAP2025 #pathsky #liversky
We've got a 🤩💫💯 stacked line-up! #pathsky #liversky
We've got a 🤩💫💯 stacked line-up! #pathsky #liversky
This year I unintentionally (!) did it with my manicure...💅😳
This year I unintentionally (!) did it with my manicure...💅😳
This year, I unintentionally matched my nails....
This year, I unintentionally matched my nails....
🎯Residual viable HCC volume % by pathology is still best way to quantify treatment response
🗣Propose 0% = complete pathologic response, <10% residual tumour = major pathologic response; significantly correlates with OS, RFS
#USCAP2025 #pathsky #liversky
🎯Residual viable HCC volume % by pathology is still best way to quantify treatment response
🗣Propose 0% = complete pathologic response, <10% residual tumour = major pathologic response; significantly correlates with OS, RFS
#USCAP2025 #pathsky #liversky
⚪️Chromophobe HCC has abrupt anaplasia, pseudocysts, ALT phenotype, no TERT mutations, and no progress significance
🧐RB1 mutations found in some HCC with abrupt anaplasia, prompting study
📊7.5% of >600 HCC had RB1 muts!
#USCAP2025 #liversky #pathsky
⚪️Chromophobe HCC has abrupt anaplasia, pseudocysts, ALT phenotype, no TERT mutations, and no progress significance
🧐RB1 mutations found in some HCC with abrupt anaplasia, prompting study
📊7.5% of >600 HCC had RB1 muts!
#USCAP2025 #liversky #pathsky
⚪️Chromophobe HCC has abrupt anaplasia, pseudocysts, ALT phenotype, no TERT mutations, and no progress significance
🧐RB1 mutations found in some HCC with abrupt anaplasia, prompting study
📊7.5% of >600 HCC had RB1 muts!
#USCAP2025 #liversky #pathsky
🧬 gene polymorphisms alter risk of oxaliplatin-induced SOS; usually detected on blood
📓Reanalyzed liver met CRC NGS in 79 cases (12 with SOS) for SOS assoc polymorphisms
🔴ERCC1 rs11615 A>G can be found, was sig assoc with protection vs SOS
#USCAP2025 #liversky #pathsky