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Breast - Micropapillary carcinoma can show a distinctive HER2 IHC pattern
- Basolateral or lateral, U-shaped membrane staining
- Score as equivocal (2+) when staining is moderate to intense but incomplete (in >10% of tumor cells) → reflex to FISH
- This pattern can be seen in some micropapillary cancers that are HER2 gene amplified (CAP Breast Biomarker Protocol, 2026).
Dr. Allison. 2026 Diagnostic Pathology Update #USCAP #pathology #PathX
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🔬 When a T-cell lymphoma expresses CD20… think twice!
An exceedingly rare case of CD20-positive primary cutaneous T-cell lymphoma, NOS, with an aggressive clinical course.
The diagnostic challenge? True coexpression of CD3 and CD20—a finding that can easily raise the possibility of a B-cell lymphoma. T-cell receptor clonality and the overall clinicopathological picture were crucial in establishing the diagnosis.
A striking reminder that aberrant immunophenotypes can challenge even our most familiar diagnostic algorithms.
Read the full paper by Danielle R Rinck, Michael S Chang, Christopher Iriarte, and Robert Willim
Link here bit.ly/4zWfZV7
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New in #HumPathol: BAP1 Loss and TFE3 Immunoexpression in High-Grade Clear Cell Renal Cell Carcinoma. sciencedirect.com/science/ar… #pathology #PathTwitter #PathX #GUpath
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Finally, a histologic biomarker for USP6-associated tumors, led by Margarita Muñoz de Toro @StanfordPath:
pubmed.ncbi.nlm.nih.gov/4285…
A new technique also highlighted in the excellent recent work by Dinh et al:
pubmed.ncbi.nlm.nih.gov/4250…
#BSTpath
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Tumors of the Breast, WHO 6th edition update:
A high-grade or HER2-positive carcinoma with mucin should be called invasive ductal carcinoma/NST with mucin production/secretion
Avoid “IDC with mucinous features.” Colleagues may interpret that as pure mucinous carcinoma, which this is not.
Dr. Allison. 2026 Diagnostic Pathology Update #USCAP #pathology #pathX
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Parotid Oncocytomas Express the Glycoprotein Non-metastatic Melanoma Protein B (GPNMB): A Potential Link with Birt-Hogg-Dubé Syndrome
A Peraza-Labrador, J Bishop, LS Schmidt, et al
rdcu.be/FdAnLhUNSfLa
#HeadNeckPathol #HNPJ #HeadandNeckPath #Pathology #ENTPath #PathologyTweet
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🎃 WTR Case Series | October
🔬 Case 11: Thyroblastoma, NOS
• Primitive thyroid follicles
• SALL4+ primitive cells
• Immature neural elements
• Focal mature bone & squamous nests
🧬 TTF1+ • PAX8+ • SALL4+ • Synaptophysin+ • TP53+
👉 admin.worldtumorregistry.org…
#Pathology
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Replying to @BinXu16 @kriyer68 @smlungpathguy @VijayPatho @sam_albadri @DraEosina @ENTpathology @marenwhymd @GeronimoJrLapac @Histopatolomon @Helena_Path @DrjohninNE @lara_pijuan @NRiddleMD @pathowitter
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Happy to share that our study is now published in Human Pathology!
We found that TFE3 expression is significantly more frequent in BAP1-deficient clear cell RCCs, potentially creating a diagnostic pitfall, particularly in limited biopsy specimens.
sciencedirect.com/science/ar…
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Kidney can also have lots of different tumors. Female, 45yo with a metanephric adenoma!. Stains are PAX8 and WT1
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Epithelioid mesothelioma in the peritoneum:
• Can look morphologically similar to serous borderline tumor (pic 1)
• Can show calcifications similar to low-grade serous carcinoma (pic 2)
Warning: PAX8 and SOX17 are not reliable in this differential, they can be positive in up to ~15% of peritoneal mesotheliomas
Helpful stains: ER and PR are almost always negative in mesotheliomas
An ER/PR-positive proliferation is unlikely to be a mesothelioma
Dr. Chapel. Peritoneal Mesothelial Pathology
#ISGyP #pathology #PathX
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🔬 Folliculin mutated renal tumor: H&E & GPNMB IHC
Want to sharpen your GU pathology expertise? Join Johns Hopkins faculty for Contemporary Issues in GU Pathology: What Every Pathologist Should Know, Feb 5–7, 2027. Online CME/MOC with updates on WHO classifications.
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Today's case. Not too hard, but fun. Appendix mass. #pathology #gipath
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Histopathological patterns for the specific diagnosis of lymphadenopathies (LADs), illustrating architectural alterations in lymph node compartments. 🔬
mdpi.com/2673-6357/5/3/26
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Bone. What is your diagnosis?🔎
Poll below 🗳️👇
#PathPuzzle 🕵️♂️
@UMichPath #Pathology #PathX #PathTwitter
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One look at this intraoperative smear prep and you can diagnose this brain tumor. #pathology #neuropath #pathtwitter
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Direct tumour–adipocyte contact/Stroma AReactive Invasion Front Area (TAC/SARIFA) predicts adverse outcome in colorectal cancer: a focused evidence synthesis and meta‐analysis #GIpath
pmc.ncbi.nlm.nih.gov/article…
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Read the article "Periocular Endocrine Mucin-Producing Sweat Gland Carcinoma and Mucinous Carcinoma—An Institutional Series Including 49 Patients" by Dr. Stone et al.
Link to read: mdpi.com/2296-3529/13/4/48
























































