Journal ArticleInt J Surg Pathol · December 2024
Introduction. The identification of mitotic figures is essential for the diagnosis, grading, and classification of various different tumors. Despite its importance, there is a paucity of literature reporting the consistency in interpreting mitotic figures ...
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Journal ArticleArch Pathol Lab Med · October 1, 2024
CONTEXT.—: Social media has become widely adopted by pathologists and other physicians for professional purposes. While engagement has likely increased over time, there remain few concrete data regarding attitudes toward its use. OBJECTIVE.—: To assess pat ...
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Journal ArticleCancer Cytopathol · October 2024
BACKGROUND: Molecular testing of thyroid nodules is an essential tool to help risk stratify nodules with indeterminate cytology. Although ThyroSeq testing has been around for over a decade, there is a paucity of long-term follow-up data on cytologically in ...
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Journal ArticleArch Pathol Lab Med · May 1, 2024
CONTEXT: PathElective.com was created in response to the pandemic's restrictions on interactions with trainees, and since has been incorporated into many training programs worldwide, serving as a unique means of delivering high-quality pathology and labora ...
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Journal ArticleCytopathology · December 26, 2023
INTRODUCTION: Fine needle aspiration cytology (FNAC) is a widely accepted diagnostic technique, but performance varies according to expertise. Little is known about variation in FNAC training practices worldwide. We surveyed pathologists using social media ...
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Journal ArticleDiagn Cytopathol · April 2023
BACKGROUND: Pathologist-performed ultrasound-guided fine needle aspiration (USFNA) biopsies have become an increasingly important component of the interventional cytopathologist's toolbox. However, its application varies between institutions, and there is ...
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Journal ArticleHead Neck Pathol · March 2023
BACKGROUND: Oncocytes are a component of many metaplastic and neoplastic lesions throughout the head and neck area, primarily originating in salivary/seromucinous glands and the thyroid gland. In addition, other lesions can contain cells that mimic oncocyt ...
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Chapter · January 1, 2023
Precise cytological classification of salivary gland tumors based on cytomorphology alone is possible for many commonly encountered lesions; however, there are challenges for the cytologic diagnosis of some uncommon entities due to their cytomorphological ...
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Journal ArticleJ Vasc Interv Radiol · December 2022
PURPOSE: To measure the ablation zone temperature and nontarget tissue temperature during radiofrequency (RF) ablation in bone containing metal instrumentation versus no metal instrumentation (control group). MATERIALS AND METHODS: Ex vivo experiments were ...
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Journal ArticleSemin Diagn Pathol · November 2022
Interventional cytopathology is a unique area of pathology, where cytopathologists play a primary role in obtaining fine needle aspiration biopsies and/or making determinations through rapid on-site evaluations to guide sample procurement in real-time. Uns ...
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Journal ArticleArch Pathol Lab Med · November 1, 2022
CONTEXT.—: Although pathology is essential to almost every practice in medicine, laboratory medicine professionals do not routinely volunteer in global health practice. OBJECTIVE.—: To gather information about the experience and interest levels of the path ...
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Journal ArticleBMJ Case Rep · October 5, 2022
Despite advances and introduction of new therapies in the last decade, metastatic castration-resistant prostate cancer (mCRPC) has a poor prognosis. The development of androgen axis-targeted therapies such as abiraterone acetate, enzalutamide and darolutam ...
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Journal ArticleCancer Cytopathol · October 2022
Many crystals and crystal-like structures may be encountered in cytopathology practice and can represent both beautiful novelties and diagnostic aids. The authors present an organ-specific review of the published literature on crystals combined with person ...
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Journal ArticleCancer Cytopathol · September 2022
BACKGROUND: Ultrasound-guided fine-needle aspiration biopsies (USFNAs) are increasingly performed by pathologists. This study was designed to assess the diagnostic yield and characterization of thyroid nodules biopsied at a teaching hospital setting in whi ...
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Journal ArticlePLOS Digit Health · August 2022
A wide variety of diseases are commonly diagnosed via the visual examination of cell morphology within a peripheral blood smear. For certain diseases, such as COVID-19, morphological impact across the multitude of blood cell types is still poorly understoo ...
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Journal ArticleCancer Cytopathol · June 2022
BACKGROUND: The American Thyroid Association recommends either repeat fine-needle aspiration biopsy (FNAB) or molecular testing (eg, ThyroSeq) of Bethesda category III (atypia of undetermined significance/follicular lesion of undetermined significance [AUS ...
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Journal ArticleCancer Cytopathol · May 2022
BACKGROUND: In a previous worldwide survey, the authors showed a drastic reduction in the number of cytological specimens processed during the coronavirus disease 2019 "lockdown" period along with an increase in malignancy rates. To assess the continued im ...
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Journal ArticleEur Urol · May 2022
BACKGROUND: Hormonal therapy targeting the androgen receptor inhibits prostate cancer (PCa), but the tumor eventually recurs as castration-resistant prostate cancer (CRPC). OBJECTIVE: To understand the mechanisms by which subclones within early PCa develop ...
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Journal ArticleAm J Clin Pathol · October 13, 2021
OBJECTIVES: The goal is to describe the use of a virtual platform in the delivery of Virtual Pathology Grand Rounds (VPGR) and discuss the overall experience from the perspective of hosts, speakers, and participants. METHODS: Zoom was a natural choice for ...
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Journal ArticleAcad Pathol · 2021
The COVID-19 pandemic put most in-person pathology electives on-hold as departments adapted to changes in education and patient care. To address the subsequent void in pathology education, we created a free, virtual, modular, and high-quality pathology ele ...
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Journal ArticleCancer Cytopathol · December 2020
BACKGROUND: To the authors' knowledge, the impact of the coronavirus disease 2019 (COVID-19) pandemic on cytopathology practices worldwide has not been investigated formally. In the current study, data from 41 respondents from 23 countries were reported. M ...
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Journal ArticleHistopathology · November 2020
The near-ubiquitous use of smartphones and the rapid emergence of free, widely used, social media platforms have combined to turbocharge the dissemination of information at a scale and speed that would have been unimaginable just a few years ago. Increasin ...
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Journal ArticleArch Pathol Lab Med · September 1, 2020
CONTEXT.—: Many pathologists-in-training enter residency or fellowship with either no formal experience in research or with a basic science research background that may not translate well to research in the realm of diagnostic pathology, including surgical ...
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Journal ArticleArch Pathol Lab Med · September 1, 2020
The ongoing global pandemic of coronavirus disease 2019 (COVID-19) has rapidly disrupted traditional modes of operation in health care and education. In March 2020, institutions in the United States began to implement a range of policies to discourage dire ...
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Journal ArticleCancer Cytopathol · August 2020
BACKGROUND: The ThyroSeq panel tests for genetic alterations to risk-stratify cytologically indeterminate nodules. The authors assessed the test performance of the tests, including the latest version (v3), at an academic center. METHODS: Results from Thyro ...
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Journal ArticleDiagn Cytopathol · August 2020
BACKGROUND: Twitter is an expanding social media network among cytopathologists to share knowledge. Tweets are made up of text which may also include images or video. All tweets labeled under a hashtag can be tracked. The #FNAFriday hashtag was created in ...
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Journal ArticleArch Pathol Lab Med · July 1, 2020
CONTEXT.—: Social media sites are increasingly used for education, networking, and rapid dissemination of medical information, but their utility for facilitating research has remained largely untapped. OBJECTIVE.—: To describe in detail our experience usin ...
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Journal ArticleDiagn Cytopathol · June 2020
INTRODUCTION: The Bethesda System for the Reporting of Thyroid Cytopathology (TBSRTC) is used to categorize and diagnose thyroid nodules by fine needle aspiration biopsy (FNAB). Each category in TBSRTC is associated with an estimated risk of malignancy (RO ...
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Journal ArticleDiagn Cytopathol · November 2019
BACKGROUND: Molecular tests such as the Afirma gene expression classifier (GEC) and mutational panels (such as ThyroSeq) have been introduced to help risk stratify cytologically indeterminate thyroid nodules with the aim to reduce the number of unnecessary ...
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Journal ArticleEndocr Pract · September 2019
Objective: Thyroid nodules with indeterminate cytology pose management challenges in clinical practice. The aim of this study was to determine the efficacy of ultrasound features in navigating clinical decision making in thyroid nodules with indeterminate ...
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Journal ArticleEndocr Pathol · June 2019
Molecular tests and mutational panels such as Afirma Gene Expression Classifier (GEC) and ThyroSeq, respectively, have been used to help risk stratify cytologically indeterminate thyroid nodules with the aim to reduce unnecessary surgeries. We studied the ...
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Journal ArticleDiagn Cytopathol · April 2019
OBJECTIVES: Fine needle aspiration (FNA) is an invaluable diagnostic procedure for evaluation of lesions; however, acquisition of diagnostic material is dependent on the skill of the practitioner. We report a novel patient simulator for teaching the FNA pr ...
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Journal ArticleArch Pathol Lab Med · February 2019
CONTEXT.—: Feedback is the delivery of information based on direct observation that is meant to improve performance. Learning is at the heart of feedback, and as such, feedback is a required competency in pathology resident education. In the laboratory set ...
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Journal ArticleCancer Cytopathol · July 2018
BACKGROUND: The ThyroSeq mutational panel and Afirma gene expression classifier (GEC) are used to risk stratify cytologically indeterminate thyroid nodules. In the current study, the authors evaluated the performance of these tests within the context of ul ...
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Journal ArticleAJSP: Reviews and Reports · July 1, 2018
How ultrasound-guided fine-needle aspiration (USFNA) is performed in the United States varies considerably among institutions. The critical role of the cytopathologist for diagnosis is indisputable, although the degree of collaboration with other specialti ...
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Journal ArticleAJSP: Reviews and Reports · July 1, 2018
Thyroid nodules are a commonplace clinical problem. Ultrasound-guided fine-needle aspiration biopsy is often the first step in the diagnosis and management of these nodules. We provide a review of technical considerations, performance, and techniques for t ...
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Journal ArticleAJSP: Reviews and Reports · July 1, 2018
Pathologist performed fine-needle aspiration (FNA) biopsies yield high adequacy rates, result in effective triage of material for additional studies, and offer a minimally invasive method for tissue procurement. Ultrasound-guided FNA (US-FNA) expands the s ...
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Journal ArticleAJSP: Reviews and Reports · July 1, 2018
Ultrasound-guided fine-needle aspiration (US-FNA) is superior to conventional fine-needle aspiration biopsies and when performed by cytopathologists yields higher diagnostic rates than when performed by nonpathologists. Ultrasound-guided fine-needle aspira ...
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Journal ArticleCurr Opin Oncol · January 2018
PURPOSE OF REVIEW: Noninvasive encapsulated follicular variant of papillary thyroid carcinoma (PTC) has been established in the literature as a clinically indolent tumor. Despite this, it was traditionally treated like all other PTCs. In an attempt to redu ...
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Journal ArticleArch Pathol Lab Med · July 2017
CONTEXT: - Molecular testing in indeterminate thyroid nodules is a rapidly evolving field with variable reported outcomes. OBJECTIVE: - To report our experience at a tertiary thyroid referral center with the Afirma Gene Expression Classifier (Veracyte, San ...
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Journal ArticleDiagn Cytopathol · July 2017
Social networking platforms have created a unique venue for pathologists and associated stakeholders to communicate and share information in a rapidly proliferating field. Among the myriad of available platforms, Twitter has become one of the most widely a ...
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Journal ArticleMod Pathol · February 2017
Professional medical conferences over the past five years have seen an enormous increase in the use of Twitter in real-time, also known as "live-tweeting". At the United States and Canadian Academy of Pathology (USCAP) 2015 annual meeting, 24 attendees (th ...
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Journal ArticlePatholog Res Int · 2017
A consensus panel recently used clinical evidence and pathologic parameters to rename noninvasive encapsulated follicular variant of papillary thyroid carcinoma to noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) to bett ...
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Journal ArticleDiagn Cytopathol · December 2016
BACKGROUND: Fine-needle aspiration cytology (FNAC) is useful for evaluating cervical lymph nodes for metastases from thyroid carcinomas. Reports have illustrated that with application of standardized technique and appropriate cutoffs, thyroglobulin (TG) wa ...
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Journal ArticleCancer Cytopathol · December 2016
BACKGROUND: Molecular testing provides an important ancillary study for thyroid nodules with indeterminate cytology. The nomenclature shift to "noninvasive follicular thyroid neoplasm with papillary-like nuclear features" (NIFTP) will impact the performanc ...
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Journal ArticlePlast Reconstr Surg Glob Open · December 2016
Oral lichen planus (OLP) is an immune-mediated mucocutaneous disease associated with an increased risk in oral squamous cell carcinoma (OSCC). Nearly all cases of malignant transformation have been reported in patients >40 years old. We report the case of ...
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Journal ArticleOnco Targets Ther · 2016
Hürthle cell carcinoma (HCC) can present either as a minimally invasive or as a widely invasive tumor. HCC generally has a more aggressive clinical behavior compared with the other differentiated thyroid cancers, and it is associated with a higher rate of ...
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Journal ArticleOncotarget · October 27, 2015
PURPOSE: Leucine-rich repeat-containing G-protein-coupled receptor 5 (LGR5) is a cancer stem cell marker and a down-stream target in Wnt/β-catenin signaling. In human papillary thyroid cancer (PTC), over activation of Wnt/β-catenin has been associated with ...
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Journal ArticleJ Gastrointest Oncol · April 2015
Extramedullary plasmacytoma (EMP) is a rare entity that can exist independently or in conjunction with underlying plasma cell myeloma (PCM). When there is underlying multiple myeloma, the presence of EMP portends a poor prognosis. The most common locations ...
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ConferenceJ Minim Invasive Gynecol · February 2015
STUDY OBJECTIVE: To evaluate if the use of Valleylab mode ("V mode") (Covidien, Mansfield, MA) electrothermal energy for colpotomy during total laparoscopic hysterectomy (LH) results in a smaller margin of thermal injury to the upper vagina compared with t ...
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Journal ArticleDiagn Cytopathol · February 2015
Pleomorphic liposarcoma represents one of the rarest variants of liposarcoma. It has a poor prognosis and unlike other variants of liposarcoma, lacks a molecular or genetic signature. Histologic studies of pleomorphic liposarcoma have defined this lesion a ...
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Journal ArticleCase Rep Oncol Med · 2015
Rhabdomyosarcomatous dedifferentiation of GIST following tyrosine kinase inhibitor (TKI) therapy is rare, with only a handful of cases previously reported in the literature. Herein we present a case of metastatic GIST initially treated with imatinib that d ...
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Journal ArticleDiagn Cytopathol · September 2014
Clear cell chondrosarcoma (CCCS) is a rare variant of chondrosarcoma characterized, in most instances, by indolent behavior and a long interval to progression of disease. CCCS commonly occurs in adult individuals and has a proclivity for the epiphysis of l ...
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Journal ArticleArch Pathol Lab Med · March 2014
Small bowel duplications are congenital structures commonly lined by heterotopic gastric or pancreatic mucosa. Though benign in children, small bowel duplications have the potential for malignant degeneration in adulthood. Here, we present the first report ...
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Journal ArticleJ Neurooncol · August 2013
Temozolomide, an alkylating agent, has shown promise in treating primary central nervous system lymphoma (PCNSL). The enzyme O(6)-methylguanine-DNA methyltransferase (MGMT) repairs alkylating damage, such as that induced by temozolomide. We hypothesized th ...
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Journal ArticleHistopathology · January 2013
AIMS: To determine the roles of the presence of malignancy, tumour proliferation fraction, vascular compromise and therapeutic and diagnostic manipulations in lymph node infarction (LNI). METHODS AND RESULTS: Thirty-five cases of LNI were identified ov ...
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Journal ArticleAcad Med · April 2012
With changes in the Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements related to transitions in care effective July 1, 2011, sponsoring institutions and training programs must develop a common structure for transition ...
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Journal ArticleJ Neurooncol · December 2009
This phase II trial evaluated efficacy and safety of temozolomide (TMZ) in combination with irinotecan (CPT-11) before radiotherapy in patients with newly diagnosed glioblastoma multiforme (GBM). Prior to radiotherapy, patients were treated with a maximum ...
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Journal ArticleCancer · July 1, 2009
BACKGROUND: The current study was a phase 1 clinical trial conducted with patients who had recurrent or progressive malignant glioma (MG). The trial was designed to determine the maximum tolerated dose (MTD) and toxicity of irinotecan (CPT-11) when adminis ...
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Journal ArticleJ Clin Oncol · March 10, 2009
PURPOSE: This phase II trial was designed to define the role of O(6)-benzylguanine (O(6)-BG) in restoring temozolomide sensitivity in patients with recurrent or progressive, temozolomide-resistant malignant glioma and to evaluate the safety of administerin ...
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Journal ArticleClin Cancer Res · February 1, 2009
PURPOSE: This phase II trial was designed to define the efficacy of Gliadel wafers in combination with an infusion of O6-benzylguanine (O6-BG) that suppresses tumor O6-alkylguanine-DNA alkyltransferase (AGT) levels in patients with recurrent glioblastoma m ...
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