Dan Graham (@dangrahammd) 's Twitter Profile
Dan Graham

@dangrahammd

General Pathologist at Clinical Labs of Hawaii / Interest in BST & H&N

ID: 45696800

linkhttps://kikoxp.com/daniel_graham calendar_today08-06-2009 23:01:42

5,5K Tweet

2,2K Followers

1,1K Following

Olaleke Folaranmi (@drgeeone) 's Twitter Profile Photo

1/2 Kindly share your thoughts: Subtotal hysterectomy 50 year old woman with 3 years history of abnormal uterine bleeding. Mitoses ~4-6/10HPF, No necrosis. Preliminary thoughts-IMT, STUMP #Gynpath #PathTwitter #BSTPath #pathology

1/2 
Kindly share your thoughts:
Subtotal hysterectomy 
50 year old woman with 3 years history of abnormal uterine bleeding.
Mitoses ~4-6/10HPF, No necrosis.
Preliminary thoughts-IMT, STUMP
#Gynpath #PathTwitter #BSTPath #pathology
Yasamin Mirzabeigi, MD (@ymirzabeigi) 's Twitter Profile Photo

Olaleke Folaranmi Trupti Mandalia Kyle Devins, MD Katja Gwin M.D. Rana Saleh, MD Amany Hassan Esther Adler, MD Anne Mills Dan Graham syed t. hoda Greg Charville To me, it looks more smooth muscle than IMT, but have you tried ALK IHC? Also, for STUMP versus LMS, this algorithm might be helpful. I’ve cited the paper here for your reference. It was also discussed at USCAP 2025 a couple of times and we sometimes use it at our institution,

<a href="/DrGeeONE/">Olaleke Folaranmi</a> <a href="/Pathmath1/">Trupti Mandalia</a> <a href="/md_kyle/">Kyle Devins, MD</a> <a href="/OBGYNPATH/">Katja Gwin M.D.</a> <a href="/DrRanasaleh/">Rana Saleh, MD</a> <a href="/Dramanyhassany1/">Amany Hassan</a> <a href="/DrEstherAdler/">Esther Adler, MD</a> <a href="/AnneMillsMD/">Anne Mills</a> <a href="/DanGrahamMD/">Dan Graham</a> <a href="/01sth02/">syed t. hoda</a> <a href="/Greg_Charville/">Greg Charville</a> To me, it looks more smooth muscle than IMT, but have you tried ALK IHC?
Also, for STUMP versus LMS, this algorithm might be helpful. I’ve cited the paper here for your reference. It was also discussed at USCAP 2025 a couple of times and we sometimes use it at our institution,
Ting Zhao, MD (@tingzhaopathdoc) 's Twitter Profile Photo

Dan Graham Tristan Rutland MBBS FRCPA IFCAP Dan, I had the same thought. The paper below (PMID: 24441657) mentioned that papillary cystadenomas of the epididymis and broad ligament have identical morphology and IHC staining with clear cell papillary renal cell tumor. The diagnosis of papillary cystadenoma can be

<a href="/DanGrahamMD/">Dan Graham</a> <a href="/TristanRutland7/">Tristan Rutland MBBS FRCPA IFCAP</a> Dan, I had the same thought. 
The paper below (PMID: 24441657) mentioned that papillary cystadenomas of the epididymis and broad ligament have identical morphology and IHC staining with clear cell papillary renal cell tumor. The diagnosis of papillary cystadenoma can be
Wondweson64 Alemu (@_wondweson64) 's Twitter Profile Photo

GROSSnosis & Annotations | 👇 ◆Site: 🦵Knee joint | 16x12cm ◆Diagnosis:🔬Tenosynovial giant cell tumor, diffuse type Ace My Path #pathoutpic #pathx #BSTpath PathologyOutlines.com #pathresidents #gross

GROSSnosis &amp; Annotations | 👇
◆Site: 🦵Knee joint | 16x12cm
◆Diagnosis:🔬Tenosynovial giant cell tumor, diffuse type
<a href="/AceMyPath/">Ace My Path</a> #pathoutpic #pathx #BSTpath <a href="/Pathoutlines/">PathologyOutlines.com</a> #pathresidents #gross
Dan Graham (@dangrahammd) 's Twitter Profile Photo

Thanks for all of your great thoughts. EMA, desmin, Beta-catenin/LEF1, STAT6 negative. Pending Rb, MDM2, claudin1, GLUT1, MUC4 IHC, then, depending, +/- PHF1 FISH. Any other ideas?

Springer Pathology (@springerpath) 's Twitter Profile Photo

A comprehensive review of literature on SS18::POU5F1-fused sarcomas accompanies the case report, discussing differential diagnoses and possible histogenesis. This contributes to understanding this uncommon tumor type and its clinical implications. bit.ly/4jhPoIF

Dan Graham (@dangrahammd) 's Twitter Profile Photo

50s F 17cm abdominal mass. Beta-catenin: Favor -, but some equivocal nuclei LEF1: Dead - SMA: Focal weak + Desmin: Focal dendritic type staining S100, STAT6, CK, ER, calret, inhib, CD117, DOG1 - Dx/further w/u? #PathTwitter #PathX #BSTpath

50s F 17cm abdominal mass. 

Beta-catenin: Favor -, but some equivocal nuclei
LEF1: Dead - 
SMA: Focal weak +
Desmin: Focal dendritic type staining
S100, STAT6, CK, ER, calret, inhib, CD117, DOG1 -

Dx/further w/u?

#PathTwitter #PathX #BSTpath
Jay Hwang (@path4people) 's Twitter Profile Photo

Melanoma can occur in Mucosal Sites like Rectum, Sinonasal, Vaginal Wall I always found this interesting because we usually associate it 🦀 with skin ☀️ Melanocytes are Neural Crest Derived 👶 and they migrate to the mucosa (as well as skin). #pathx #embryology #peds

Melanoma can occur in Mucosal Sites like Rectum, Sinonasal, Vaginal Wall

I always found this interesting because we usually associate it 🦀 with skin ☀️ 

Melanocytes are Neural Crest Derived 👶 and they migrate to the mucosa (as well as skin).  

#pathx #embryology #peds
Dan Graham (@dangrahammd) 's Twitter Profile Photo

80s M iliac sclerotic & lytic lesion w/ soft tissue extension w/ calcifications. Also w/ multiple thigh soft tissue masses, bx from one of them. Dx/workup? #BSTpath #PathTwitter #PathX

80s M iliac sclerotic &amp; lytic lesion w/ soft tissue extension w/ calcifications. Also w/ multiple thigh soft tissue masses, bx from one of them. Dx/workup?

#BSTpath #PathTwitter #PathX
Dan Graham (@dangrahammd) 's Twitter Profile Photo

60s M 20cm thigh mass. S100=very few scattered cells; SOX10= scattered cytoplasmic staining; PRAME=80% of cells +; CK, desmin, SMA, h-caldesmon, CD45/43, ALK, MYOD1, CD34 etc negative. Dx/workup? #BSTpath #PathTwitter #PathX

60s M 20cm thigh mass. S100=very few scattered cells; SOX10= scattered cytoplasmic staining; PRAME=80% of cells +; CK, desmin, SMA, h-caldesmon, CD45/43, ALK, MYOD1, CD34 etc negative. Dx/workup?

#BSTpath #PathTwitter #PathX