Melanie Bourgeau, MD (@melanocytemd) 's Twitter Profile
Melanie Bourgeau, MD

@melanocytemd

Surg Path @UFHealth | Dermpath @UABDermatology 2025 | BST @CU_Pathology 2023 | Co-creator #EmoryCoTW | #PathTweetAward 🥇'21-'22 | @DCF_path '21 | #Kiko25

ID: 1201254232244006914

linkhttps://kikoxp.com/melanie_bourgeau1 calendar_today01-12-2019 21:38:38

3,3K Tweet

6,6K Followers

913 Following

Zehra Ordulu 🧬🔬 (@mzehraordulu) 's Twitter Profile Photo

UTROSCT *⃣Pattern similar to SCTs *⃣ May be at the base of adenosarcomas *⃣ ESR1 and GREB1 Fusions *⃣ Necrosis, mitoses >2/10, ESR1 with rhabdoid diff, GREB1 fusion: RECURRENCE #GynPath #GynPathQuiz Last two photos from Dr Bennett's @pathcast lecture: youtube.com/watch?time_con…

UTROSCT
*⃣Pattern similar to SCTs
*⃣ May be at the base of adenosarcomas
*⃣ ESR1 and GREB1 Fusions 
*⃣ Necrosis, mitoses >2/10, ESR1 with rhabdoid diff, GREB1 fusion: RECURRENCE
#GynPath #GynPathQuiz
Last two photos from Dr Bennett's @pathcast lecture: youtube.com/watch?time_con…
Dan Graham (@dangrahammd) 's Twitter Profile Photo

This is a case a pseudoendocrine sarcoma, currently thought to be an intermediate-grade sarcoma with a propensity to arise in paravertebral soft tissues of older patients. Negative for NE markers. Can show patchy S100 and nuclear beta-catenin. Photos excerpted from:

This is a case a pseudoendocrine sarcoma, currently thought to be an intermediate-grade sarcoma with a propensity to arise in paravertebral soft tissues of older patients. Negative for NE markers. Can show patchy S100 and nuclear beta-catenin.

Photos excerpted from:
Charles Herndon (@drcyclopath) 's Twitter Profile Photo

70F vulvar irritation, diagnosis? A) Lichen sclerosus et atrophicus B) Lichen planus C) Differentiated VIN 🔬dpa-dapa.com/public/present… #GYNpath #PathTwitter #Pathology 🙏 Lewis Hassell

70F vulvar irritation, diagnosis?
A) Lichen sclerosus et atrophicus
B) Lichen planus
C) Differentiated VIN
🔬dpa-dapa.com/public/present…
#GYNpath #PathTwitter #Pathology
🙏 <a href="/HassellLewis/">Lewis Hassell</a>
Sepehr Hamidi, MD (@shamidimd) 's Twitter Profile Photo

Dermatofibrosarcoma protuberans (DFSP) with a typical honeycomb appearance. This one shows entrapment of a few nerves (largest 0.3 mm), otherwise classic DFSP. Diffusely positive for CD34 (image not shown). #dermpath #PathTwitter #PathX #BSTpath

Dermatofibrosarcoma protuberans (DFSP) with a typical honeycomb appearance. This one shows entrapment of a few nerves (largest 0.3 mm), otherwise classic DFSP. Diffusely positive for CD34 (image not shown). #dermpath #PathTwitter #PathX #BSTpath
Francesco Fortarezza (@ffortarezzamd) 's Twitter Profile Photo

A case of matrical carcinoma, the malignant counterpart of pilomatricoma, characterized by the presence of ghost cells👻and β-catenin nuclear-membranous positivity in basaloid cells (negative in transitional and ghosts) #pathology #dermpath #dermatology #MedX #PathX #dermatologia

A case of matrical carcinoma, the malignant counterpart of pilomatricoma, characterized by the presence of ghost cells👻and β-catenin nuclear-membranous positivity in basaloid cells (negative in transitional and ghosts) #pathology #dermpath #dermatology #MedX #PathX #dermatologia
Janira Navarro (@janiranavarro) 's Twitter Profile Photo

Proposed Risk Stratification Model for Inflammatory Myofibroblastic Tumor (IMT) It was originally thought that IMTs were benign, but this is not always the case If tumor falls in the intermediate risk, then it is recommended to do NGS -Only ALK fusion : Low risk -ALK fusions and

Proposed Risk Stratification Model for Inflammatory Myofibroblastic Tumor (IMT)
It was originally thought that IMTs were benign, but this is not always the case
If tumor falls in the intermediate risk, then it is recommended to do NGS
-Only ALK fusion : Low risk
-ALK fusions and
Melanie Bourgeau, MD (@melanocytemd) 's Twitter Profile Photo

65♀️ w/ thigh mass Classic scenario for #bstpath, but is it... #tooFARtodiagnose? 🤔 Stay tuned, answer will be posted tomorrow (10/16)!

65♀️ w/ thigh mass

Classic scenario for #bstpath, but is it... #tooFARtodiagnose? 🤔

Stay tuned, answer will be posted tomorrow (10/16)!
Jeffrey Cloutier, MD, PhD (@jcloutiermd) 's Twitter Profile Photo

A stunning example of hybrid SEF/LGFMS. MUC4 = diffusely positive. Most cases harbor FUS::CREB3L2 fusions, similar to that seen in most LGFMS. #BSTpath #Sarcoma

A stunning example of hybrid SEF/LGFMS. 
MUC4 = diffusely positive. 
Most cases harbor FUS::CREB3L2 fusions, similar to that seen in most LGFMS. 

#BSTpath #Sarcoma
Melanie Bourgeau, MD (@melanocytemd) 's Twitter Profile Photo

65♀️ w/ thigh mass 💡 ANSWER ➡️ Intramuscular myxoma 🚨 Cannot reliably distinguish from low-grade MFS on biopsy 🦔 Reccomend descriptive dx in limited samples (ex. hypocellular myxoid neoplasm) WSI 🔷️ IMM: kikoxp.com/posts/50548 🔶️ MFS: kikoxp.com/posts/18776 #bstpath

65♀️ w/ thigh mass

💡 ANSWER ➡️ Intramuscular myxoma

🚨 Cannot reliably distinguish from low-grade MFS on biopsy
🦔 Reccomend descriptive dx in limited samples (ex. hypocellular myxoid neoplasm)

WSI
🔷️ IMM: kikoxp.com/posts/50548
🔶️ MFS: kikoxp.com/posts/18776

#bstpath
Melanie Bourgeau, MD (@melanocytemd) 's Twitter Profile Photo

Intramuscular myxoma 👩‍🦰 Adults >40 y/o 🦵 Prox limbs, thigh🥇 🐢 Slow growth 🔎 Hypocellular & hypovascular 🥷 Infiltrates muscle at periphery 🔬 Myxoid w/ fine collagen ✨️ Small bland spindle/stellate cells 🧬 GNAS mutations 🎭 Cellular variant w/ ⬆️ collagen #bstpath #kiko25

Intramuscular myxoma
👩‍🦰 Adults &gt;40 y/o
🦵 Prox limbs, thigh🥇
🐢 Slow growth
🔎 Hypocellular &amp; hypovascular 
🥷 Infiltrates muscle at periphery
🔬 Myxoid w/ fine collagen
✨️ Small bland spindle/stellate cells
🧬 GNAS mutations
🎭 Cellular variant w/ ⬆️ collagen
#bstpath #kiko25
Vivi Fernandez (Dr. Autopsy) D.O. 🐈🐈‍⬛🌈🇨🇺 (@path_girl88) 's Twitter Profile Photo

Finishing this week by contrasting a Benign Brenner with a Borderline Brenner and a Malignant Brenner Tumor, of the ovary. 🤩 #gynpath #pathx #PathTwitter #UMiamipath UMiami Pathology

Finishing this week by contrasting a Benign Brenner with a Borderline Brenner and a Malignant Brenner Tumor, of the ovary. 🤩 #gynpath #pathx #PathTwitter #UMiamipath <a href="/UMiamiPathology/">UMiami Pathology</a>
Charles Herndon (@drcyclopath) 's Twitter Profile Photo

History of breast cancer and radiotherapy. Flesh-colored papule. Benign or malignant? 🔬kikoxp.com/posts/3457 #BreastPath #DermPath #BSTPath #PathTwitter #Pathology

History of breast cancer and radiotherapy. 
Flesh-colored papule.
Benign or malignant?
🔬kikoxp.com/posts/3457
#BreastPath #DermPath #BSTPath #PathTwitter #Pathology
Dan Graham (@dangrahammd) 's Twitter Profile Photo

This case tricked me. Deeper levels show better preserved/less degenerated areas showing neutrophils. It's a fledgling abscess!

This case tricked me. Deeper levels show better preserved/less degenerated areas showing neutrophils. It's a fledgling abscess!
Scott Kilpatrick, MD (@scottbikeethan) 's Twitter Profile Photo

The International Society of Bone and Soft Tissue Pathology now has an official Twitter (X) account, International Soc of Bone & Soft Tissue Pathology. Our hope is that this site will further promote the goals of the ISBSTP: 1 ) To offer resources to bone and soft tissue professionals.