GI and liver pathologist @UTSW_GIpath. 🐈 dad. 🌏 traveler. Check out my high-yield #GIpath highlights: https://xitter.cf/t.co/h9ILBPUT0j #pathology

Dallas, TX
Joined January 2017
🚨🚨🚨#GIpath pitfall. Beware 👀! 🚨🚨🚨 #pathology #pathX #PathTwitter #PathResEd #pathmatch2025 #pathmatch2026
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GI James retweeted
1/3. Primary anal canal adenocarcinoma in an elderly man. Modern classifications recognise 4 subtypes: mucosal, extramucosal anal gland, extramucosal fistula-associated, and extramucosal non-anal gland/non-fistula-associated adenocarcinoma. What subtype do you favour here?
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Not every esophageal carcinoma is what it seems.⬇️ 👀Rare ACC highlights how MYB testing can change diagnosis and management. 🔗 ow.ly/R3JL50ZSVo3 👨‍⚕️ @GIJamesMD
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Not every esophageal carcinoma is what it seems.⬇️ 👀Rare ACC highlights how MYB testing can change diagnosis and management. 🔗 ow.ly/R3JL50ZSVo3 👨‍⚕️ @GIJamesMD
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Gastropathy associated with losartan with parietal cell loss mimics autoimmune gastritis but there is no enterochromaffin-like cell hyperplasia. There is only mild antral inflammation. This case has a collagenous gastritis pattern of injury. Note the pseudopyloric metaplasia.
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This adenosquamous carcinoma appears to have arisen in the appendix. We were unable to confirm spread from another source (such as the lower anogenital tract).
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Young boy with a tongue mass, can't be any more clear, or should I say granular!!? #PathX
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Join UTSW pathology residency's virtual open house on September 2 from 7–8 PM Central Time to learn about our program and chat with current residents! Register here by August 31: forms.cloud.microsoft/r/Pwyu… #PathMatch #PathTwitter #Pathology #PathX
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Colon biopsy: GMS highlights the yeast forms, while HHV8 positivity has Kaposi Sarcoma knocking on the door! 🚪👀 Pathology never stops surprising! 🔬 #GIJames #GIPathology #Pathology #Histoplasmosis #HHV8 #UTSW
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Hi #pathtwitter Sorry I have been absent, but I have moved jobs! I am now working in Perth, Australia for Pathwest and (soon for) @uwanews (as A/Prof). Will get back to posting soon, in the meantime, here is an interesting colleague's case. #GIpath #Endopath #Pathresidents
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Changes in the 6th edition of the World Health Organization classification of tumours of the digestive system onlinelibrary.wiley.com/doi/… #GIpath
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In #GIpath, this is a rather unusual esophageal mass. The tumor is primary, not a metastasis. What immunostain is most likely shown? #pathology #PathResEd #PathX
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Biopsy of abdominal mass in elderly male with disseminated disease on radiological imaging. Immunohistochemistry in next post. What's your preferred diagnosis? #GIpath #pathology #pathX #pathtwitter
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There is currently an outbreak of Cyclospora in the USA. Has anyone seen a case recently? These photos are from a case that @RhondaYantiss kindly shared with me several years ago. #pathology #PathTwitter #PathX #gipathology #crittersontwitter
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"Common things are common"; until they aren't. 17 Y/M, C/O pain abdomen. Colonoscopy: Colonic submucosal lesion & central ulceration. Microscopy never ceases to surprise. Differentials ❓ (IHC will follow) #PathTwitter #GIPath #CaseChallenge #Oncopath #PathResidents
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Looking forward to chatting with incoming residents! #PathX #Pathology #PathResEd
Wondering what your next steps are as a newly matched Resident? Join this member-only roundtable to learn about the support systems available to you and pathways to success. Live instruction, Q&A, and networking opportunities are included; sign up now to give yourself a free career roadmap: bit.ly/42P0Pl6 #ResidentRoundtableSeries #Residency
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Wondering what your next steps are as a newly matched Resident? Join this member-only roundtable to learn about the support systems available to you and pathways to success. Live instruction, Q&A, and networking opportunities are included; sign up now to give yourself a free career roadmap: bit.ly/42P0Pl6 #ResidentRoundtableSeries #Residency
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1/3 #GIpath #CritterOnTwitter Look what I found in this inflamed antral hyperplastic gastric polyp 🤓. At first glance, I thought that it is hallucinations or illusions due to end of the week fatigue 😂 then I started to take images of every single one. So all are represented 😅
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GI James retweeted
1/3 Theres some truth in the dogma that you cant see Helicobacter on digital pathology scans and you need a 40x scan to see them but in my experience its more about a good quality H&E. This was scanned with the 20x objective (0.25 microns per pixel) and Hp can be easily seen.
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22 Y/M with bouts of loose stools + vomiting; labelled as “anxiety disorder” and sent on his way. Slide said, “look closer.” 👀 Turns out… not every case is in your head, some just know how to “stick around” without being seen. Ileal biopsy done; diagnosis❓ #GIPath #PathX
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#Pathresidents #GIPath #Surgpath A resection from a 2cm pedunculated polyp found on screening colonoscopy in a 60 year old man: See the thread for a poll, and some short discussion slides.
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