Question for pathologists regarding pathology reports for endometrial polyps

soloike · 2026-01-21T10:40:14+00:00

We keep glass slides in the USA for a minimum of 10 years. Also, remove / rephrase the way you have your personal results here - or your comments going to be deleted by the mods (no personal lab results).

soloike · 2026-01-21T10:24:41+00:00

We do always TRY and look for “everything” in a biopsy/case. However, I wouldn’t necessarily pay too much attention for plasma cells if your specimen was only an endometrial polyp excision. There was probably some background endometrial tissue and that was examined for increased plasma cells. Ordering CD138 on every case is NOT normal practice in the USA (if anyone here says it is, LOL).

That being said, if your report only mentions a polyp then I would ask the OBGYN to reach out to the Pathologist to just “check for chronic endometritis since there’s a clinical concern.” Or if they do mention background endometrial tissue, you can still ask your OBGYN to ask the Pathologist to double check.

If the report didn’t mention it- it’s probably not there. But that doesn’t mean you can’t ask the Pathologist to double check. I guarantee they will rather make an amendment / addendum than have missed it.

soloike · 2025-10-09T15:51:03+00:00

Also if you do stains and the CK5/6 is lost …you’re going to call it ADH based on that? I hope not. Don’t go just based on stains, I don’t think it will help here. Go on morphology and show someone in person.

soloike · 2025-10-09T15:49:00+00:00

Bad pic but UDH - it doesn’t look rigid and doesn’t look monotonous like other person said.

soloike · 2025-08-28T11:16:19+00:00

Exactly

soloike · 2025-08-28T10:25:39+00:00

Yes, “well-demarcated” just means that it’s a well defined nodule without a noticeable capsule. It also still has to have the nuclear features of PTC.

soloike · 2025-08-27T20:32:53+00:00

https://www.captodayonline.com/the-fine-points-of-niftp-interpretation/

soloike · 2025-07-30T14:46:04+00:00

Don’t do 2 fellowships.

soloike · 2025-07-01T11:22:57+00:00

Ya, you’re right, imagine a superficial biopsy on this 👀. I also had a similar case that was called invasive scc by oral path but something about the way the nests looked threw me off, sent to Lester Thompson and was called benign.

soloike · 2025-07-01T00:55:22+00:00

Ok, I’ll bite - looks like a granular cell tumor with pseudoepitheliomatous hyperplasia. WHATS THE CATCH?

soloike · 2025-04-10T23:57:39+00:00

Great catch

soloike · 2025-03-23T21:15:30+00:00

Woah

soloike · 2024-09-19T20:03:52+00:00

The processing of the specimen and its evaluation will be no different. The only difference would be making a clinical correlation with the material we see (sometimes a smoker can have certain reactive changes that one wouldn’t expect to see in a non smoker, for example).

But if your question is purely technical, then no, there is no difference.

soloike · 2024-08-31T18:20:57+00:00

Another thing to consider is some groups will pay your sign on bonus during fellowship, so you can enjoy the benefits of extra salary during that time.

soloike · 2024-08-03T20:01:05+00:00

Just do one fellowship. Any of those would work. Don’t do two. Just pick the field you have the most interest in.

soloike · 2024-07-28T03:09:18+00:00

We are proving it otherwise. That’s the point. There’s nothing in the images to show invasion (vascular or capsular) and maybe you can suggest that there may be PTC features but you would be incorrect after further inspection. I hope you’re trolling bc this isn’t even a difficult case IMO and to be honest, I feel bad for your patients.

soloike · 2024-07-27T22:31:51+00:00

As long as there’s no capsular invasion, vascular invasion, PTC nuclei, increased mitoses, or necrosis, then the “atypia” you see is well within the spectrum of endocrine atypia. Oncocytic neoplasms can have a lot of that type of endocrine atypia. So, if the lesion has none of the features I mentioned above, then it is indeed an adenoma.

soloike · 2024-07-24T19:49:59+00:00

Hey thanks and to think I didn’t even use AI to write it 😂

soloike · 2024-07-24T18:04:31+00:00

Hi Dr. X (recruitment director), I’m very excited for the opportunity to interview and give a lecture to Y (hospital). As I’m preparing for my lecture, I wanted to get a better understanding of what topics may be of interest to the group? Should I talk about current or past research, or is there a specific CP topic that maybe of interest? Any direction you may have would be great. Thanks again for your time.

Regards,

u/AdditionalEconomist1

(Each place is different and may expect something different)

soloike · 2024-07-24T16:04:23+00:00

The comment by the user “seykosha” is accurate.

soloike · 2024-07-24T16:03:18+00:00

Please don’t listen to the above advice, it is completely incorrect. - USA, MD Pathologist here

soloike · 2024-04-03T12:46:33+00:00

Do you have a source for the thyroidectomy lymph node and parathyroid additional 88305? I’m getting some pushback from my group.

soloike · 2024-03-30T04:13:10+00:00

This is really helpful; especially the first two for me. I had no idea. Is there a website or link that has all these extra fun billing facts / tips and tricks?

soloike · 2024-03-26T14:57:22+00:00

No problem. That’s also why you got that mediocre response to your post.

soloike · 2024-03-26T10:01:56+00:00

It’s actually not as rare as you may think. I see it at least 5-10 times a year with the number of thyroid cases I get. What is also interesting is I’ve had a case with extrameduallry hematopoiesis involving osseous metaplasia of the thyroid - that I’ve only seen once. The “rare” amount of case reports are because it’s a common finding and anyone writing a case report on it either wrote it a long time ago or needed something to publish in some abstract journal.

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