The nomadic digital pathologist

I often use a “cars and roads”analogy to explain certain aspects of #digitalpathology . Large high throughput scanners can be compared to fast cars, but without good quality roads linking large cities (hospitals) they can gather dust in the garage.In this article, I explain that you don’t necessarily need a Porsche or a Lamborghini to … Continue reading “The nomadic digital pathologist”

“What lies beneath”: getting the gist of GIST and submucosal mimics in the oesophagus and stomach: SW Regional teaching December 2022

Slides hosted on “University of Leeds” https://www.virtualpathology.leeds.ac.uk and Pathomation.   Case 1. 35M ?GIST distal oesophagus EMR. Whole slide image link from Leeds , another one from me with S100. Case 2. Submucosal oesophageal mass suspected GIST. H&E slide.CD117. SMA. Case 3. Incidental Gastric mass resected during staging of oesophageal cancer; Slides. Case 4. 80F … Continue reading ““What lies beneath”: getting the gist of GIST and submucosal mimics in the oesophagus and stomach: SW Regional teaching December 2022”

Wear sunscreen parody : get the vaccine!

I wrote this in the waiting room after my booster jab. hope you like it! NB. not medical advice or necessarily reflecting my political views “Wear Sunscreen Parody for Pathologists” Ladies and gentlemen pathologists of ‘2020 and beyond: Get the vaccine. If I could offer you only one tip for the future, vaccination would be … Continue reading “Wear sunscreen parody : get the vaccine!”

Intramucosal Adenocarcinoma

This concept always generates controversy. In my opinion the intramucosal stage of colorectal cancer needs to be recognised and brought in line with upper gastrointestinal cancers so that we can properly compare and risk stratify all early GI cancers. Histopathologists are critical in this diagnosis and it should not be over-diagnosed. click here to read … Continue reading “Intramucosal Adenocarcinoma”

A dinosaur’s tale. Morphology shouldn’t be relegated to the tail end of the cancer diagnostic process. Could AI-assisted feature mining could bring it back to the front end?

I am a Consultant Histopathologist but started my career as a biologist before I studied medicine. My first fascination in biology centred around how form and function are intimately intertwined, and this continues to fascinate me in my daily clinical diagnostic work. Every form in nature is related to the function of that form; even … Continue reading “A dinosaur’s tale. Morphology shouldn’t be relegated to the tail end of the cancer diagnostic process. Could AI-assisted feature mining could bring it back to the front end?”

Intravascular carcinoma. Why does cancer change appearance inside vessels?

Dr Tim Bracey  A  B   Figure 1. Colorectal adenocarcinoma with lymphovascular invasion (A) and high power of the LVI in same case (B)  Introduction  “The journey is more important than the destination“; a phrase we all know well, but in cancer research the journey has been somewhat neglected in favour of studying the first part of a cancer … Continue reading “Intravascular carcinoma. Why does cancer change appearance inside vessels?”

Pathology through the COVID-19 pandemic. Resilience through adaptation and innovation

Happy to see this article (written remotely with some colleagues up country) published today. Which, if any of the changes we have made in our working patterns would you would like to see persist after the pandemic is over? #digitalpathology link to the full pdf.