Artificial Intelligence versus immunohistochemistry

Pathologists often use immunohistochemistry (IHC) to confirm what we already know, or strongly suspect from the H&E slide. AI can now assist us in a similar way such as identifying a tiny focus of cancer in a gastric biopsy, for which we might use a cytokeratin immunostain for confirmation. Like IHC it will allow us … Continue reading “Artificial Intelligence versus immunohistochemistry”

Signet ring changes in gastric and colorectal biopsies

Despite these concerning features, both are from benign conditions. The first (Figure 1A) is from a fundic gland polyp in a patient on long-term proton pump inhibitor therapy. The gastric gland epithelial cells have exuberant cytoplasmic vacuolation which can be demonstrated using anti-H+ ATPase antibody immunohistochemistry and ABPAS to be parietal cells and to lack … Continue reading “Signet ring changes in gastric and colorectal biopsies”

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”