Profile avatar
folpe-mn-st.bsky.social
I like my wife and family, bikes, music, dogs, baking bread and soft tissue tumors. Only the last here though.
228 posts 334 followers 74 following
Regular Contributor
Active Commenter
Posts 12 Comments 38

#PathSky Laryngeal mass, older adult male. Primitive, highly vascular round cell neoplasm for the most part.

submitted 9 days ago • 1 comment

#PathSky 53F with shortness of breath and “ground glass” pulmonary opacity. Not a hard dx, but a spectacular (if very unfortunate) case.

submitted 17 days ago • 1 comment

#PathSky Abdominal wall mass, middle aged woman. Women basically only get 3 abdominal wall tumors, so it’s got to be a desmoid, DFSP or endometriosis. Classic desmoid morphology, aberrant nuclear beta-catenin. I can hear the cries of “boring..”

submitted 23 days ago • 1 comment

#PathSky Someone shared a chest wall Ewing sarcoma with me today, and I queried them about exactly what they were Askin. I should probably retire today.

submitted 30 days ago • 3 comments

#PathSky Middle aged woman, leg mass. It all looks like this. More nuclear palisading/ Verocay bodies than you’ve seen in your entire career. Nerve sheath? S100/Sox10 negative. LMS? Negative for all the muscle markers. Any other ideas?

submitted 32 days ago • 3 comments

#PathSky Right femur lesion in an older woman. Diffusely keratin-positive with 3 different antibodies.

submitted 39 days ago • 1 comment

#PathSky 45 with a forearm skin tumor. Highly cellular, monomorphic spindle cell tumor with a “packeted” pattern and deep, nodular lymphoid aggregates.

submitted 45 days ago • 2 comments

#PathSky Large, left sided abdominal/retroperitoneal mass in an older adult. Spindle cell proliferation with associated inflammation. All the outside IHC were negative. What to do next? MDM2 FISH? NGS? Methylation?

submitted 51 days ago • 1 comment

#PathSky 43M, forearm mass. At first glance, it looks like some kind of inflammatory process, maybe a synovitis with plasma cells, fibrosis and foamy macrophages.

submitted 54 days ago • 1 comment

#PathSky 55F, large retroperitoneal mass. Outside pathologist quite reasonably thought of WDL, but MDM2 FISH was negative. Any other ideas?

submitted 60 days ago • 1 comment

#PathSky Large, myxoid paraspinal mass, 79M. Transferred from HemePath to BST as “myxoid sarcoma”. MDM2 was negative.

submitted 68 days ago • 1 comment

#PathSky Middle-aged woman with a long-standing neck mass.

submitted 80 days ago • 1 comment