Dr Tatiana Hitchen
@txhitchen.bsky.social
110 followers 180 following 99 posts
Anatomical pathology trainee, swapped scalpel for microtome. Philosophy/Law grad. Various interests: my work, human rights, economics, running, guinea pigs.
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txhitchen.bsky.social
Saw one in Melbourne recently!
txhitchen.bsky.social
Ok, ok. Here’s the twist - here’s the patient #pathsky #PathSky #dermpath
txhitchen.bsky.social
Did anyone pick the lack of solar elastosis and suspiciously high number of hair follicles?
txhitchen.bsky.social
Micro - a bit unexpected? Subcut as anticipated however appears to be an adnexal cyst lined containing numerous hair follicles. Mitotically active!!
txhitchen.bsky.social
My best diagnosis is trichofolliculoma.
txhitchen.bsky.social
Thoughts??
There’s a twist I won’t reveal yet 👀
txhitchen.bsky.social
Micro - a bit unexpected? Subcut as anticipated however appears to be an adnexal cyst lined containing numerous hair follicles. Mitotically active!!
txhitchen.bsky.social
Cut surface showed a cystic lesion filled with grey caseous material. Expected to be epidermal inclusion cyst
txhitchen.bsky.social
#PathSky #dermpath
Subcutaneous neck lump, present for 3+ years, slow growth.
Macro: 40mm. Appears encapsulated. Unusually well excised!
txhitchen.bsky.social
#PathSky
When the ovary ova-achieves and makes prostate.
Reposted by Dr Tatiana Hitchen
joneshowdareyou.bsky.social
I enjoyed this. And what an infectious laugh. ❤️

"Reporter left speechless after witnessing Japan's new $70 million Maglev train in action at 310 mph"
txhitchen.bsky.social
Unexpected item in the grossing area
txhitchen.bsky.social
PAS or Grocott not required here 😬
#PathSky
txhitchen.bsky.social
This - and subsequently reading Dexter Holland's Wikipedia entry - has absolutely made my day.
gamerstavernshow.com
If you want a weird but true fact to talk about:

Dexter Holland, lead singer of The Offspring, was instrumental in this. His doctorial thesis in molecular biology was sequencing mRNA in HIV. The paper was also heavily cited in creating the COVID-19 vaccine.
faineg.bsky.social
It feels like we should be making a bigger deal of “we actually did in fact find a cure for AIDS”
txhitchen.bsky.social
#PathSky
Biopsy with gastritis on scope. Epithelial stripping, dense inflammatory infiltrate in the lamina propria, and thick subepithelial collagen band highlighted on trichrome -> collagenous gastritis.
No significant neutrophil population and H. Pylori negative.
txhitchen.bsky.social
#PathSky

Ulcerated skin lesion. Sheets of immature cells, mitoses +++, eosinophilic myelocytes (eosinophilic granular cytoplasm); MPO and CD43+

Haem team is very good and never fails to give the key history of AML.
txhitchen.bsky.social
Heading into my cytology era. #PathSky
txhitchen.bsky.social
T is for tumour #PathSky
Reposted by Dr Tatiana Hitchen
trishgreenhalgh.bsky.social
Plenty studies showing that your postcode is a better predictor of your health outcomes than your genome.
carolinejmolloy.bsky.social
The BBC & Telegraph are trailing Wes Streeting’s technophile health plans, including genomic mapping at birth.
Is this really gonna transform the NHS into a prevention service within 10 yrs, as Wes claims? For v rare genetic conditions, praps. But for the real burden of disease?

Thoughts, #medsky?
txhitchen.bsky.social
This is such a good point and not made often enough!
txhitchen.bsky.social
"We're all individuals!"
Reposted by Dr Tatiana Hitchen
txhitchen.bsky.social
Gratuitously posting this because I think kidney tumours are rewarding. Chromophobe RCC, plant-like cell walls and wrinkled nuclei. Very pretty staining for Hale’s colloidal iron. (Tumour was 133 mm!)
#PathSky
txhitchen.bsky.social
If you haven't already read Unshrinking, and everything else for that matter, by @katemanne.bsky.social, I highly recommend.
Reposted by Dr Tatiana Hitchen
docsenvaus.bsky.social
Enough time to listen to All Too Well (10-Minute Version) 28,250,650,000 times.
txhitchen.bsky.social
A slightly degenerate example of cryptococcus, which seems a bit nicer than met Ca.