andrew @pelgeroid

🔬🧬🧪🩸⚕️pathologist, butlerian Joined February 2012

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andrew @pelgeroid

a day ago

@DrSarahAxelrath I miss the era of the competing copycat disaster flicks

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andrew @pelgeroid

a day ago

@mcmansionhell This is the best half sleeve in history

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@STEVENKOLKERMD I use no special type ductal and feel foolish every time because literally nobody calls it that except us. All of our surgeons, rad oncs etc immediately ask "ductal?" If it's ever unclear haha.

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andrew @pelgeroid

2 weeks ago

@MirunaPopescu13 @jcksalex It could be an overactive CD21 with some pickup on B cells

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andrew @pelgeroid

2 weeks ago

@St1ka First thought was that it looks a lot like Hardwar also

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andrew @pelgeroid

3 weeks ago

@DrSarahAxelrath I live in the countryside and folks out here do love firecrackers that shake my windows

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andrew @pelgeroid

4 weeks ago

@smlungpathguy Did you read the DOJ complaint against the GI lab that ended in a 30 million odd $ settlement? This is exactly what they were doing. Up front specials and IHC on everything.

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andrew @pelgeroid

a month ago

@YehKenneth16224 @merrittk @averycutedog Crazy! Weren't you one of the admins?

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andrew @pelgeroid

2 months ago

@smlungpathguy @yro854 @Janiranavarro Yes, I agree - has been the norm since I entered practice in 2020. Volumes go up, less time per case, lots of cases get outside review as patients move around, history can be hard to find, never want to be wrong - easy to just throw IHC at it.

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andrew @pelgeroid

2 months ago

@smlungpathguy @yro854 @Janiranavarro How do you approach for subtyping? I have had to present plenty of TTF1-negative CK7+ adenocarcinoma at tumor board due to some enthusiastic staining practices by colleagues. I think oncology gets tired of me saying "it's probably lung primary still"

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andrew @pelgeroid

2 months ago

@JMGardnerMD Nice case!

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andrew @pelgeroid

2 months ago

@smlungpathguy @yro854 @Janiranavarro Do you stain adenocarcinoma on lung needle bx at all if there is no history or imaging suggestive of metastasis?