Category: Case of the Month

20 April 2022: Case of the Month #514

Thanks to Dr. Chunyu Cai, University of Texas Southwestern Medical Center, Dallas, Texas, USA for contributing this case and discussion and to Dr. Meaghan Morris, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA for reviewing the discussion.

Clinical history:

A 51 year old man presents with progressive hearing loss in the left ear, intermittent dizziness, difficulty walking and recent onset of severe headaches.

Click here for the case

All cases are archived on our website. To view them sorted by case number, diagnosis or category, visit our main Case of the Month page.

To subscribe to Case of the Month or our other email lists, click here.

1 April 2022: Weekly Roundup #84


This is what’s new on PathologyOutlines.com:

1. New Editorial Board Member for Hematopathology

Dr. Anamarija Perry was recently appointed to our Editorial Board for Hematopathology. She is an Associate Professor of Pathology at the University of Michigan in Ann Arbor. She obtained her M.D. at the University of Zagreb School of Medicine in Zagreb, Croatia and then completed her Anatomic and Clinical Pathology residency at the University of Cincinnati, followed by a fellowship in Hematopathology at the University of Nebraska.

2. Whole Slide Images

We are planning to add the capability of hosting whole slide images (WSI), perhaps 50 – 100 per year, which would be under our control so we no longer have to rely on links that often break. For visitors, this means they could view the images with a standard browser without add-ons. For authors, this means they would upload the images directly or give us access so we could do it ourselves. It also means our staff, many with IT backgrounds, would handle the IT issues. Because of a limited budget, we cannot go with the standard solutions, which cost $25K – $100K.

Please contact Nat@PathologyOutlines.com if you work with WSI and are willing to share some of your server and IT capabilities with us – we can discuss the terms. We are also open to other possible solutions.

3. Case #513

Case #513 was posted on March 23. You can sign up for our monthly case newsletters and more here.

4. Downtime

PathologyOutlines.com will be down for upgrades today (April 1) at 10 p.m. EST for a few hours. Our apologies in advance for any inconvenience.

5. USCAP 2022

We had a great show at USCAP 2022 in Los Angeles. We took many photos and videos, which we have already started posting on our social media accounts (see Facebook / YouTube / Instagram / Twitter) and Testimonials page. We met with many of our authors and editors and recruited additional authors. We signed up and discussed the Directory with pathologists worldwide as well as received feedback on how to make PathologyOutlines.com more useful.

18 February 2022: Weekly Roundup #80


This is what’s new on PathologyOutlines.com:

1. Case #512

Case #512 was posted on February 17. You can sign up for our monthly case newsletters and more here.

2. Worldwide Directory of Pathologists

Do you have a favorite image you want to show off to other pathologists? Add it to your Directory profile!

With 5,000+ Pathologists now in the Directory, we have implemented a simple way to make changes to your listing. Simply click here and you will be directed to our new Change Form, where you can make adjustments, additions or deletions to any element in your listing. You can manually describe what changes you need or choose to be taken through a guided series of options. Either way, it will take only a few minutes to complete. Of course, you can also always email us at Directory@PathologyOutlines.com.

3. “Ending Cancer As We Know It”

For the 50th anniversary of the National Cancer Act of 1971, we are highlighting videos that discuss President Biden’s goal of “ending cancer as we know it”.

Listen to Dr. Danny Welch, University of Kansas Cancer Center:

Our Curing Cancer Network group is focused on substantially reducing cancer deaths. What are your ideas for reducing cancer deaths? Comment them here or email Dr. Pernick at Nat@PathologyOutlines.com.

4. USCAP 2022

Visit us this year at USCAP, booth #323! Get some fortune cookies and chat with our staff. If you like our website, tell us why with a short video. As part of our Curing Cancer Network,  give us your ideas on how we can substantially reduce cancer deaths.

21 January 2022: Weekly Roundup #76


This is what’s new on PathologyOutlines.com:

1. Case #511

Case #511 was posted on January 19. You can sign up for our monthly case newsletters and more here.

2. 2021 Q4 Jobs Report

We have posted the PathologyOutlines.com jobs report for the 4th quarter of 2021. For this quarter, there were 372 job postings at PathologyOutlines.com for full time or part time Pathologists, which form the basis for the statistics in the report. This is a 55.0% increase from the 240 job postings in the fourth quarter of 2020. You can read more about which types of positions were posted and filter them by subspecialty and location here. 

3. PathologyOutlines.com Featured in Detroit Jewish News

Detroit Jewish News recently featured PathologyOutlines.com in an article about our 20th anniversary. Read it here!

4. Thank You To Our Advertisers

Thank you to all of our advertisers in 2021! Your support allowed us to continue to expand and improve. In recognition, we donated to 8 charities, including:

  • Alzheimer’s Foundation of America
  • American Cancer Society
  • American Heart Association
  • Doctors Without Borders
  • Fisher House-Michigan
  • Kids Without Cancer
  • National Alliance on Mental Illness
  • St. Jude Children’s Research Hospital

5. New Editorial Board

Check out our new Editorial Board here! We update this image every month or so as our Editorial Board changes. This image is also found on our main Authors page.

6. Record Traffic

In 2021, we again had record traffic. We averaged 49,509 sessions (visits) per day, an increase of 21.9% from 2020. We had 18 million sessions and an incredible 40 million pageviews in 2021. We also had record traffic for the home page (desktop plus mobile) at 3.7 million page views and the jobs page at 663,276 page views. Thanks for your support and your suggestions to improve the website, which we carefully consider and frequently implement. Contact us at Comments@PathologyOutlines.com with any comments or questions.

17 December 2021: Weekly Roundup #73


This is what’s new on PathologyOutlines.com:

1. Website Glitches

We have installed a firewall to improve the security of our website, but it seems to be causing 404 errors. While we are working on fixing it, hitting refresh will usually reload the page, although you may need to try several times or wait a minute. The website is not actually down – this is some complicated internal struggle in the network.

2. Case #510

Case #510 was posted on December 16. You can sign up for our monthly case newsletters and more here.

3. Jobs Record

We now have a record of 732 jobs posted on our Jobs page. Dr. Pernick attributes this to senior pathologists deciding to retire during the pandemic, but he welcomes your stories or your thoughts on this at Nat@PathologyOutlines.com.

4. Curing Cancer Network

We sent out another edition of our Curing Cancer Network newsletter. Sign up here to receive it directly in your inbox and view the most recent newsletter here.

5. Worldwide Directory of Pathologists

We have created or added Directory profiles for most pathologists at Harvard, Mayo Clinic, University of Michigan, Johns Hopkins, Emory, MD Anderson and other institutions.

We have now posted profiles of 13% of U.S. pathologists, aiming for 50% by next summer. Next, we are adding profiles for pathologists at Washington University, University of Utah and University of Toronto, but any pathologist can create their own profile by filling in this brief form. Use your profile to share your words of wisdom, the secrets of your success or your favorite pathology image.

3 December 2021: Weekly Roundup #71


This is what’s new on PathologyOutlines.com:

1. Worldwide Directory of Pathologists

Are you looking for research collaborators? Do you have a great image you want to share? Has your institution or email changed? We now have ~3,000 pathologist profiles in our Directory. Pathologists should review their profile to ensure it is up to date. Email us any updates to Directory@PathologyOutlines.com.

2. What’s New In Molecular Genetic Pathology?

Our most recent What’s New in Molecular Genetic Pathology newsletter was sent out on November 22. Sign up for future What’s New newsletters (and more) here.

3. Case #509

Case #509 was posted on November 19. You can sign up for our monthly case newsletters and more here.

4. Textbook Icon

We now have a textbook icon in the header, so you can access any chapter from almost any page on our website. We also have dropdowns for the Author and Directory pages.

5. Editorial Board

Our Editorial Board now has 44 pathologists who review our textbook content on a daily basis. Click here to see who they are.

6. Weekly Featured Images

Visit the lower left of our home page to see our weekly featured images. For this week, the image is from the Ear chapter. Below the image is a link to more information.

22 October 2021: Weekly Roundup #69


This is what’s new on PathologyOutlines.com:

1. Q3 2021 Promotional Email Contest Winner

Dr. Frank Morden from Henry Ford Health System in West Bloomfield, Michigan has won the Q3 2021 PathologyOutlines.com Promotional Email Contest! For simply opening up PathologyOutlines.com promotional emails, Dr. Morden has won a $100 Amazon gift card.

If you’d like a chance at winning, click here for signup information and terms.

2. Case #508

Case #508 was posted on October 21. You can sign up for our monthly case newsletters and more at https://www.pathologyoutlines.com/subscribe.html.

3. Q3 2021 Pathology Jobs Report

The report for jobs posted on PathologyOutlines.com for Q3 2021 is now posted at https://www.pathologyoutlines.com/pathjobs2021q3.html. For this quarter, there were 375 job postings for full time or part time Pathologists. This is a record number of jobs for any quarter. 48% were for academic positions and 52% were for non-academic positions. Jobs were posted from 42 of 50 states, the District of Columbia, General USA, 8 provinces in Canada, Puerto Rico and Qatar. New York (38) and Florida (33) had the most job listings. 73.8% of postings required AP or AP/CP board certification / eligibility. The most commonly required or desired subspecialties or titles were hematopathology, cytopathology, GI / liver, breast, gynecologic pathology and molecular. Read the full report here. 

4. Microscopic Images of Pyothorax Associated Lymphoma

We are looking for great microscopic images of pyothorax associated lymphoma. Email them to Nat@PathologyOutlines.com with any clinical history. Of course, radiologic or gross images are helpful too.

24 September 2021: Weekly Roundup #65


This is what’s new on PathologyOutlines.com:

1. CAP 2021

Visit us at CAP ’21 this Sunday to Tuesday, Booth #214.

2. New Editorial Board Member for Pancreas Pathology

Dr. Wei Chen was appointed to our Editorial Board for Pancreas Pathology. Dr. Chen is an Associate Professor of Pathology and Director of Hepato-Pancreato-Biliary Pathology at The Ohio State University Wexner Medical Center in Columbus, Ohio. She obtained her M.D. at Peking University Health Science Center in Beijing, China. After earning a Ph.D. at Oregon State University in Corvallis, she completed a Pathology residency and a GI/Liver Pathology fellowship at The Ohio State University. Dr. Chen’s research focuses on pancreaticobiliary / liver pathology, Lynch syndrome and computer aided diagnostics.

3. Focus Groups

Are you interested in participating in industry focus groups, typically with an honorarium? Sign up for our Directory at https://www.pathologyoutlines.com/directorysignup.html and answer “Y” for the focus group question. Also, all who register for the Directory by October 31, 2021 are entered into our drawing for $50 and $100 gift cards.

4. What’s New in Pathology Newsletter

Our next What’s New in Pathology newsletter is on Molecular Pathology. Sign up to receive it at https://www.pathologyoutlines.com/subscribe.html.

5. Case of the Month #507

Case #507 was posted on September 16. You can sign up for our monthly case newsletters and more at https://www.pathologyoutlines.com/subscribe.html.

20 August 2021: Weekly Roundup #60


This is what’s new on PathologyOutlines.com:

1. Worldwide Directory of Pathologists Contest

To celebrate PathologyOutlines.com’s 20th anniversary and as an additional service to the pathology community, we created a Worldwide Directory of Pathologists. We have reached 500 entries and would like to invite every pathologist to sign up and tell us (and fellow colleagues) their favorite image, words of wisdom, fun facts and other interesting information about themselves.

To make this even more exciting, we are announcing a drawing with one $100 prize and five $50 prizes (Amazon or Starbucks gift cards) for joining by October 31, 2021. You can enter by signing up via our survey. Winners will be chosen at random.

2. New Directory Sorting Option

We have a new Directory sorting option: Favorite Images By Subspecialty

3. Case of the Month #506

Case #506 was posted on August 19. You can sign up for our monthly case newsletters and more here.

4. Detroit College Promise

Dr. Pernick and PathologyOutlines.com are proud to have started the Detroit College Promise scholarship program for Detroit Public Schools’ students, which is now managed by the DPS Foundation.

Earlier this month, the DPS Foundation awarded scholarships to 52 hardworking, deserving DPS graduates. A special thanks to donors for their unwavering support, making possible awards of $1,000 – $2,500. The ceremony was hosted at Martin Luther King, Jr. Senior High School. Family members attended in person and virtually. Ms. India Flournoy, a 2019 Detroit College Promise recipient currently at Oakland University, brought words of encouragement.

Students are attending Michigan colleges, universities and community colleges, as well as Historically Black Colleges and Universities.  We are extremely proud of these young people who persevered during a year of uncertainty and disruption.

To support next year’s graduates, please donate at https://www.classy.org/campaign/detroit-college-promise/c256730.

Click here for the Scholarship Awards Program and Pledge.

5. Link Checking

PathologyOutlines.com is starting another round of link checking all of our textbook chapters. If you find a broken link that we missed, please email us at CommentsPathout@gmail.com.

16 April 2021: Weekly Roundup #45


This is what’s new on PathologyOutlines.com:

1. New Editorial Board Member for Breast Pathology

Dr. Kristen E. Muller was appointed to our Editorial Board for Breast Pathology. Dr. Muller is an Assistant Professor of Pathology at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire, where she is the Director of the Breast Pathology Service and specializes in breast and gynecologic pathology.  She obtained her D.O. at Nova Southeastern University College of Osteopathic Medicine in Fort Lauderdale, Florida. She completed a residency in Anatomic and Clinical Pathology at Dartmouth-Hitchcock Medical Center.  She subsequently did a fellowship in breast pathology at University of Michigan in Ann Arbor.

2. New Editorial Board Member for Hematopathology

Dr. Roberto N. Miranda was appointed to our Editorial Board for Hematopathology. Dr. Miranda is a Professor in the Department of Hematopathology at The University of Texas MD Anderson Cancer Center in Houston. He obtained his M.D. at the Universidad Peruana Cayetano Heredia, Lima, Peru, then completed a pathology residency at Brown University in Providence, Rhode Island and a Hematopathology fellowship at Vanderbilt University in Nashville, Tennessee. He worked as a General Pathologist at the University of Missouri-Kansas City before moving to MD Anderson, where he deals with neoplastic bone marrow and lymph node pathology and has a particular interest in T cell lymphomas. Dr. Miranda has expertise in the diagnosis and research on breast implant associated anaplastic large cell lymphoma.

3. Case #502

Case #502 was posted on April 15. You can also sign up for our monthly case newsletters and more here.

4. Medical News Page

Our Medical News page has been updated with a new item from ELITechGroup – Standardizing the Hematology Stain Workflow – White Paper.

5. American Code Against Cancer

Dr. Pernick welcomes your comments on the American Code Against Cancer he has developed. Contact him at Nat@PathologyOutlines.com with any suggestions.