A complete organized library of all my videos, digital slides, pics, & sample pathology reports is available here: kikoxp.com/posts/5084 (dermpath) & kikoxp.com/posts/5083 (bone/soft tissue sarcoma pathology).
Hello Dr. Jerad, I'm a 2nd year Path resident in India. I find it difficult to distinguish between normal ovarian stroma and spindle cell lesion when no history is given with the slide. How do I differentiate between the two? Has anyone else faced this problem or am I alone? 😅
You are not alone! When I was a resident, just seeing ovary for the first time, I thought it was a synovial sarcoma at first glance! For some reason I had learned about synovial sarcoma before I had seen many ovary cases. so if anyone gives you difficulty about mistaking ovary and spindle cell tumor, you can tell them that Jerad Gardner had a problem with it too! 😎 some tips: If you see follicles or corpora lutea or mesothelium/epithelium on the outer surface, those will help you to recognize ovary rather than a tumor. Always pay attention to every structure on the whole Slide don’t just focus on the first thing you see. Seeing all of the tiny details can help give us clues to figure out where we are in the body and what the situation is. It’s true that many times we don’t really need this because we are giving history. But sometimes we are not given history, or we are given an accurate history, or there is a swap in specimens or something like that and those little clues can be a lifesaver. Become a master of normal histology for all parts of the body. That is the foundation of becoming an excellent pathologist.
