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  1. Article ; Online: Seminal Vesicle Stromal Lipofuscinosis: A Rare Incidental Finding with Potential for Misdiagnosis.

    Potterveld, Susan K / Sangoi, Ankur R

    International journal of surgical pathology

    2023  , Page(s) 10668969231215424

    Abstract: We report a patient with isolated stromal lipofuscinosis of the seminal vesicle, a rare entity characterized by intracytoplasmic pigmented granules within stromal cells intimately surrounding seminal vesicle epithelium. Only 4 patients with this unusual ... ...

    Abstract We report a patient with isolated stromal lipofuscinosis of the seminal vesicle, a rare entity characterized by intracytoplasmic pigmented granules within stromal cells intimately surrounding seminal vesicle epithelium. Only 4 patients with this unusual phenomenon have been previously reported in the literature. Recognizing this incidental and presumably non-pathologic finding is important to prevent misclassification as a more concerning lesion.
    Language English
    Publishing date 2023-12-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1336393-1
    ISSN 1940-2465 ; 1066-8969
    ISSN (online) 1940-2465
    ISSN 1066-8969
    DOI 10.1177/10668969231215424
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Upper Urothelial Tract Extraosseous Bone Formation: An Unexpected Finding and Differential Diagnostic Considerations.

    Potterveld, Susan K / Wang, Nancy / Sangoi, Ankur R

    International journal of surgical pathology

    2024  , Page(s) 10668969231221755

    Abstract: Extraosseous bone formation of the upper urothelial tract is an unusual phenomenon with limited documentation in the uropathology literature, reported in only 2 clinical series of patients undergoing percutaneous nephrolithotomy for the management of ... ...

    Abstract Extraosseous bone formation of the upper urothelial tract is an unusual phenomenon with limited documentation in the uropathology literature, reported in only 2 clinical series of patients undergoing percutaneous nephrolithotomy for the management of renal stones. While speculations regarding the pathogenesis of this occurrence have been published, heterotopic ossification is still poorly understood. We report the finding of extraosseous bone formation in the renal pelvis of a 30-year-old male patient with a history of kidney stones. Histologic sections of the ureter and renal pelvis showed submucosal nodules of woven bone. Ancillary fluorescence in-situ hybridization studies were negative for
    Language English
    Publishing date 2024-01-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1336393-1
    ISSN 1940-2465 ; 1066-8969
    ISSN (online) 1940-2465
    ISSN 1066-8969
    DOI 10.1177/10668969231221755
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Topline/Final Diagnostic Inclusion of Relevant Histologic Findings in Surgical Pathology Reporting of Carcinoma in Prostate Biopsies.

    Mullane, Patrick / Williamson, Sean R / Sangoi, Ankur R

    International journal of surgical pathology

    2024  , Page(s) 10668969241231972

    Abstract: Introduction: As the list of histologic parameters to include in surgical pathology reports of prostate cancer biopsies grows, some pathologists include this information in the microscopic description or summary sections of the report, whereas others ... ...

    Abstract Introduction: As the list of histologic parameters to include in surgical pathology reports of prostate cancer biopsies grows, some pathologists include this information in the microscopic description or summary sections of the report, whereas others include it in the "topline" or final diagnosis section. This prompted us to develop a multi-institutional survey to assess reporting trends among genitourinary (GU) pathologists.
    Methods: A survey instrument was shared among 110 GU pathologists via surveymonkey.com. Anonymized respondent data was analyzed.
    Results: Eighty-four (76%) participants completed the survey across four continents. Most participants report tumor volume quantitation (88%), number of cores involved (89%), and both Gleason grade and Grade group (93%) in their topline; 71% include percent of pattern 4, with another 16% including it depending on cancer grade; 58% include the presence of cribriform growth pattern 4, with another 11% including it depending on cancer grade. When present, most include extraprostatic extension (90%), prostatic intraductal carcinoma (77%), and perineural invasion (77%). Inclusion of atypical intraductal proliferation (AIP) in the topline diagnosis was cancer grade-dependent, with 74% including AIP in Grade group 1, 61% in Grade group 2, 45% in Grade group 3, 30% in Grade group 4, and 26% in Grade group 5 cancers.
    Conclusion: Certain histologic features such as Gleason grade and tumor volume/cores involved are frequently included in the topline diagnosis, whereas the incorporation of other findings are more variably included. Prostate biopsy reporting remains a dynamic process with stylistic similarities and differences existing among GU pathologists.
    Language English
    Publishing date 2024-03-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1336393-1
    ISSN 1940-2465 ; 1066-8969
    ISSN (online) 1940-2465
    ISSN 1066-8969
    DOI 10.1177/10668969241231972
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: GATA3 in Renal Neoplasms: Increased Utility and Potential Pitfalls.

    Akgul, Mahmut / Sangoi, Ankur R / Williamson, Sean R

    International journal of surgical pathology

    2023  Volume 32, Issue 2, Page(s) 365–367

    MeSH term(s) Humans ; Kidney Neoplasms/diagnosis ; GATA3 Transcription Factor
    Chemical Substances GATA3 protein, human ; GATA3 Transcription Factor
    Language English
    Publishing date 2023-05-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1336393-1
    ISSN 1940-2465 ; 1066-8969
    ISSN (online) 1940-2465
    ISSN 1066-8969
    DOI 10.1177/10668969231177883
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Are Renal Tumor Diagnostics Becoming Too Advanced for Many Pathology Laboratories?

    Akbulut, Dilara / Sangoi, Ankur R / Williamson, Sean R / Akgul, Mahmut

    International journal of surgical pathology

    2024  , Page(s) 10668969241231982

    Abstract: The recent influx of novel renal neoplasms, particularly molecularly-defined renal carcinomas, has introduced new challenges in the daily practice of most pathology laboratories. These tumors are uncommon, they do not always have well-established ... ...

    Abstract The recent influx of novel renal neoplasms, particularly molecularly-defined renal carcinomas, has introduced new challenges in the daily practice of most pathology laboratories. These tumors are uncommon, they do not always have well-established morphologic features, and the expression profile of most common biomarkers is not well understood. Moreover, the diagnosis of molecularly-defined renal carcinomas requires the documentation of the disease-defining molecular alteration, with molecular studies or surrogate immunohistochemical markers. Unfortunately, most pathology laboratories lack molecular laboratories, or it is not cost-effective to maintain assays of the specific biomarkers in these unusual tumors. Pathologists should have updated knowledge about the recent changes in renal neoplasms and be aware of these limitations.
    Language English
    Publishing date 2024-02-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1336393-1
    ISSN 1940-2465 ; 1066-8969
    ISSN (online) 1940-2465
    ISSN 1066-8969
    DOI 10.1177/10668969241231982
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: "Thick Section" Gram Stain Yields Improved Detection of Organisms in Tissue Sections of Cystic Neutrophilic Granulomatous Mastitis.

    Sangoi, Ankur R

    American journal of clinical pathology

    2019  Volume 153, Issue 5, Page(s) 593–597

    Abstract: Objectives: Cystic neutrophilic granulomatous mastitis (CNGM) is an uncommon subtype of granulomatous mastitis featuring epithelioid histiocytes/neutrophils rimming discrete cystic spaces. When present, gram-positive bacteria (typically Corynebacterium ... ...

    Abstract Objectives: Cystic neutrophilic granulomatous mastitis (CNGM) is an uncommon subtype of granulomatous mastitis featuring epithelioid histiocytes/neutrophils rimming discrete cystic spaces. When present, gram-positive bacteria (typically Corynebacterium species) are identified within these cystic spaces, although they can be difficult to appreciate on tissue sections.
    Methods: Based on pilot gram-stained tissue sections of CNGM cases cut on 6 μm thickness (in which bacterial organisms were more readily identifiable) instead of the traditional 4 μm, a formal comparative analysis of 19 CNGM cases was performed on parallel 6-μm ("thick") vs 4-μm sections from one representative block per case.
    Results: Biopsies (n = 17) and excisional specimens (n = 2) from 19 CNGM cases were included. Gram-positive palisaded rods were identified in seven cases using 4-μm sections and in 11 cases using 6-μm sections (sensitivity of 37% vs 58% in identifying organisms). Among all seven cases of organisms seen on the 4-μm section Gram stain, the paired 6-μm section Gram stain showed a higher number of and more readily identifiable bacteria.
    Conclusions: Thick section Gram stain of representative tissue blocks performed at 6 μm improves both detection rate and ease of identification of gram-positive organisms in CNGM.
    MeSH term(s) Adult ; Breast/microbiology ; Corynebacterium/isolation & purification ; Corynebacterium Infections/microbiology ; Female ; Gentian Violet ; Granulomatous Mastitis/microbiology ; Humans ; Middle Aged ; Phenazines
    Chemical Substances Gram's stain ; Phenazines ; Gentian Violet (J4Z741D6O5)
    Language English
    Publishing date 2019-12-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2944-0
    ISSN 1943-7722 ; 0002-9173
    ISSN (online) 1943-7722
    ISSN 0002-9173
    DOI 10.1093/ajcp/aqz200
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: IgG4-Related Prostatitis: A Potentially Underappreciated Finding for Pathologists.

    Sangoi, Ankur R / Maclean, Fiona / Myint, Esther / Chan, Emily

    International journal of surgical pathology

    2023  Volume 32, Issue 1, Page(s) 100–103

    MeSH term(s) Male ; Humans ; Prostatitis/diagnosis ; Immunoglobulin G ; Pathologists ; Autoimmune Diseases
    Chemical Substances Immunoglobulin G
    Language English
    Publishing date 2023-05-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1336393-1
    ISSN 1940-2465 ; 1066-8969
    ISSN (online) 1940-2465
    ISSN 1066-8969
    DOI 10.1177/10668969231171659
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Clear Cell Renal Cell Carcinoma With Syncytial-Type Multinucleated Giant Tumor Cells: A Clinicopathologic Study of 14 Cases.

    Nova-Camacho, Luiz M / Sangoi, Ankur R

    International journal of surgical pathology

    2023  , Page(s) 10668969231189798

    Abstract: The presence of syncytial-type multinucleated giant tumor cells with emperipolesis in clear cell renal cell carcinoma (RCC) is uncommon, with only 31 cumulative published cases to date. After a rereview of 125 clear cell RCC of World Health Organization/ ... ...

    Abstract The presence of syncytial-type multinucleated giant tumor cells with emperipolesis in clear cell renal cell carcinoma (RCC) is uncommon, with only 31 cumulative published cases to date. After a rereview of 125 clear cell RCC of World Health Organization/International Society of Urological Pathology grade 3 or 4, 14 clear cell RCCs with admixed syncytial-type giant cells (to our knowledge, the largest series to date) were found with a mean patient age of 67 years and with no sex difference (M = 7, F = 7). Mean tumor size was 7.3 cm. The syncytial-type giant cells comprised between 2% and 20% of the tumor and were present mainly around areas of necrosis. Five tumors were staged as pT1 or pT2, 8 as pT3, and 1 as pT4. Other findings included sarcomatoid differentiation (3/14), rhabdoid differentiation (4/14), and emperipolesis (12/14). Positive immunostains included keratin AE1/AE3 (13/13), carbonic anhydrase 9 and CD10 (12/14 each), vimentin (8/14), EMA (5/12), and alpha-methyacyl-CoA racemase (3/12). Keratin 7, keratin 20, human melanoma black 45, KIT, TFE3, cathepsin K, CD68, CD61, and beta human chorionic gonadotropin were negative. Six of 13 patients had recurrence or metastases during a mean follow-up time of 56 months. Four of 13 patients died of disease, 2 of 13 patients were alive with the disease, and 7 of 13 patients had no evidence of disease. Although the incidence of finding syncytial-type multinucleated giant tumor cells in clear cell RCC is low (approximately 1.2%), given that a subset of the patients showed poor outcomes while lacking other poor histologic parameters (eg, sarcomatoid or rhabdoid differentiation), it may be prudent to recognize and report this feature when encountered.
    Language English
    Publishing date 2023-07-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1336393-1
    ISSN 1940-2465 ; 1066-8969
    ISSN (online) 1940-2465
    ISSN 1066-8969
    DOI 10.1177/10668969231189798
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Artifactual Cystic Spaces in Prostatic Transurethral Resections and Related Specimens: A Potential Diagnostic Confounder.

    Sangoi, Ankur R / Akgul, Mahmut / Williamson, Sean R

    International journal of surgical pathology

    2022  Volume 31, Issue 6, Page(s) 1048–1056

    Abstract: Aims. ...

    Abstract Aims.
    MeSH term(s) Male ; Humans ; Carcinoma, Transitional Cell/surgery ; Adenocarcinoma/diagnosis ; Adenocarcinoma/surgery ; Adenocarcinoma/pathology ; Urinary Bladder Neoplasms/surgery ; Transurethral Resection of Prostate ; Prostatic Neoplasms/diagnosis ; Prostatic Neoplasms/surgery ; Prostatic Neoplasms/pathology
    Language English
    Publishing date 2022-10-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1336393-1
    ISSN 1940-2465 ; 1066-8969
    ISSN (online) 1940-2465
    ISSN 1066-8969
    DOI 10.1177/10668969221133349
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  10. Article ; Online: IDH1 p.R132C mutation in prostatic carcinoma with psammomatous calcifications: report of two cases.

    Galea, Laurence A / Flynn, Maria / Jones, Victoria / Harraway, James / Appu, Sree / Sangoi, Ankur R

    Pathology

    2023  Volume 56, Issue 3, Page(s) 419–421

    MeSH term(s) Humans ; Calcinosis/genetics ; Calcinosis/pathology ; Mutation ; Carcinoma/pathology ; Isocitrate Dehydrogenase/genetics
    Chemical Substances Isocitrate Dehydrogenase (EC 1.1.1.41) ; IDH1 protein, human (EC 1.1.1.42.)
    Language English
    Publishing date 2023-08-31
    Publishing country England
    Document type Case Reports ; Letter
    ZDB-ID 7085-3
    ISSN 1465-3931 ; 0031-3025
    ISSN (online) 1465-3931
    ISSN 0031-3025
    DOI 10.1016/j.pathol.2023.06.017
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