PHAT: Pleomorphic Hyalinizing Angiectatic Tumor 101

[@JMGardnerMD]

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).

[@nathanielcaspian3923]

I dont mean to be so off topic but does anybody know of a trick to log back into an instagram account..? I stupidly lost the login password. I love any tricks you can give me!

[@vivaanavery3571]

@Nathaniel Caspian instablaster :)

[@nathanielcaspian3923]

@Vivaan Avery i really appreciate your reply. I found the site on google and Im waiting for the hacking stuff atm. I see it takes a while so I will reply here later when my account password hopefully is recovered.

[@nathanielcaspian3923]

@Vivaan Avery it worked and I now got access to my account again. I'm so happy:D Thank you so much you really help me out :D

[@vivaanavery3571]

@Nathaniel Caspian No problem =)

[@kinludovico]

the DermPath young community worldwide is really very thankful for your awesome lectures :)) I would like to hear from you on many topics, but I would love to hear from you about melanoma/melanoma subtypes and the complexed nevus subtypes/dysplastic ones ;)

[@JMGardnerMD]

Melanoma 101 video kikoxp.com/posts/3764. Dysplastic Nevus Explained in less than 5 Minutes. video: kikoxp.com/posts/3670. 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).

[@rajanchopra2193]

Brilliant discussion, many thanks.

[@ai841deku]

Thank you for this video. In the last example, the thick-walled vessels look a lot less conspicuous than in the earlier examples. Do you agree, or am I just not looking hard enough?

[@kimfortune8957]

I actually had two surgeries last year to remove my PHATs. I had one removed in May when they thought it was a cyst and then had a pretty quick recurrence (I believe it was residual tumour to be honest) and it was removed in October. My PHAT was in my right foot, and to this day I struggle with nerve pain and pretty well daily swelling and bruising. My suggestion for anyone who has an unusual mass would be to have it imaged early on and before surgeons start digging around. I wish the doctors had not assumed it was a cyst, I often wonder if they’d have taken a different approach, would I have as much pain, bruising and swelling today? Who knows! Regardless, the surgeons were excited to see it as it’s not common so I’m glad it was exciting for them... ha ha...

[@santiagorico1407]

Hello, I would like to ask you if PHAT has ever been described as a paratesticular tumor. According to a pathologist, it would be the first case. thank you

[@madhudewan8207]

Molecular background is getting important in every entity

[@reenamerad]

Thank you so much for this excellent video. You are an amazing teacher!!. Could you please do a session on MIFS and Haemosiderotic fibrohistiocytic lipomatous lesion for us?

[@JMGardnerMD]

Better late than never! I covered MIFS in a recent video at 35:46: kikoxp.com/posts/5306. WSI digital slide here: kikoxp.com/posts/5128. Haven't done HFLT yet but I'll get there eventually. Also, 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).

[@madhudewan8207]

Thanks

[@marcomazzotta1921]

Excelent video! Thank you for show us this rare entity!

[@danaalialasady7311]

Please make video about myofibroblastic tumor

[@JMGardnerMD]

kzbin.info/www/bejne/bXXPkJWlm7mMj9U

[@malinigoswami8526]

Excellent video!!Any immunostains to help in the diagnosis of PHAT? The last case you showed really had a lot of pleomorphism and I could hardly appreciate the vessels,so tough to diagnose!

[@sleeplessmarisa6533]

Thank you

[@asmarasyed3988]

thank you dr

[@dr.prasanthipalla2793]

thank you so much

[@shirindasgupta6519]

Sir what is the usual site for these tumours?

[@JMGardnerMD]

Subcutis of leg most often.

[@drsaradindudas5859]

Thank you sir

[@thelearner1737]

Thank you.. you are awesome

[@hypergirl9266]

My dad was just diagnosed with undifferentiated pleomorphic sarcoma as a nurse I'm horrified

[@JMGardnerMD]

I’m so very sorry.

[@engvoc5318]

Thank yoou very much

[@tedcombs3046]

I am actually a patient who had a PHAT tumor excised nearly two years ago. I am struggling to find the incidence rate of this diagnosis. This will be helpful information for new physician appointments, one of which is coming up. I do not expect her to have heard of it since every new doctor I have been to since my diagnosis is hearing of it first from me and asking for any details about the diagnosis I can give them. The only data I have found states

[@JMGardnerMD]

Hi Ted. thanks for contacting me. I don't know an exact number for the incidence (not sure if anyone knows), but it is incredibly rare. I specialize in rare soft tissue tumors and I've only seen a handful of PHAT during training and practice. There surely must be more than 50 now (eventually, tumors are not reported to the literature as often, and therefore we lose count of them), but they are still very rare. Most doctors will never have heard of this disease before. Pretty much the only ones who know about it are pathologists like me who have an interest in rare soft tissue tumors. Best wishes for your health. Jerad

[@ericaayomo]

Thank you very much