The most visited pages in 2012 & 2013
Click on images for linked pages

Intermediate grade DCIS - thumbnail Grading - thumbnail
Fibroadenoma - thumbail ADH - thumbnail



Three new cases for you! 1) A capillary haemangioma occupying much of an axillary lymph node. We see them from time to time in our practice but they are not important clinically. I have given a reference to a study published over 30 years ago in the Journal of Pathology (not by me!). How time flies! 2) An adenolipoma (variant of a hamartoma) & 3) A core biopsy of an encysted papillary carcinoma which illustrates some important diagnostic points. I hope you enjoy them.

Colleagues have approached me to see if there was an appetite to publish brief case reports on this site. If there was an enthusiasm I would set up a special section. If there is interest please contact me at this address:

The site is now over eight years old - it went live in February/March 2006. I am grateful to all the vistors, colleagues and trainees who help to encourage its further growth and development. Visitor numbers continue to rise and are now at about 20,000 a month (17,000 a month last year). The most frequently accessed pages remain broadly unchanged from previous years but updating that part of the home page is on my 'to do' list for this year.

I am absolutely delighted to continue to work with colleagues on the Sloane Project. We have previously updated the ADH page on that site and I have used those images and text to update this site's Sloane Project ADH page in line with that. The Sloane Project is going from strength to strength. The steering group is immensely fortunate to have been guided by the expert chairmanship of Hugh Bishop succeeded two years ago by Professor Alastair Thompson with fantastic support from the West Midlands Cancer Intelligence Unit and the NHS Breast Screening Programme. We are well advanced in consolidating our data and I believe some really exciting outputs can be anticipated.

We have recently published in the Europen Journal of Cancer a very interesting study of adverse surgical outcomes in screen-detected DCIS having prevoiusly presented the paper at the European Breast Cancerr Conference in Glasgow earlier this year. If you would like a pdf of the paper please get in touch via the following e mail address: '' .

Background, aims & optimum viewing:


An easily accessible entry point to the understanding of the pathology of breast diseases
Uses the flexibility of the web to allow rapid updating


Trainees in breast pathology
Teachers seeking educational material
The wider public


Cross-specialty topics such as immunohistochemistry and specimen handling protocols
Very richly illustrated with 'mouse-over' features on many illustrations
Extensive hyperlinking throughout site - easily navigable


Internet Explorer 5.0, Firefox 1.5 or Opera 9.0 or above
Screen resolution of 1280x800
Broadband internet connection


An evolving resource to cover all main areas of breast pathology
Developing links with other educational sites
Providing topical information
Developing interactive functionality


Dr Jeremy Thomas, Lead Consultant Pathologist, Edinburgh Breast Unit

Summary of topics covered on this site:


Specimen handling; BMS Trimming;
Reporting protocols; Communication;
Links to screening documents;


Immunohistochemistry; Genetics

Benign &

Epithelial proliferations - typical and atypical;
Fibroadenomas and related lesions;
Sclerosing lesions; Inflammations; Fibromatosis


Carcinoma in situ;
Common and uncommon cancers;
Grading and staging breast cancer;
Prognosis of breast cancer

It is emphasised that these pages are complementary to the many excellent texts and aids available to the student of breast pathology. The author recommends the following references as a starting point:

Site last updated 17/09/2014

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