Daniel Berney Profile Banner
Daniel Berney Profile
Daniel Berney

@daniel_berney

3,628
Followers
760
Following
553
Media
4,537
Statuses

Uro/endo Histopathologist at @bartshistopath . Prof GU Path: Bart’s Cancer Institute. TPD, Editor @histo_journal . Singer and Gay Dad 👨‍👨‍👦🏳️‍🌈🐶

QMUL, Bartshealth
Joined January 2018
Don't wanna be here? Send us removal request.
@daniel_berney
Daniel Berney
2 years
From my 7 year old son. Why did the Pathologist cross the road? To get to the other slide! So proud!
15
42
393
@daniel_berney
Daniel Berney
3 years
Every time I see this, I die a little inside.
Tweet media one
40
49
365
@daniel_berney
Daniel Berney
3 years
REED-STERNBERG MY LIPS: “I am a seminoma with syncytiotrophoblast, not a choriocarcinoma and certainly not Hodgkin’s disease!” @WagnerNielsen #GUpath
Tweet media one
6
50
203
@daniel_berney
Daniel Berney
7 months
Abnormal red areas in bladder. NEVER seen a better example of this condition!
Tweet media one
12
47
179
@daniel_berney
Daniel Berney
2 years
Spectacular degenerative type Atypia in a parathyroid adenoma.
Tweet media one
4
39
160
@daniel_berney
Daniel Berney
3 years
1/2. Prostate cancer, Grade Group 3, invading into fat. But what are the pink staining foci you can see at higher power?
Tweet media one
Tweet media two
8
61
158
@daniel_berney
Daniel Berney
2 years
This arrived today. Honour to be asked, and so delighted with the blue book! Kudos to all co-editors and authors @IanCreeUK #who
Tweet media one
Tweet media two
7
24
153
@daniel_berney
Daniel Berney
3 years
Papillary carcinoma of the thyroid, so called ‘Warthin-like’ variant due to superficial similarity to Warthin tumour of salivary glands. No prognostic implications but pretty to see. Typically it has florid inflammation in normal thyroid as did this case. Happy weekend!
Tweet media one
Tweet media two
1
52
156
@daniel_berney
Daniel Berney
8 months
No it isn’t.
Tweet media one
11
9
159
@daniel_berney
Daniel Berney
4 years
That sinking feeling when I see this pattern in a bladder. Plasmacytoid variant of Urothelial carcinoma.
Tweet media one
4
32
136
@daniel_berney
Daniel Berney
4 years
Blocks. Blocks. Blocks: 7 slides of pure seminoma and this 2mm focus of embryonal carcinoma changes prognosis, treatment and follow-up. Good example of the differences and what to see at low power.
Tweet media one
Tweet media two
8
42
131
@daniel_berney
Daniel Berney
2 years
Lots of train lines in London and this thyroid today..
Tweet media one
2
27
127
@daniel_berney
Daniel Berney
4 years
Let us finish the week with a beauty and a real rarity. A papillary cystadenoma of the rete testis. Somehow I feel I might persuade others, a WSI can make its way into the WHO 2021 testis blue book which I have the privilege of editing with @ro36693000 and Dr Satish Tickoo.
Tweet media one
6
40
119
@daniel_berney
Daniel Berney
2 years
Tall cell variant of papillary thyroid carcinoma. Note the classic nuclear features…are completely absent!! #endopath
Tweet media one
4
23
122
@daniel_berney
Daniel Berney
3 years
A very well nested paraganglioma with a convincingly negative SDH-B and a far to high Ki-67. Wish someone had told me how important the Kreb’s cycle would be to my job 35 years ago!
Tweet media one
Tweet media two
Tweet media three
3
34
120
@daniel_berney
Daniel Berney
4 years
The best, nicest and hardest working pathologist at @NHSBartsHealth who I have been a friend and colleague for 30 yrs as SHOs at @RoyalLondonHosp got Covid today. Mike Sheaff we are all with you mate. You will be back to your 6:45AM starts in no time!! Lung and renal need you! Xx
22
4
117
@daniel_berney
Daniel Berney
2 years
1. Two thyroid solid masses, Both tiny and quite hidden, One multi lobed and streaming, The other partly missing!
Tweet media one
Tweet media two
9
36
117
@daniel_berney
Daniel Berney
5 years
Young person, bladder mass, which looked T3 on imaging. H and E and ALK1. Best example of inflammatory myofibroblastic tumour I’ve had for a while.
Tweet media one
Tweet media two
3
42
110
@daniel_berney
Daniel Berney
7 months
Devastated that Prof Naveena Singh, after over a yr of illness, has passed away. She was my colleague and friend for over 25 years. She achieved so much: a huge loss for #gynaepath . Condolences to her devoted husband Stuart and family. We are bereft. Rest in peace my darling. 💔
Tweet media one
Tweet media two
@daniel_berney
Daniel Berney
5 years
Delighted my friend/colleague Naveena Singh has been awarded an hon Professorship with @QMULBartsTheLon . She has done pioneering work on ovarian ca, inc this review from 2017 in @Histo_Journal . She will be editing the ARI 2020 with Prof Blake Gilks.
Tweet media one
Tweet media two
3
6
21
28
13
116
@daniel_berney
Daniel Berney
6 months
Last night I had the honour of being awarded the Cunningham medal by the @BritishDivIAP for services to the BDIAP after a lovely meal at the RAC club. Great evening and feel very lucky! If a little hung-over….
Tweet media one
Tweet media two
27
5
114
@daniel_berney
Daniel Berney
1 year
Inter-tubular seminoma being sneaky here as ever! Always have a good look at areas of lymphocytic infiltration. #GUPath
Tweet media one
2
42
113
@daniel_berney
Daniel Berney
3 years
For those of you trainees who had an abstract rejected from @TheUSCAP …well so did I. Having also been an USCAP abstract reviewer and journal editor: it’s a tough job and not easy. Please don’t blame the system: rework, find another forum. Move on: I will!
10
11
107
@daniel_berney
Daniel Berney
4 years
Welcome to the all new home working pathology lab. Many many thanks to the management and IT in @NHSBartsHealth for getting me on line, able to videoconference and a lovely microscope so smoothly.
Tweet media one
8
10
105
@daniel_berney
Daniel Berney
2 years
A National Shortage of PARAFFIN WAX for embedding??? Are you kidding me???
17
6
100
@daniel_berney
Daniel Berney
2 years
Berney’s 12 rules of endocrine pathology. (Some controversial!!) 1. The endocrinologist can help you. Often. 2. So can the surgeon! Sometimes. 3. Nothing beats a good macro and blocking. 4. Nuclear clearing is not specific for pap ca. Ignore the books. 1/
8
27
107
@daniel_berney
Daniel Berney
5 years
Invasive urothelial ca of renal pelvis with a big twist! This is in an immune suppressed man with a renal transplant. This is a BK virus driven tumour and as in this case is micropapillary ( often the case) . Strong SV40 (polygoma large T cell ag) positivity!
Tweet media one
Tweet media two
Tweet media three
Tweet media four
5
47
97
@daniel_berney
Daniel Berney
1 year
My Hospital is 900 years old today! Very proud to work here. @BartsHospital
@kulvinderlall
kulvinder lall
1 year
Happy 900th Birthday 🎉 @BartsHospital
Tweet media one
0
3
42
6
7
104
@daniel_berney
Daniel Berney
4 years
The long predicted death of diagnostic histopathology has been delayed. Again.
@amerseburger
Axel S. Merseburger
4 years
Good old clinical pathology outperforms #MIBC molecular subtypes in multiple patient cohorts and classifications in predicting patient outcomes & chemotherapy response #CoverArticle @JUrology #bladdercancer @zklaassen_md @uroupdate
Tweet media one
Tweet media two
4
35
71
4
28
95
@daniel_berney
Daniel Berney
3 years
Always go on high power in areas of inflammation in the testis parenchyma to find the insidious inter tubular seminoma.
Tweet media one
1
16
95
@daniel_berney
Daniel Berney
6 months
Regarding time pressures; I recently refused my clinical colleague’s and MDT coordinators time lines which involved reporting huge numbers of prostate biopsies on a Monday night before the 8am Tuesday meeting. It invited Path error. Safety first for a non urgent Dx!!
@edusqo
Eduardo Alcaraz, MD PhD
6 months
Today I made a mistake. A diagnostic inaccuracy. The culprit: me. The cause: excessive pressure from the oncologist. I'd like to think it won't happen again, but... Let the pathologists do their job and not demand answers in a hurry. #PatientSafety #Pathology
Tweet media one
28
64
431
6
11
95
@daniel_berney
Daniel Berney
3 years
Finally!! After working here since 1991, Whitechapel station has a proper makeover and patients of @RoyalLondonHosp can have step free access to the hospital!
Tweet media one
Tweet media two
Tweet media three
2
7
87
@daniel_berney
Daniel Berney
3 years
Rather proud of my 6 year old’s ambition today.
Tweet media one
6
2
87
@daniel_berney
Daniel Berney
4 years
RIP Steve Jones. Steve was lab manager at @NHSBartsHealth for over 40 years was married to our wonderful head of service, Dr Abi Lee and has two gorgeous boys. Abi is not on Twitter but the whole of pathology at @RoyalLondonHosp send massive condolences to Abi and family.
Tweet media one
15
3
83
@daniel_berney
Daniel Berney
2 years
A very exciting package arrived today! Thank you to @SunnyKaoMD for the heavy lifting on our small contribution and congratulations to @JLHornick , @CaboFishDoc and Drs Victor Reuter and Teri Longacre on a fantastic achievement.
Tweet media one
Tweet media two
Tweet media three
4
7
85
@daniel_berney
Daniel Berney
2 years
1/17 Tweetorial on path risk factors in GCT treatment. They are among the most curable malignancies, even after metastasis. But when is orchidectomy ✂️enough when no mets? 🧐 Adjuvant chemo has serous side effects❤️‍🩹,🫁 and 2ary malignancy. Best avoided especially BEP for NSGCT.
Tweet media one
7
32
82
@daniel_berney
Daniel Berney
4 years
Always look at the epithelium of foreskins at high power. Usually very dull but sometimes you see this!
Tweet media one
7
16
82
@daniel_berney
Daniel Berney
1 year
Here’s a very atrophic patterned prostate cancer while everyone else is ENJOYING THEMSELVES at #USCAP2023 😡
Tweet media one
4
17
80
@daniel_berney
Daniel Berney
2 years
Flood of Christmas referrals, most too rare to tweet. However a reminder here: look for the choriocarcinoma around areas of haemorrhage! #gupath
Tweet media one
0
23
79
@daniel_berney
Daniel Berney
5 years
Recycling your #USCAP2019 posters: if you have a 5 year old they can have fun cutting out the ‘sight’ words!
Tweet media one
5
5
76
@daniel_berney
Daniel Berney
1 year
69 male with tongue base mass…what do you want to request….if anything!
Tweet media one
12
27
81
@daniel_berney
Daniel Berney
6 years
Spirinolactone bodies in Conn’s adenoma can be tricky to find sometimes....but not in this case!
Tweet media one
2
33
71
@daniel_berney
Daniel Berney
6 months
Does the pseudohyperplastic pattern of prostate cancer give you nightmares? If not, it should do…
Tweet media one
Tweet media two
Tweet media three
8
30
80
@daniel_berney
Daniel Berney
2 years
Don’t bother looking for GCNIS in areas of spermatogenesis they say…🤔
Tweet media one
4
20
76
@daniel_berney
Daniel Berney
1 year
Seminoma which has invaded scrotal muscle : This is unusual! pT4.
Tweet media one
2
12
75
@daniel_berney
Daniel Berney
8 months
Seminoma with florid pagetoid invasion of the rete. This can be mistaken for true stromal rete invasion but pagetoid invasion had no adverse prognostic implications. #GUpath
Tweet media one
4
30
78
@daniel_berney
Daniel Berney
2 years
Ondra Hes was an amazing pathologist who became a firm friend. Here we are in China where I will now treasure a fantastic time we had together. World expert GU pathologist and and original thinker, I am devastated. Ondra RIP, with condolences to all family and friends.
Tweet media one
Tweet media two
13
3
72
@daniel_berney
Daniel Berney
3 years
1/2 Out of my comfort zone for this nasty Squamous cell carcinoma on the scalp. Think I would have just signed it out....
Tweet media one
Tweet media two
5
13
74
@daniel_berney
Daniel Berney
2 years
Florid Intratubular embryonal carcinoma in a nice wedge shape. The invasive tumour is just present on the right. Note necrosis and expansion of the tubules. All of the fun of intraductal prostate carcinoma but none of the politics….
Tweet media one
Tweet media two
4
17
74
@daniel_berney
Daniel Berney
11 months
Very proud of the ranking of Histopathology: second highest and above Am J Surg Path! But I will always choose practical histo pathology papers over IF chasing to make us a ‘go to’ journal for all Histopathologists!
@Histo_Journal
Histopathology
11 months
Delighted to share our new Impact Factor of 6.4: maintaining our current ranking. We will continue to prioritise practical and helpful articles for Histopathologists and work hard to make submission and revision as easy as possible!
0
5
48
7
4
74
@daniel_berney
Daniel Berney
4 years
You know that the clock is ticking as a testicular pathologist when you diagnose spermatocytic tumour in someone younger than yourself....
Tweet media one
Tweet media two
Tweet media three
8
19
67
@daniel_berney
Daniel Berney
3 years
There is a special joy of teaching Histopathology to a new trainee, especially if they are enthusiastic. A good day!
3
3
72
@daniel_berney
Daniel Berney
4 years
Thyroid H and E and beta-catenin. Decided this young patient needs a colonoscopy.
Tweet media one
Tweet media two
5
30
70
@daniel_berney
Daniel Berney
3 years
Darling urologists, I love and respect you all* but please take your foot of the 🤬 diathermy pedal for a second! I don’t want the pt to bleed to death either, but you might as well just have chucked this one on a BBQ! *(possibly)
Tweet media one
Tweet media two
Tweet media three
9
9
68
@daniel_berney
Daniel Berney
6 years
Yet another sex cord/stromal tumour that has not read the textbooks. Anyone seen them invade like this?!
Tweet media one
7
22
67
@daniel_berney
Daniel Berney
4 years
It’s #ComingOutDay   A long time ago, my mother’s reaction was priceless. ‘Well darling, I realised when you bought that purple jacket’. Blessed to work in a supportive environment @NHSBartsHealth @BartsLGBT_Group , as unthinkable,when I trained, as my current family life. 👨‍👨‍👦🐶🏳️‍🌈
2
4
73
@daniel_berney
Daniel Berney
1 year
hello old ( testicular) friend!
Tweet media one
6
12
71
@daniel_berney
Daniel Berney
4 years
A #pathologistsforpuppies stream is the obviously the best way to gain followers. Please note the sneak preview of the cover of @Histo_Journal in November so I can pretend this is a serious post.
Tweet media one
6
7
69
@daniel_berney
Daniel Berney
6 years
The joy of pathology is seeing something you have never seen before after 25 years shifting glass: here is a Medullary carcinoma invading a normal parathyroid.
Tweet media one
2
32
65
@daniel_berney
Daniel Berney
6 years
Bizarre to see my second composite phaeochromocytoma/ganglioneuroma of the year. This one had the elements more admixed.
Tweet media one
1
29
61
@daniel_berney
Daniel Berney
4 years
#USCAP2020 has a new message.
Tweet media one
2
16
67
@daniel_berney
Daniel Berney
8 months
#tooclosetocall at home with covid, so let’s see what you all think of this. Organ and diagnosis please!
Tweet media one
13
22
68
@daniel_berney
Daniel Berney
2 years
Testicular Leydig cell tumour with vascular invasion. Not good news.
Tweet media one
3
12
65
@daniel_berney
Daniel Berney
3 years
Lymph node SCC metastasis? This one has foci of calcification! And elsewhere merges with typical papillary Carcinoma of the thyroid. Common pitfall…
Tweet media one
Tweet media two
Tweet media three
0
18
67
@daniel_berney
Daniel Berney
2 years
Back from leave. And no, I’m still not doing IHC to see how much of this has a basal cell layer…
Tweet media one
3
6
64
@daniel_berney
Daniel Berney
6 years
Glypican 3 is a wonderful marker for Yolk Sac Tumour. I rarely need to use it but when a junior struggled to see any on H&E I could not resist.
Tweet media one
1
24
63
@daniel_berney
Daniel Berney
4 years
Paratesticular tumor. IHC to follow in a day.
Tweet media one
Tweet media two
Tweet media three
16
35
60
@daniel_berney
Daniel Berney
2 years
Nested variant urothelial carcinoma….and nasty vascular invasion! #bladderpath
Tweet media one
Tweet media two
2
19
63
@daniel_berney
Daniel Berney
3 years
Bonkers numbers of prostates today. And when I saw this I began to wonder what was ‘through the Arched Window’. Only more mature U.K. residents may get this. Who remembers Playschool?
Tweet media one
5
7
64
@daniel_berney
Daniel Berney
2 years
Is everyone for urothelial papilloma here? Single lesion…
Tweet media one
Tweet media two
6
19
61
@daniel_berney
Daniel Berney
6 years
All subspecialists in Pathology must be generalists. This bladder biopsy with no clinical arrived one damp dark weds. I was going to call severe inflammation...but no: Myeloid sarcoma! #pathology #gupath
Tweet media one
3
30
61
@daniel_berney
Daniel Berney
5 months
Feeling very sad today on what would have been Naveena Singh’s 59th birthday. For 25 years on this day I used to remind her I was 2 years younger than her, for one day! ( it’s my 58th tomorrow). We miss her every day but especially today.
Tweet media one
6
0
66
@daniel_berney
Daniel Berney
4 years
Here is our new puppy who arrived yesterday. I may have found something even prettier than a mixed germ cell tumour of the testis. You decide.. #fluffypuppies
Tweet media one
Tweet media two
Tweet media three
12
1
58
@daniel_berney
Daniel Berney
6 years
Gonadoblastoma is fascinating, somewhat mysterious and misunderstood. Great article in @Histo_Journal by Liang Chang explains the complexities, and here is one I photographed myself.
Tweet media one
1
34
58
@daniel_berney
Daniel Berney
4 years
BETTER BLOCKS NOT MORE BLOCKS!! Macroscopy under the microscope: a critical reappraisal of grossing techniques
7
23
60
@daniel_berney
Daniel Berney
4 years
Very sad news. A Giant has left us. Such knowledge. Such modesty. What a loss.
@JCGarcesPath
Juan Carlos Garcés
4 years
Tweet media one
30
105
290
3
19
59
@daniel_berney
Daniel Berney
8 months
NOT AGAIN! Rectal Bx and NKX3.1. Working in East London and prostate cancer can present disastrously late. We need to do more especially in high risk groups.
Tweet media one
Tweet media two
2
21
61
@daniel_berney
Daniel Berney
2 years
Christmas Eve Pathology Prostate games. ‘I’M HIDING!!’ Says the single malignant gland here…Have a good one everyone!
Tweet media one
Tweet media two
Tweet media three
4
15
61
@daniel_berney
Daniel Berney
3 years
Testis replaced by a post pubertal Teratoma with mostly “embryonic neuroectodermal elements, amounting to somatic transformation. Rare, challenging…and a paper in the offing! ⁦ @MuraliV72899596 ⁩ ⁦ @MichelleDunno17
Tweet media one
Tweet media two
1
19
57
@daniel_berney
Daniel Berney
3 years
This is Prostate cancer with Paneth cell like neuroendocrine differentiation. 🔵 Not related to Paneth cells🔵Positive with NE markers. 🔵probable adverse effect on prognosis. 🔵Association with Aurora Kinase A amplifications makes a possible drug target!
1
11
61
@daniel_berney
Daniel Berney
2 years
Dear ST1 pathology trainees, good luck! Your first year in Histopathology can be challenging and confusing: you often feel like a spare part and this can be frustrating. My advice? Listen, be patient, learn, be enthusiastic, love your microscope and a wonderful career awaits. 🥰
0
6
59
@daniel_berney
Daniel Berney
4 years
'Expect the unexpected' or 'Why being a specialist means you still have to be a generalist'. Bone biopsy showing metastatic seminoma! Great spot from another centre: H&E and OCT4.
Tweet media one
Tweet media two
3
18
60
@daniel_berney
Daniel Berney
3 years
Merry Christmas: selfie with my new @ProstateUK Christmas jumper! @shiv_smith @Michelle_Barts . Smiling: BUT Counting our blessings and thinking especially of my front line colleagues in @NHSBartsHealth and anyone unwell over this weekend.
Tweet media one
5
2
59
@daniel_berney
Daniel Berney
2 years
En route to Basel and #ECP2022 by train! Greta would approve. Sorry to miss ISUP bladder today but new Dan rule is family first. Looking forward to see old friends and making new.
Tweet media one
3
1
55
@daniel_berney
Daniel Berney
5 years
Bladder mass in 60 yr old female. No clinical info given ( he said, weeping on his pile of template biopsies). Is it possible they could have thought to mention the previous ( but recent) Clear cell Carcinoma of the Ovary?
Tweet media one
6
17
56
@daniel_berney
Daniel Berney
2 years
Suspicious on U/S, negative germ cell markers, sandwiched between epididymis and testis. A very big adenomatoid tumour.
Tweet media one
1
9
56
@daniel_berney
Daniel Berney
3 years
Histopathologists are clinicians and not in medicine just to write reports on slides.
@chrispaget1
Chris 🏳️‍🌈
3 years
#MedTwitter if you could teach someone only one thing from your speciality what would it be?
386
45
373
4
7
53
@daniel_berney
Daniel Berney
2 years
I'm a Pathology consultant and am triple jabbed because I want to minimise my risk of hospitalisation for COVID-19. My husband, family and friends are also triple jabbed. My son will be vaccinated as soon as vaccines are available for his age group. #VaccinesWork
1
4
52
@daniel_berney
Daniel Berney
5 years
Just another case of chronic cystitis? Wait! Those plasma cells look a bit unusual. Metastatic lobular breast carcinoma is scary! The history was on the form thankfully but Dr Beltran was sneaky when he showed it to me!
Tweet media one
Tweet media two
Tweet media three
3
20
51
@daniel_berney
Daniel Berney
2 years
I will be having words with one of my junior colleagues over this! At least it’s an old edition..
Tweet media one
12
0
55
@daniel_berney
Daniel Berney
3 years
Bladder mass in 55 year old man with haematuria. Suggestions welcome!
Tweet media one
Tweet media two
Tweet media three
10
27
53
@daniel_berney
Daniel Berney
4 years
The editor in chief may partake of a small drink tonight.
@Histo_Journal
Histopathology
4 years
Delighted to announce a significant rise in our Impact Factor to 3.626, our higher in over 5 years. With grateful thanks to the editorial team for all theor work, authors and reviewers.
Tweet media one
6
4
40
8
1
54
@daniel_berney
Daniel Berney
3 years
Florid testicular granulomata ( @smlungpathguy 😘) but whatever the pleural notethe cunningly hidden seminoma cells!
Tweet media one
Tweet media two
2
11
51
@daniel_berney
Daniel Berney
2 years
Testis number 6🥵and most dramatically, embryonal carcinoma with trophoblast, with soft tissue deposits in the cord. Welcome all to my slightly skewed germ cell world!
Tweet media one
Tweet media two
Tweet media three
1
15
54
@daniel_berney
Daniel Berney
5 years
Germ Cell Tumours are AMAZING!!!
Tweet media one
Tweet media two
2
15
50
@daniel_berney
Daniel Berney
2 years
5/5 So how much does all this cost in the U.K? NOTHING. No bills, no insurance and no worry. So grateful for the #NHS @QAHospitalNews QA Portsmouth for superb treatment. Love our NHS.
5
1
49
@daniel_berney
Daniel Berney
11 months
Today’s Adrenal tumour is slightly unusual! #endopath
Tweet media one
1
14
54
@daniel_berney
Daniel Berney
3 years
Intra tubular spermatocytic tumour never shows the ‘string of pearls’ of GCNIS. Here it fills some tubules pushing apparently through the middle.
Tweet media one
1
21
51
@daniel_berney
Daniel Berney
1 year
Taking a pause from my ‘big’ lecture I am failing to write to post this little gem! …
Tweet media one
2
14
52
@daniel_berney
Daniel Berney
3 years
Just heard my wonderful and fit 91 yr old mum who still lives alone is going to get the Pfizer vaccine tomorrow. Could not be happier or more relieved.
2
0
52
@daniel_berney
Daniel Berney
5 years
Not wanting to scare anyone.. but this regressed germ cell tumour with GCNIS Showed clinical metastasis more than 5 years after excision.
Tweet media one
Tweet media two
2
24
50