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Tendon vs Nerve Histology Made Simple with the Ramen Noodle Sign (of Fulton)

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Got wavy pink spindle cells? It's more likely tendon, fascia, or ligament (dense regular connective tissue) rather than nerve. Everyone teaches that nerve and neural lesions are wavy, but I think that the most wavy spindle cells are actually fibroblasts and myofibroblasts. My former fellow, Dr. Ed Fulton, said tendon/fascia reminds him of instant Ramen noodles. So I have dubbed this the "Ramen noodles sign of Fulton" in his honor! :-D

Content distributed here with the permission of author @JMGardnerMD on Twitter

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Contributed by: Pathology Portal
Authored by: Jerad Gardner, Geisinger, Dermpath/Sarcoma Pathologist
Licence: © All rights reserved More information on licences
First contributed: 02 July 2022
Audience access level: Full user

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