Case Histories for the Meeting of April 4th, 2009


SB 5271 Joe Rabban, M.D. UCSF Med Center (S08-13302)

55 yr old male with hypertension and diabetes who presents with transient ischemic attacks. CNS work up is negative, but on cardiac work up, a 4 cm mass is found and removed from the left atrium.





SB 5272 Laura Hofmeister, M.D. Santa Clara Kaiser Medical Center (SCHS-08-7079)

67 yr old diabetic female presents with dyspnea. Clinical work-up reveals a right atrial mass. At surgery, a 70 gm 8x6x5 cm tan brown soft tumor is "shelled-out" of the atrium. Tumor is also noted to extend into the liver via the inferior vena cava.





SB 5273 Olga Weinberg, M.D, and Richard Kempson, M.D. Stanford Med Center (S08-46369)

81 yr old female with a 30 cm complex ovarian cystic mass.





SB 5274 Jyothsna Narla, M.D. Los Gatos Community Med Center (G08-2340)

60 yr old male with long standing history of smoking, diagnosis of retroperitoneal fibrosis in 2002 and multiple episodes of pneumonia. Patient presents with multiple bilateral pulmonary nodules and mediastinal lymphadenopathy.





SB 5275 Josh Sickel, M.D. El Camino Hospital

Selected cases from the AMR slide club seminar.





SB 5276 John Higgins, M.D. Stanford Med Center (SHS-502670)

58 yr old female undergoes exploratory laparotomy for a hepatic mass. An incisional biopsy is performed.









SB 5277 Matt Anderson, M.D. and Roger Warnke, M.D. Stanford Med Center (S08-46208)

66 yr old male admitted for acute renal failure. Past medical history includes diabetes, gout, hyperlipidemia and hypertension. Clinical work-up reveals a 4 cm left inguinal lymph node.

CT scan shows pelvic and abdominal lymphadenopathy.





SB 5278 Kirsten Woolf, M.D. and Gerry Berry, M.D. Stanford Med Center (SHS-09-445)

51 yr old female with a solid mass in the right breast and suspicious mammogram. Clinical history of breast implants.





SB 5279 Will Rogers, M.D. and Richard Kempson, M.D. Stanford Med Center (S08-43564)

42 yr old male with slowly growing "uncomfortable" groin mass. Clinical suspicion: "inguinal hernia vs lymph node". At surgery, a 5.7 cm soft tissue mass is excised.





SB 5280 Josh Sickel, M.D. El Camino Hospital (WEBCASE)

57 yr old Vietnamese male with past medical history of CAD, COPD and asthma. Recent admission for COPD exacerbation, treated with steroids with improvement and subsequently discharged. A few days later, patient was brought to the hospital by ambulance for shortness of breath, cough and hypotension. Transferred to ICU. During clinical workup, a sputum sample was sent for routine bacterial cultures and gram stain.




Message to South Bay members: Please bring in cases to the next meeting! Any old pill bottles and caps from previous mailings would also be greatly appreciated.


Position sought: Laurel Waters MD, FCAP, FASCP, Board Certified Anatomic, Clinical & Pediatric Pathology & Nuclear Medicine. Cell (925) 457-3664;

C.V. received: Jeffrey A. McDavit, M.D. AP/CP + surgical pathology fellowship training at USC Medical Center. Currently doing bone and soft tissue pathology fellowship at U Pittsburgh Med Center. (626) 840-1883.

C.V. received: Nalini Madiraju, M.D. AP/CP training at UC Davis Med Center. Currently doing UCSF surgical pathology fellowship, graduating June 2009. Contact info: (916) 529-9004.

C.V. received: Thanh Ho, M.D. Currently doing pathology residency at UCLA. Seeking a pathology position in July 2010. Contact info:



The SOUTH BAY PATHOLOGY SOCIETY is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians. The SOUTH BAY PATHOLOGY SOCIETY take responsibility for the content, quality and scientific integrity of this CME activity. The SOUTH BAY PATHOLOGY SOCIETY designates this educational activity for a maximum of 2 hours AMA PRA Category I Credit(s). Physicians should only claim commensurate with the extent of their participation in the activity. This credit may also be applied to the CMA Certification in Continuing Medical Education. (One hour for slide study prior to the meeting and one hour for attending the educational meeting).