The Department of Pathology and Laboratory Medicine is highlighting a new case every month, to be called the Case of the Month. Normally, these are cases of greater than normal clinical interest, cases with unusual symptoms and/or microscopic and gross characteristics, or cases involving rare diseases or conditions. Below is a link to the current Department of Pathology and Laboratory Medicine Case of the Month.

Disclaimer: Review of the Case of the Month is intended for educational purposes ONLY, NOT for research.

Current Case of the Month - April 2013

• March 2013 - 75 year old male who presented with dysphagia and epigastric discomfort.
• February 2013 - A newborn female infant born at 37 weeks gestation with a left –sided multicystic lung mass discovered at 25 weeks on ultrasound.
• January 2013 - 63-year-old female with a past medical history of gastrointestinal bleeding from a gastric ulcer and H. pylori infection presented with new complaints of melena, progressive weakness, fatigue and shortness of breath.
• December 2012 - 55-year-old para 1 female who presented with abdominal pain and a palpable mass.
• November 2012 - 27 year-old male with a recent history of recurrent pneumonia (5 times over the past two years).
• September 2012 - 37 year-old nulligravida female with a history of abnormal menstruation and more recently, episodes of severe lower abdominal cramping and copious vaginal bleeding.
• August 2012 - 44 year-old pravida 2, para 2 woman with a seven-year history of a pedunculated vulvar mass.
• July 2012 - 11-year-old girl with no significant past medical history who presented with a headache located behind the right eye, with radiation to bilateral temples.
• June 2012 - 64 year-old female with a past medical history of cervical cancer s/p vaginal hysterectomy, hemorrhagic cyst s/p right oopherectomy, hypertension, and recurrent pulmonary emboli. She presented with abdominal pain for two weeks. Computed tomography (CT) showed a multi-cystic pelvic mass.
• May 2012 - 86 year old male with a past medical history significant for diabetes mellitus and hypertension who was incidentally found to have a left lung mass discovered on chest radiographs (during work-up for dull chest pain).
• April 2012 - 40-year-old Asian female status post right ovarian cystectomy and left salpingo-oophorectomy for seromucinous cystadenoma of the right ovary and mixed endometrioid and mucinous tumor of low malignant potential of the left ovary.
• March 2012 - 63-year-old female presents with worsening abdominal pain, distention, nausea and progressively fewer and smaller bowel movements.
• February 2012 - 16-year-old girl with no significant past medical history presented with a tender right breast lump.
• January 2012 - 53-year-old Caucasian male with a past medical history significant for hypertension.
• December 2011 - 64-year-old female, with a past medical history significant for chronic obstructive pulmonary disease, diabetes mellitus, and hypertension, who was found to have a right adrenal mass on chest CT (during work-up for pneumonia).
• November 2011 - 62-year-old male, with no significant past medical history, who presented with a chief complaint of a lump in his right testicle causing mild discomfort.
• October 2011 - 65-year-old female who presented with increasing abdominal distention and pain.
• September 2011 - 2-year-old boy with a soft tissue mass in the thenar eminence of the hand. MRI showed an amorphous area of enhancing soft tissue in the thenar eminence and a suggestion of increased soft tissue between the radial metacarpals.
• August 2011 - 39 year-old female with a 5-month history of persistent abdominal pain and cramping. A colonoscopy was performed and found no abnormalities.
• July 2011 - 54 year-old woman with a history of melanoma of the right leg and a left adnexal mass that was found on CT when the patient presented to the ED with abdominal pain.
• June 2011 - 38 year-old male, with a past medical history significant only for gastroesophageal reflux disease, who presented with burning epigastric pain.
• April 2011 - 38 year-old male with a history of a left testicular varicocele and a chief complaint of infertility for four years.
• March 2011 - 30 year-old female from Sudan with no significant past medical history who presents with an incidental finding of persistent mildly elevated liver function tests and microcytic anemia.
• February 2011 - 66 year-old female with a past medical history of hypertension, atrial fibrillation and congestive heart failure who underwent a computed tomography (CT) scan of the abdomen to evaluate for an existing abdominal aneurysm.
• January 2011 - 22 year-old woman with a 10 year history of menorrhagia.
• December 2010 - 15-month-old female with a 1-week history of fever, fatigue, and maculopapular rash which had recently resolved.
• October 2010 - 9-year-old boy with no past medical history who had a right flank mass which had been growing over several months.
• September 2010 - 31-year-old female with a prior history of a myelomeningocele who was noted to have a new cystic structure within the pelvis/sacrum region at the time of a C-section.
• August 2010 - 68 year-old man who initially presented with pancreatitis and was incidentally found to have hypercalcemia due to hyperparathyroidism.
• July 2010 - 34-year-old male with no significant past medical history who presented with right painful lump, behind right ear for 2.5 months.
• June 2010 - 56-year-old female with no significant past medical history who presented to her PMD with on going non-specific microscopic hematuria.
• May 2010 - 33-year-old Caucasian female with no significant past medical history who presented with a chief complaint of progressive shortness of breath over a course of 3 months.
• April 2010 - 79-year-old man with a history of Barrett’s esophagus.
• March 2010 - 37-year-old female with a two to three month history of abdominal pain, burning on urination, occasional fevers, weight loss of 10 lbs. and amenorrhea for a period of 6 months
• February 2010 - nulligravida 47-year-old female with Turner’s Syndrome who presented with a 10 month history of irregular vaginal bleeding
• January 2010 - 80 year-old woman who presented with a three month history of multiple urinary tract infections and one day of gross hematuria
• October 2009 - 51-year-old female with a right upper eyelid swelling present for at least nine months
• September 2009 - 57-year-old male who noted a “pop” in his right thigh while doing heavy labor activities
• August 2009 - 63-year-old male who presented to the emergency room because of sharp chest pain radiating to the scapula