7th Annual UCSF and Stanford Current Issues in Anatomic Pathology

PRESENTED BY
The Departments of
Pathology, Divisions of
Surgical Pathology
University of California,
San Francisco
School of Medicine,
San Francisco, California
Stanford University,
School of Medicine,
Stanford, California
School of Medicine
7TH ANNUAL
UCSF • Stanford
Current
Issues in
Anatomic
Pathology:
2004
May 27–29, 2004
Grand Hyatt • Union Square
San Francisco

Current Issues in Anatomic Pathology • May 27-29, 2004 • Grand Hyatt • Union Square • San Francisco
Course Overview
This annual course addresses a wide range of
topics in anatomic pathology and explores
new and evolving areas in the diagnosis and
analysis of disease. It aims to provide the latest
practical and theoretical information that will aid
the practicing pathologist in solving those problems
most often encountered in the anatomic
pathology laboratory.
During the three-day course, microscopes will
be available in an adjacent room to view the
recently described and interesting cases that
will be discussed by the faculty.
Participants will be able to register for either the
entire three day meeting or for any combination
of individual one day blocks.
Educational Objectives
Overall objectives: To provide an update on
current criteria for diagnosis of problem areas
in anatomic pathology, including surgical
pathology and cytopathology.
Specific Lecture Objectives:
Neuropathology
• To understand the WHO classification of brain
tumors
• To learn criteria for the diagnosis of problem
CNS lesions
• To learn criteria for the diagnosis and differentiation
of problem CNS tumors on permanent
sections
Dermatopathology
• To learn the distinction of fibrous histiocytoma
from dermatofibrosarcoma protuberans
• To learn the diagnostic problems in cutaneous
HPV infections
• To distinguish mycosis fungoides from its
histologic mimics
• To discuss problem diagnostic features of
dysplastic nevi
Immunohistochemistry
• To understand how to effectively utilize
immunohistochemistry in dermatopathology
• To learn how to use immunohistochemistry to
solve diagnostic problems regarding primary
sites for metastatic carcinoma and for identification
of large cell undifferentiated tumors
• To learn how to effectively use immunohistochemistry
in the diagnosis of bone marrow
lesions and in lymphomas
Gastrointestinal and Liver
• To learn the updated criteria for the diagnosis
of celiac sprue and other entities with intraepithelial
lymphocytosis of the small bowel
• To review and discuss problem cases in liver
pathology in small group tutorial in order to
learn criteria for diagnosis
Bone / Soft Tissue
• To discuss and learn new criteria for the
diagnosis of pseudotumors of bone and
soft tissue as well as pseudosarcomatous
proliferations of soft tissue
• To discuss and learn criteria for new pathologic
findings in joint disease
• To learn updates in the diagnosis of myxoid
lesions of soft tissue
Gynecologic
• To discuss and review criteria as well as
learn new updates in the diagnosis of
problem areas in gynecologic pathology
(general and including gestational trophoblastic
disease) as derived from problems
submitted for consultation to faculty experts
• To learn updates on uterine cervical pathology
and the role of human papilloma virus
testing
Genitourinary Pathology
• To update criteria on the diagnosis of
teratoma
• To learn how to identify changes in prostate
tissue due to therapy for carcinoma
Pulmonary Pathology
• To review the impact of Dr. Charles
Carrington on the practice of lung pathology
and how that has played a role in our current
practice
• To discuss and learn criteria for the diagnosis
of the changes in the lung in the collagen
vascular diseases
• To learn the latest criteria for diagnosis of
selected problem areas of interstitial lung
disease by review of cases in a small group
tutorial
Breast
• To contrast and learn criteria for the diagnosis
of carcinoma and mimics such as problem
mucocele-like lesions and solid-papillary
DCIS versus florid hyperplasia
• To discuss and learn criteria for the diagnosis
of difficult columnar cell lesions
Accreditation
The University of California, San Francisco
School of Medicine (UCSF) is accredited by
the Accreditation Council for Continuing
Medical Education to provide continuing
medical education for physicians.
The University of California, San Francisco
School of Medicine (UCSF) designates this
educational activity for a maximum of 19
category 1 credits toward the AMA Physician's
Recognition Award. Each physician should
claim only those credits that he/she actually
spent in the activity.
Nurse Credit - The California State Board of
Registered Nursing accepts courses approved
for AMA PRA category 1 credit as meeting the
continuing education requirements for renewal.
Nurses from states other than California should
inquire with their local state board for specific
continuing education policies.

Current Issues in Anatomic Pathology
Cytology Seminar
May 26, 2004 Enrollment in this seminar is limited to 18 persons and will
be determined on a first-come, first-served basis. The seminar will be held
on the University of California, San Francisco campus in room HSW-532.
Shuttle service will be provided between the Grand Hyatt and UCSF.
Seminar registration fee: $250.00
Please call the registration office (415-476-5808) to verify space is available
before sending payment for the Cytology Seminar.
Cytology Faculty
CYTOLOGY COURSE CHAIR
Imok Cha, MD
Associate Clinical Professor of
Pathology, UCSF
STANFORD FACULTY
Christina S. Kong, MD
Assistant Professor of Pathology
Kent W. Nowels, MD
Associate Professor of Pathology
May 26, 2004
Seminar Schedule
WEDNESDAY, MAY 26
UCSF FACULTY
Frederick L. Baehner, MD
Assistant Professor of Pathology
Teresa M. Darragh, MD
Professor of Pathology
Gioia Iezza, MD
Assistant Professor of Pathology
Kirk D. Jones, MD
Assistant Professor of Pathology
Theodore R. Miller, MD
Professor of Pathology
Z. Laura Tabatabai, MD
Assistant Professor of Pathology
7:45 am Shuttle Leaves Grand Hyatt for UCSF
8:10 am Registration, Coffee and Greetings
8:30 am Concurrent Sessions
a. Microscopic Tutorial: Diagnostic Problems in Breast FNA
Christina Kong, MD
b. Microscopic Tutorial: Salivary Gland FNA
Theodore Miller, MD
10:00 am Break
10:15 am Concurrent Sessions
a. Microscopic Tutorial: Pap Smears: Squamous and Glandular
Lesions
Teresa Darragh, MD
b. Microscopic Tutorial: Challenging Cases in Soft Tissue FNA
Gioia Iezza, MD
11:45 am Lunch
12:45 pm Workshop: Improving FNA Technique and Smear Preparation
Kirk Jones, MD, Laura Tabatabai, MD, Frederic Baehner, MD
2:15 pm Concurrent Sessions
a. Microscopic Tutorial: Salivary Gland FNA
Theodore Miller, MD
b. Microscopic Tutorial: Pap Smears: Squamous and
Glandular Lesions
Teresa Darragh, MD
3:45 pm Break
4:00 pm Concurrent Sessions:
a. Microscopic Tutorial: Challenging Cases in Soft Tissue FNA
Gioia Iezza, MD
b. Microscopic Tutorial: Diagnostic Problems in Breast FNA
Kent Nowels, MD
5:30 pm Shuttle departs UCSF for Hotel

Thursday, May 27
8:20 am Welcome and Introduction Abul K. Abbas
NEUROPATHOLOGY – MODERATOR: TARIK TIHAN
8:30 – 9:00 A Critical Review of the Current WHO
Classification of the Central Nervous
System Tumors
Hannes Vogel
9:05 – 9:35 Problems in Surgical Neuropathology:
Frozen Section Diagnosis
Andrew W. Bollen
9:40 – 10:10 Challenging Issues in Surgical Neuropathology: Tarik Tihan
The Problem Tumors
10:10 – 10:30 Break
GASTROINTESTINAL AND LYMPHOID - MODERATOR: LINDA D. FERRELL
10:30 – 10:55 Intraepithelial Lymphocytosis in Small Bowel
Biopsies: Pathologic Spectrum and Role in
Diagnosis of Gluten Sensitivity
Sanjay Kakar
11:00 – 11:25 New Developments in Gastrointestinal
Lymphomas
Yasodha Natkunam
11:30 – 12:00 pm Current Immunohistochemical Approach to
the Differential Diagnosis of Lymphoma
Roger A. Warnke
12:00 – 1:30 Lunch on Own
OPTIONAL SESSION
12:15 – 1:15 Microscopic Video Tutorial: Kirk D. Jones
Lung / Interstitial Gerald J. Berry
$75 Session Registration Fee – Includes Lunch
DERMATOPATHOLOGY – MODERATOR: SABINE KOHLER
1:30 – 2:00 Immunoperoxidase Stains in Timothy H. McCalmont
Dermatopathology: Fun Diagnoses
and Fun Ways to Substantiate Them
2:05 – 2:35 Dermal Fibrous Histiocytomas and Uma Sundram
Their Distinction From Dermatofibrosarcoma
Protuberans (DFSP)
2:40 – 3:10 Diagnostic Problems in Cutaneous Sabine Kohler
HPV Infection
3:10 – 3:30 Break
3:30 – 4:20 Histologic Mimics of Mycosis Fungoides Jennifer M. McNiff
4:25 – 4:55 A Hegelian View of Dysplastic Nevi Philip E. LeBoit
5:00 Adjourn
Friday, May 28
Current Issues in A
IMMUNOHISTOCHEMISTRY – MODERATOR: IMOK CHA
8:30 – 10:15 Use of Immunohistochemistry for:
- Identification of the Primary Site of
Carcinomas Presenting as Metastases
- The Elucidation of Large Cell Undifferentiated
Malignancies
Allen M. Gown
10:15 – 10:40 Break
10:40 – 11:25 Immunohistology of Bone Marrow Lesions Daniel Arber
GYNECOLOGIC PATHOLOGY – MODERATOR: CHALES J. ZALOUDEK
11:30 – 12:00 pm Update on Cervical Pathology Including
HPV Testing
Teresa M. Darragh
12:00 – 1:30 Lunch on own
OPTIONAL SESSION
12:15 – 1:15 Microscopic Video Tutorial: Grace E. Kim
Selected Diagnostic Problems in Liver Linda D. Ferrell
Pathology
$75 Session Registration Fee – Includes Lunch
GENERAL INFORMATION
Pre-registration is preferred to ensure that
registrants receive a syllabus and CME
Certificate at the course.
HOW TO ENROLL
Tuition:
$610 Physicians
$230 Physicians Day Rate
$250 Cytology Seminar
$275 Interns/Residents/Fellows*
$100 Interns/Residents/Fellows Day Rate*
* Physicians in training must include a letter
of verification from training program with
registration to qualify for reduced tuition fee.
Payment can be made by Visa, MasterCard or
check.
REGISTER VIA:
Online: www.cme.ucsf.edu

natomic Pathology
2004
Friday, May 28
GYNECOLOGIC PATHOLOGY (CONT’D) – MODERATOR: CHARLES J. ZALOUDEK
1:30 – 2:10 Diagnostic Dilemmas in Gynecologic Michael R. Hendrickson
Pathology: Cases Commonly Encountered
in a Consultation Practice
2:15 – 2:55 Diagnostic Problems in Gestational Charles J. Zaloudek
Trophoblastic Disease
3:00 – 3:20 Break
BONE AND JOINT – MODERATOR: LINDA D. FERRELL
3:20 – 5:00 Tumor-like (pseudotumors) of Bone and Soft Edward F. McCarthy
Tissue and What’s New in Joint Pathology
5:15 – 6:15 Cocktail Reception – 36th Floor
Saturday, May 29
GENITOURINARY PATHOLOGY– MODERATOR: ROBERT V. ROUSE
8:30 – 9:15 Thoughts and Tips on Types of Teratomas Robert V. Rouse
9:20 – 9:50 Changes in Prostate Biopsies After Therapy
for Carcinoma
Jeffry P. Simko
9:55 – 10:20 Break
BREAST – MODERATOR: RICHARD K. SIBLEY
10:20 – 10:50 Difficult to Recognize Cancers and Their
Mimics
Yunn-Yi Chen
CARRINGTON LECTURESHIP
10:55 Introduction Stephen J. Galli
11:05 – 12:00 pm Charles Carrington and Lung Pathology: Thomas V. Colby
Then and Now
12:00 – 1:30 Carrington Lectureship Luncheon – 36th Floor
LUNG (CONT’D) – MODERATOR: RICHARD K. SIBLEY
1:30 – 2:10 Lung Involvement in the Collagen Thomas V. Colby
Vascular Diseases
BREAST AND SOFT TISSUE (CONT’D) – MODERATOR: RICHARD K. SIBLEY
2:15 – 2:55 Problems in the Diagnosis of Columnar Cell Richard K. Sibley
Lesions in the Breast
3:00 – 3:15 Break
3:15 – 3:45 An Approach to the Diagnosis of Jesse K. McKenney
Pseudosarcomatous Proliferations
3:50 – 4:55 Myxoid Lesions of Soft Tissue Richard L. Kempson
5:00 Adjourn
CARRINGTON LECTURESHIP
Thomas V. Colby, M.D.
Dr. Colby was born in western Massachusetts
and attended Amherst Regional High School.
He started at Tulane University in New
Orleans, Louisiana, but transferred to Stanford
University from which he graduated in 1969.
Dr. Colby was active in track and field and in
1968 was on the NCAA Division IA All
American Team.
Dr. Colby attended the University of Michigan
Medical School and went on to residency
training in pathology at Stanford University
Hospital. He stayed on the staff at Stanford
University Hospital as an Assistant Professor
until 1983 when he moved to the University of
Utah as an Associate Professor and Director
of Surgical Pathology. In 1986 Dr. Colby went
to Mayo Clinic in Rochester where he
Mail: Complete course registration form
and send with payment to:
UCSF Office of Continuing Medical
Education
P.O. Box 45368
San Francisco, CA 94145-0368
Fax: Fax completed registration form to
(415)502-1795 (be sure to include your
credit card number)
remained until 1993 when he transferred
to Mayo Clinic Scottsdale where he has
been a Consultant in surgical pathology and
Professor of Pathology in the Mayo Medical
School.
Dr. Colby practices general surgical pathology
and cytology. Early in his career he was
involved in a number of published studies in
lymphomas, but since collaboration with
Charles Carrington, which began in 1975,
Dr. Colby’s primary interest has been in the
area of pulmonary pathology and he has written
and lectured widely in that area to pathologists,
clinicians, and radiologists. He has over
250 publications in peer-reviewed journals
with the majority of the recent publications in
the area of diffuse lung disease.
To register by phone or to inquire about registration
status, please call UCSF’s CME
Registration Office at (415) 476-5808.
Refunds: Cancellations received in writing
on or before May 26, 2004, will be refunded,
less a $75 administrative fee. No refunds
will be made on cancellations received after
that date.

Course Registration Form
7th Annual Current Issues in Anatomic Pathology
May 27-29, 2004
Grand Hyatt Hotel
MAP04001
San Francisco
Mail to : UCSF Office of Continuing Medical Education
P.O. Box 45368
San Francisco, CA 94145-0368
Fax: (415) 502-1795
Registration Information: (415) 476-5808
Course Information: (415) 476-4251
Dr. Mr. Mrs. Ms.
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Date of birth to be used as OCME registrant number ___ ___ /___ ___ /___ X ___ X
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Please indicate if you have any special needs:
Registration Fees [please check the appropriate box(es)]:
Physicians:
Full Course $610
Thursday, May 27 $230
Friday, May 28 $230
Saturday, May 29 $230
Cytology Seminar, May 26 $250
_______________________________
Thursday Microscopic Tutorial $75
Friday Microscopic Tutorial $75
www.cme.ucsf.edu
Interns/Residents/Fellows **
Full Course $275
Thursday, May 27 $110
Friday, May 28 $110
Saturday, May 29 $110
** Registration must be accompanied by
letter of verification from training program
Make checks payable to UC Regents
Please charge my credit card Visa MasterCard for $_________________
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(Please Print) Name on Card Card #
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Expiration Date Authorized Signature
Refund Policy: Cancellations received in writing on or before May 26, 2004 will be refunded, less
a $75 administrative fee. No refunds will be made on cancellations received after that date.
www.cme.ucsf.edu

Hotel Reservation Form
7th Annual Current Issues in Anatomic Pathology
May 27-29, 2004
Grand Hyatt Hotel
San Francisco
Reservation Deadline: Monday, May 3, 2004**
Mail to : Attn: Reservations, Grand Hyatt
345 Stockton St.
San Francisco, CA 94108
Fax: (415) 392-2536
Registration Information: (415) 398-1234
________________________________________________________________
Last Name First M.I.
________________________________________________________________
Address
________________________________________________________________
City State Zip
________________________________________________________________
Daytime Phone Fax
________________________________________________________________
Email
________________________________________________________________
Arrival Date Departure Date # Persons in Room
Special Request: ADA Compliant Other
Non-Smoking
Accommodation Rates:
Single/Double $ 219
Method of Payment:
Visa MasterCard Discover
Amex Carte Blanche Diner’s Club
________________________________________________________________
Card #
________________________________________________________________
(Please Print) Name on Card
________________________________________________________________
Expiration Date Authorized Signature
** Hotel Policies: Reservations must be cancelled at least 24 hours in advance
or a one-night’s stay (and applicable taxes) will be charged. A credit card
number is required to confirm your reservation. Check-in is 3:00 p.m.;
check-out is 12:00 noon. Reservation requests made after May 3, 2004
will be honored at the conference room-rates on a space-available basis.
Room rates are subject to all state and local taxes (currently 14%, subject
to change without notice).
ACCOMMODATIONS
A block of guestrooms has been reserved at the Grand Hyatt hotel on Union Square, (415) 398-1234,
with a nightly group rate of $219. Reservations must be received by May 3, 2004, to guarantee availability
of the group rate. After this date, rooms will be provided on a space-available basis only. A
hotel reservation form is attached for your convenience. If you prefer to phone in your reservation,
please identify yourself as a member of this conference to receive the special rate.

Nonprofit Org.
U.S. Postage
P A I D
Permit No. 470
Santa Rosa, CA
Office of Continuing
Medical Education
UCSF Box 0742, LH-450
San Francisco, CA
94143-0742
Course Co-chairs
Linda D. Ferrell, MD, Professor of Pathology,
University of California, San Francisco
Richard K. Sibley, MD, Professor of Pathology,
Stanford University
Sabine Kohler, MD, Associate Professor of
Pathology, Stanford University
Charles J. Zaloudek, MD, Professor of Pathology,
University of California, San Francisco
Guest Faculty
Allen M. Gown, MD
Medical Director and Chief Pathologist
PhenoPath Laboratories
Seattle, Washington
Thomas V. Colby, MD
Department of Pathology, Mayo Clinic
Scottsdale, AZ
Edward F. McCarthy, MD
Professor of Pathology and Orthopaedic Surgery
Director, Bone Pathology Laboratory
The Johns Hopkins Hospital
Baltimore, MD
Jennifer M. McNiff, MD
Associate Professor, Dermatology and Pathology
Director, Yale Dermatopathology Laboratory
Yale University School of Medicine
New Haven, CT
UCSF Faculty
Abul K. Abbas, MD
Professor and Chair of Pathology
Andrew W. Bollen, MD
Professor of Pathology
Imok Cha, MD
Associate Professor of Pathology
Yunn-Yi Chen, MD, PhD
Assistant Professor of Pathology
Teresa M. Darragh, MD
Professor of Pathology
Kirk D. Jones, MD
Assistant Professor of Pathology
REGISTER TODAY!
For more information, visit our website at
www.cme.ucsf.edu.You may also reach
us by calling the Office of Continuing Medical
Education at (415) 476-4251 or email
info@ocme.ucsf.edu.
UCSF Faculty(cont.)
Sanjay Kakar, MD
Assistant Professor of Pathology
Grace E. Kim, MD
Assistant Professor of Pathology
Philip E. Leboit, MD
Professor of Pathology
Timothy H. McCalmont, MD
Professor of Pathology
Jeffry P. Simko, MD, PhD
Assistant Professor of Pathology
Tarik Tihan, MD
Associate Professor of Pathology
Stanford Faculty
Daniel Arber, MD
Professor of Pathology
Gerald J. Berry, MD
Associate Professor of Pathology
Stephen J. Galli, MD
Chair, Department of Pathology
Professor of Pathology, Microbiology,
and Immunology
Michael R. Hendrickson, MD
Professor of Pathology
Richard L. Kempson, MD
Emeritus Professor, Active
Department of Pathology
Jesse K. McKenney, MD
Clinician Instructor of Pathology
Yasodha Natkunam, MD
Assistant Professor of Pathology
Robert V. Rouse, MD
Professor of Pathology
Uma Sundram, MD, PhD
Assistant Professor of Pathology
Hannes Vogel, MD
Associate Professor of Pathology
Roger A. Warnke, MD
Professor of Pathology
UCSF• Stanford