Howard D. Epstein, M.D.

 

Titles 

Medical Director, Hoag Hospital Cytopathology Laboratory
Chairman, Hoag Hospital Pathology Department

Subspecialties

Thyroid Pathology
Head and Neck Pathology
Fine Needle Aspiration Cytopathology

Education

Medical School: University of Kansas School of Medicine

Residency/Internship

Residency: Beth Israel Hospital of Boston/Harvard Medical School
Internship: Beth Israel Hospital of Boston/Harvard Medical School

Fellowships

Cytology: University of California, San Francisco
Surgical Pathology: Beth Israel Hospital of Boston/Harvard Medical School
Cytopathology: Karolinska Hospital, Stockholm, Sweden

Board Certified in

Anatomic Pathology
Clinical Pathology
Cytopathology

Publications 

• Mori KM, Epstein HD, Roossin MC, Goldstein BH. A rare case of idiopathic pyometra in a premenopausal patient. J Menopausal Med. 2020 December; 26 (3): 169-172.
• Suster D, Epstein HD, Pearlstein D, Suster S. Selected Case from the Arkadi M. Rywlin International Pathology Slide Seminar: Atypical Thymoma with Rhabdomyomatous Differentiation. Adv Anat Pathol 2019; 26:64-68.
• Mori KM, Abaid LN, Mendivil AA, Brown JV 3rd, Beck TL Micha JP, Epstein HD, Goldstein BH.
• The incidence of occult malignancy following uterine morcellation: A 10-year single institution experience retrospective cohort study. Int J Surg, 132:102- Biol 2018 Apr; 3:239-242.
• Mendivil AA, Abaid LN, Brown JV 3rd, Mori KM Beck TL Epstein HD, Micha JP, Goldstein BH.
• The safety and feasibility of minimally invasive sentinel lymph node staging using indocyanine green in the management of endometrial cancer. Eur J Obstet Gynecol Reproduc Biol 2018 Mar; 3:224:29-32
• Brown JV 3rd, Epstein HD, Laflamme LA, Goldstein BH. First-trimester placenta percreta with urinary bladder invasion. International Journal of Gynecology and Obstetrics, 2016, 132:102-3.
• Rettenmaier MA, Khan HJ, Epstein HD, Nguyen D, Abaid LN, Goldstein BH. Gestational Choriocarcinoma in the Fallopian Tube. J Obstet Gynaecol 2013; Nov;33(8):912-4.
• Abaid LN, Thomas RH, Goldstein BH. Clostridial abdominal gas gangrene masquerading as a bowel perforation in an advanced stage ovarian cancer patient. Infection. 2013 Aug;41(4):885-8. doi: 10.1007/s15010-013-0426-y. Epub 2013 Mar 15. . .
• Mendivil AA, Abaid LN, Epstein HD, Rettenmaier MA, Brown JV III, Micha JP, Wabe MA, Goldstein BH. Paget’s Disease of the Vulva: A Clinicopathologic Institutional Review. Int J Clin Oncol 2012. 17:569-74.
• Rhee JM, Brown JV 3rd, Epstein HD, Laflamme LA, Goldstein BH. A smooth-muscle tumor of uncertain malignant potential harboring metastatic breast cancer. Onkologie. 2011;34(5):262-4. Epub 2011 Apr 26.
• Rettenmaier M, Epstein HD, Abaid LN, Bechtol KA, Goldstein BH. Leiomyosarcoma with synchronous clear cell ovarian carcinoma. Onkologie. 2010;33(12):695-7. Epub 2010 Nov 26
• Brown JV, Epstein HD, Chang M, Goldstein BH. Sarcoidosis Presenting as an Intraperitoneal Mass.
• Case Rep Oncol. 2010 Jan 12;3(1):9-13
• · Abaid LN, Epstein HD, Chang M, Kankus R, Goldstein BH. Endometrial Adenocarcinoma with Concomitant Left Atrial Myxoma. Case Rep Oncol. 2009 Aug 20;2(2):150-156
• Rettenmaier MA, Epstein HD, Robinson PA Goldstein BH. Cerebral Nocardia masquerading as metastatic CNS disease in an endometrial cancer patient. Eur J Gynec. Oncol 2009, XXX (1):90-92.
• Brown JV 3rd, Epstein HD, Mattison JN, Micha JP, Rettenmaier MA, Goldstein BH. Occult fallopian tube cancer in a patient with BRCA1 breast cancer. J Minim Invasive Gynecol. 2008 Nov-Dec;15(6):749-51.
• Brown JV 3rd, Asrat T, Epstein HD, Oglevie S, Goldstein BH. Contemporary diagnosis and management of a uterine arteriovenous malformation. Obstet Gynecol. 2008 Aug;112(2 Pt 2):467-70.
• Micha JP, Rettenmaier MA, Kistler M, Epstein HD, Lim J, Brown JV III, Goldstein BH. Retroperitoneal Schwannoma Presenting as a Gynecologic Mass: A Rare Case Report. Journal of Gynecologic Surgery. 2007, 23(4): 157-162.
• Micha JP, Goldstein BH, Zusman D, Rettenmaier MA, Epstein HD, Brown JV III. Malignant Pericardial Effusion Secondary to Ovarian Adenocarcinoma. J Reprod Med 2007; Oct 52(10): 1-4.
•  Micha JP, Goldstein BH, Epstein HD, Rettenmaier MA, Doering R, Brown III JV. A Precarious Case of         Multiple Enlarged Arteriovenous Malformations in the Uterus. J Gynecol Surg 2007; 23: 23-29.
• Micha JP, Goldstein BH, Epstein HD, Rettenmaier MA, Brown JV 3rd. Ovarian cancer metastatic to the breast. Gynecol Oncol. 102: 386-390, 2006.
• Rettenmaier, MA, Goldstein BH, Epstein HD, Brown JB III, and Micha JP. Serous Psammocarcinoma of the ovary: An unusual finding. Gynecologic Oncology 99: 510-11, 2005.
• Vriens MR, Sabanci U, Epstein HD, Ngal S, Duh,Q, Siperstein AE and Clark OH. Reliability of Fine-Needle Aspiration in Patients with Familial Nonmedullary Thyroid Cancer. Thyroid 9 (10): 1011-1016, 1999.
• Al-Sobhi S, Novosolov F, Sabanci U, Epstein HD and Clark OH. Management of thyroid carcinosarcoma. Surgery, 122(3):548-52, 1997
• Leong SP, Steinmetz I, Habib FA, McMillan A, Gans JZ, Allen RE Jr., Morita ET, el-Kadi M, Epstein HD, Kashani-Sabet M, Sagebiel RW. Optimal selective sentinel lymph node dissection in primary malignant melanoma. Arch Surg 132(6):666-72; discussion 673, June 1997.
• Soh EY, Duh QY, Al-Sobhi S, Young DM, Epstein HD, Wong M, Garcia K, Min Y, Grossman RF, Siperstein AE, QY and Clark, OH. Vascular endothelial growth factor expression is higher in differentiated thyroid cancer than in normal or benign thyroid. J Clin Endocrinol Metab, 82(11):3741-7 1997 Nov
• Jossart GH, Epstein HD, Shaver JK, Weier H-U, Greulich KM, Tezelman S, Grossman RF, Siperstein AE, Duh QY and Clark OH. Immunocytochemical Detection of p53 in Human Thyroid Carcinomas is Associated with Mutation and Immortalization of Cell Lines. Journal of Clinical Endocrinology and Metabolism 1996; 81(10): 3498-3504.
• Epstein HD. FNA of Soft Tissue Masses. In: Ljung, B-M, ed. FNA Biopsy: Pathology State of the Art Reviews. Hanley & Belfus, Inc., Philadelphia, 1996.
• Epstein HD, Nipper HC and Horowitz GH. Noncalibration as a Source of Precision in Cholesterol Testing? (letter). Arch Pathol Lab Med 1991;115(9):861.
• Garry SL, Greiner T, Epstein HD, Hood D, and Frost A. Joint CAP-RF and ASCP-RPS Residency Training Statement (letter). Human Pathology 1991;22(3):302-3.
• Epstein HD. Disability Insurance Needed for Residents. CAP Today 1991;5(1):11-12.
• Epstein HD, Nipper HC and Horowitz GH. Calibration as a source of imprecision in cholesterol testing. Ramifications for patient risk classification. Arch Pathol Lab Med 1990;114(4):399-402.
• Epstein HD and Kruskall MS. Spurious leukopenia due to in vitro granulocyte aggregation. Am J Clin Pathol 1988;89(5):652-5.
• Epstein HD, Schnitt SJ and Brodsky G. Lipogranulomas in lymph nodes (letter). Arch Pathol Lab Med 1986;110:476-8.
• Epstein HD, Mitchell DS and Wood GW. Ia-positive macrophages bind and internalize viable lymphocytes in murine thymus. Cell Immunol 1985; 95(1):15-34.
• Epstein HD and King CR. Diagnosis of congenital syphilis by immunofluorescence following fetal death in utero. Am J Obstet Gynecol 1985;152(6 pt 1):689-90.
• Epstein HD, Morehouse M, Cowles T, and King, CR. MEA III presenting as pheochromocytoma complicating pregnancy and puerperium. J Reprod Med 1985;30(6):501-4.