Thieme, New York, 2003, $149.
This is a comprehensive imaging atlas, necessary for all physicians interested in breast pathology. The book begins with two well-organized chapters on mammographic analysis and sonographic technique, including rules of cross-correlation.
Two hundred eight cases are interspersed throughout all ten chapters. Each case is carefully explained and organized by case history; physical examination; mammographic results; low and high frequency ultrasound results; use of other modalities (MRI, lymphoscintigraphy, scintimammography); pathology; and management. Pearls and pitfalls are highlighted in every case.
Seven chapters begin with one or more schematic diagrams, depicting the diagnostic approach to mammographic findings and/or differential diagnosis of these mammographic findings. Examples include 40 cases of circumscribed masses and 50 cases of calcifications. There also is a special chapter about the male breast, with 15 specific cases. The post-surgical chapter details findings in 37 cases of augmentation or reduction mammoplasty, or after diagnostic or therapeutic procedures for neoplasm.
Chapter 10 covers such topics as poorly identified masses on mammography, and the importance of ultrasound in mammographically occult tumors. For those interested mainly in ultrasound, a second table of contents divides the book in nine chapters, according to breast sonography patterns such as fluid collections, solid masses, architectural distortion, and masses poorly identified on sonography.
Beside common breast pathology, rare entities, such as sternalis muscle, apocrine carcinoma, and adenomyoepithelioma are discussed and illustrated. Special views (Eklund) are also shown. Each clearly annotated, high quality, gray scale case illustration is accompanied by superb color Doppler sonograms and color microscopic images.
There are three small negative aspects to the book: Case 43 is repeated as case 49. Color plates are grouped in the middle, not in the end of the book. The color plate annotation does not include pathologic entity, but only an image description and page number of the case.
Superb illustrations, clear explanations and complex pathology make Breast Imaging: A Correlative Atlas a worthwhile investment.
By Dr. Ana Roxana CovaliAuntMinnie.com contributing writer
February 4, 2003
Dr. Covali serves as a junior radiologist at the Elena Doamna Obstetrics and Gynecology University Hospital in Iasi, Romania. She also is a teaching assistant in the histology department at Gr T Popa University of Medicine and Pharmacy in Iasi. Dr. Covali is currently pursuing a Ph.D. in histology at Carol Davila University of Medicine and Pharmacy in Bucharest.
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