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Doody's Review ServiceReviewer: Reid B. Adams, MD, FACS (University of Virginia School of Medicine)
Description: This is a succinct review of tumors of the hepatic and biliary systems. Discussions focus on the etiology, evaluation, and treatment options for these tumors. A CD-ROM of the text and images is provided.
Purpose: The purpose is to provide a current and succinct summary of hepatoblliary tumors for a broad audience of health professionals. The text provides an excellent discussion of a complex and broad field in a concise fashion.
Audience: Healthcare professionals seeing patients with hepatobiliary tumors, particularly general surgeons, surgical, medical, and radiation oncologists, and hepatologists are the intended audience. The clarity and style of the text also make it useful for residents, nurses, and other health professionals. The authors are highly expert and experienced practitioners in this field. The insight they provide is a direct result of a high volume practice conducted over many years.
Features: All major areas in this field are covered. The book begins with a discussion of benign tumors followed by focused individual chapters on primary and secondary hepatic malignancies, cholangiocarcinoma, and gallbladder carcinoma. Excellent chapters cover the major treatment modalities including resection, ablation techniques, chemotherapy, and liver transplantation. Particularly pertinent for general practitioners is the chapter on evaluating incidentally discovered liver lesions. Likewise, the chapters covering newer treatment techniques place into context the role of these modalities for the treatment of hepatobiliary tumors. Major criticisms are minimal. Since imaging is the critical linchpin in the evaluation of these patients, a thorough discussion of hepatobiliary imaging is warranted. The chapters on isolated hepatic perfusion and gene therapy, both highly experimental, are out of place in this practical guide directed at a practicing audience. The authors' wealth of experience is not quite fully used in guiding readers on the care of these patients. Algorithms in those areas where experience, but not necessarily solid data, drive the evaluation or treatment paradigm would be helpful. For instance, exactly how do the authors evaluate a patient with an incidental liver lesion? Finally, the quality of some of the illustrations could be improved.
Assessment: This is an outstanding, current review of hepatobiliary tumors. It is complete, yet concise, and easily read in a short time. This book will be very useful for a wide range of health professionals who see these patients in their practices.