Breast Cancer - The Art and Science of Early Detection with Mammography: Perception, Interpretation, Histopathologic Correlation

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Early detection is our most effective means for reducing the number of unnecessary deaths caused by breast cancer; however, the lack of skilled mammographic readings, especially in early stage breast cancer, makes this a less effective tool than it could be. In this book, one of the world's most renowned mammographers shares his decades of experience in the analysis and interpretation of mammographic images.

With Dr. Tabar's clear procedures and expert guidance, you will learn to discern the most subtle of pathologic changes to ensure that patients receive optimal and timely treatment. You will also improve your ability to recognize the full range of normal anatomic variability, avoiding unnecessary additional imaging and interventional procedures.

This book contains more than 1,600 high-definition images, many in full-color, to demonstrate anatomic structures, variations in normal tissue, and difficult-to-identify abnormalities. You will also appreciate clear photographs of pathologic specimens, including subgross 3-D, and large, thin-section histologic sections, correlated with mammographic images.

The result of more than two decades of intensive clinical experience, this is the ultimate mammographic atlas for developing expert interpretive skills. No radiologist or breast imager should be without this highly instructive professional reference.

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Editorial Reviews

From the Publisher

'A mammographic atlas for for developing improved intrepretative abilities...a useful addition to other publications in mammography.' -- Doody's Book Review'Teaching points are masterfully illustrated by images, diagrams and charts. Side-by-side comparisons of mammographic findings and exquisitely reproduced sub-gross, 3D histologic images allow the reader to gain a deeper understanding of normal breast anatomy and malignant disease. The value of such comparison cannot be over-emphasized. Any radiologist involved in breast screening will surely benefit...Breast Cancer will be a much used reference for anyone involved in mammography or breast pathology.' -- AuntMinnie[The editors'] object was definitely reached by successfully introducing many junior radiologists to the understanding of mammography, and at the same time helping more senior mammographers in the correct interpretation of a questionable finding. ...With excellent, demonstrative illustrations for the proper positioning of the patient, in order to obtain the most successful mammographic images. The chapters are accompanied by a rich iconography of excellent quality. It was a pleasure to read and analyze this textbook, which leads the reader step by step to a better understanding of the mammographic images when compared with their histo-pathological aspects and, therefore, to correlating the two findings and obtaining a definite diagnostic conclusion. Appreciated also was the chapter dedicated to the positioning of the patient, a particular which often is not considered of primary importance but on which many times the performance of a successful mammography depends. The publisher should also be congratulated for the typography and superb image-presentation of the topics discussed. -- Journal of Clinical ImagingHelp in identifying the more difficult-to-interpret parenchymal patternsThis is a beautifully illustrated book in which images far outnumber text. Aimed at radiologists and other film readers in breast imaging, particularly screening, the ultimate purpose of this book is to help physicians learn how to find as many breast cancers as possible in the pre-clinical stage.The wealth of directly comparative mammographic and histological images -- particularly the large section slides and sub-gross thick section images -- would also make this an interesting book for pathologists specialising in breast disease.Using a five sub-group classification of mammographic parenchymal patterns, a wide range of breast pathology is illustrated with particular emphasis on the appearance of malignancy in the more difficult to interpret parenchymal patterns.The mammographic images and complementary ultrasound and pathological images are of superb quality. Sequential images from successive screens demonstrate the development of tumours, illustrating subtle features. The reader is also taken through how to assess a potential lesion and some of the pitfalls to be avoided.This book is an ideal companion for those training in mammographic film reading, but also contains many gems for those already established in breast imaging. -- Reviewed by Dr K. Duncan, Consultant Radiologist at Aberdeen Royal Infirmary for RAD Magazine, July 2005
Doody's Review Service
Reviewer: Angie L. Miller, BS, MD (University of Colorado Health Sciences Center)
Description: This book presents photomicrographs of pathology slides and 3-D pathology sections in comparison to actual mammographic images to elucidate why mammograms appear the way they do. A large portion of the book is devoted to description and illustration of breast structural subtypes, with an emphasis on detecting early subtle changes in order to aid in earlier detection of breast cancer.
Purpose: The purpose is to provide radiologists with the skills necessary to detect breast cancer at its earliest possible stages, while also being able to exclude it in the vast majority of screened women. This is a worthy objective, which the book properly addressed. The presentation of material was optimal in achieving this goal.
Audience: According to the author, this book is targeted towards radiology residents and radiologists who will be interpreting mammographic images. This is an appropriate audience. The authors are credible authorities in mammography.
Features: After a brief introduction of normal breast anatomy and description of the four basic building blocks of the breast, the five mammographic parenchymal patterns are reviewed in depth, using photomicrographs of pathology slides in comparison to actual mammographic images. Next, the rationale and scientific evidence for detection of early breast cancer is investigated and a systematic approach to analyzing mammograms, with an emphasis on early detection is presented. Breast regions with a higher incidence of cancer and characteristics of neoplastic lesions are reviewed. Two final sections on histologic technique, tissue sampling, and mammographic positioning techniques are included. This book is very descriptive and illustrative in demonstrating the basic five mammographic parenchymal patterns and applying a systematic approach to detection of early breast cancer within each type of pattern. The illustrations, photomicrographs, and mammograms are of very high quality, providing somewhat of a mammographic atlas. The strengths of this publication are the detailed pathologic and histologic photomicrographs in comparison to actual mammographic images. It helps to provide a deeper understanding of breast architecture, both normal and abnormal.
Assessment: This is a highly useful tool for those radiologists and residents wishing to develop advanced mammographic interpretive skills and gain better understanding of normal breast anatomy. It is successful in providing a mammographic atlas for reference, as well as tools for developing improved interpretive abilities. It is a useful addition to other publications in mammography.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781588902597
  • Publisher: Thieme
  • Publication date: 12/16/2004
  • Pages: 484
  • Product dimensions: 8.60 (w) x 11.80 (h) x 0.90 (d)

Meet the Author

Professor, Dept. of Diagnostic Radiology, University of Turku, Finland; Visiting Professor, Brigham and Womens Hospital, Harvard Medical School, Boston, MA, USA
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