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Doody's Review ServiceReviewer: Ivan Damjanov, MD (University of Kansas Medical Center)
Description: This is the second edition of a book on breast pathology as seen in needle core biopsies and, in essence, is a shorter and updated version of Dr Rosen's well known encyclopedic textbook on breast pathology (Rosen's Breast Pathology, 2nd edition (Lippincott Williams & Wilkins, 2001). This edition is revised and expanded from the 1999 edition to include many new color microphotographs.
Purpose: The primary goal of this book is to describe and illustrate the histopathology of the most important breast lesions as they present in needle core biopsies. These biopsies differ from surgical specimens and, as the authors state in the preface, pathologists must deal with whatever they have received from the clinician. The biopsy might not always be representative of the entire breast lesion and, occasionally, whatever the biopsy contains might be all that there is. Since needle core biopsies are performed so often these days, it is important for all diagnostic surgical pathologists to know the value and the limitations of this diagnostic approach. This book will also teach them how to handle these small specimens and interpret the breast lesions as they are sampled. The goals set forth by the authors have been fully achieved.
Audience: This book is aimed at practicing surgical and anatomic pathologists and pathologists in training. It will also be used by breast surgeons and oncologists treating breast cancer. The book was written by Dr. Paul Peter Rosen, professor of pathology at Weill Medical College of Cornell University, with the assistance of Dr. Syed A. Hoda, professor of clinical pathology in the same department. Dr Hoda is not only an experienced pathologist, but also a well known cytopathologist. One chapter on imaging was contributed by Dr. D. D. Dershaw and one on clinical management by Dr. L. Liberman. All the authors are well known authorities in the field of breast pathology.
Features: The 31 chapters cover the entire spectrum of breast pathology, including inflammatory lesions and benign and malignant neoplasms. Normal breast histology is also described, and chapters cover handling of biopsy specimens, radiologic data obtained by mammography, and the clinical significance of the pathology findings. The book is illustrated with high quality color microphotographs prepared from routine hematoxylin and eosin slides and immunohistochemically stained slides from the authors' own diagnostic material. Useful tables cover topics such as grading of intraductal and invasive breast carcinoma.
Assessment: When the first edition of the book was published in 1999, it was greeted as the first and only book dedicated to needle core biopsy of the breast. The second edition has been systematically updated. Many new references have been included and many are as recent as 2005. New photographs have been added and the recent developments are discussed whenever indicated. As such, this edition has retained the position of the leading practice oriented textbook-cum-atlas of breast pathology. It is an essential core title for all surgical pathology libraries.