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Doody's Review ServiceReviewer: Kyle D Perry, Medical Doctorate(Mayo Clinic)
Description: Drawing on a review of over 10,000 cases seen at Mayo Clinic, the authors of this book describe the clinical, radiographic, gross, and microscopic features of each neoplastic disorder of the bone. A generous number of high quality images of radiographs, gross specimens, and histological patterns, many updated from the previous edition, are also available online.
Purpose: The authors present a systematic review of primary bone tumors, including an updated statistical assessment of these lesions from the Mayo Clinic files up to 2003. While maintaining a primary focus on tumor histology, the authors also update readers on specimen handling, grading and staging, and relevant radiologic and immunohistochemical characteristics of bone lesions.
Audience: Written for practicing general pathologists, the book also would be useful to senior pathology residents and fellows, as well as orthopedic surgeons and residents.
Features: Most of the 27 chapters represent one primary bone lesion. Each of these chapters is presented in an efficient and standardized format that addresses the clinical, radiographic, gross, and histologic features for the diagnostic entity. The book provides a solid understanding of each lesion, yet is written in a concise manner that enhances readability. The statistical data is also presented in an organized manner, enabling pathologists to find and communicate relevant information to colleagues. Illustrations are generously provided, with most pages containing two to five high quality photographs of the radiologic, microscopic, or gross characteristics. The chapters range from common diagnostic entities such as osteochondroma to rare lesions such as angiosarcoma. Additional chapters, provide an overview of miscellaneous unusual tumors and benign mimickers of bone neoplasms. All of the content is available online.
Assessment: This is a superb book for general surgical pathologists that provides an excellent review of the pertinent clinical and histologic features of bone neoplasms encountered in practice. The standardized format allows practicing pathologists to rapid access to the information they need when formulating a differential diagnosis and is supplemented by an effective index. Although the book primarily addresses neoplastic disorders, a helpful and extensive chapter (76 pages) covers benign mimickers. The book's informative first chapter describes how bone tumor resections and biopsies are handled at a large volume institution. Given the particular emphasis on a multidisciplinary approach in bone pathology, the book is especially helpful in describing radiologic characteristics, with each diagnostic entity containing one to three pages of radiographs of pertinent modalities. The clinical characteristics of each lesion are masterfully and systematically illustrated, and each diagnosis includes a graph describing age distribution and an illustration representing frequency of anatomic location. The authors have done an excellent job of integrating pertinent references with personal experience and incorporating institutional data from a large number of institutional cases to produce a book that is both informative and enjoyable. With this latest edition, the book reconfirms its leading role in the field of bone pathology, remaining one of the most practical and definitive treatises on this subject. It is highly recommended to all practicing diagnostic pathologists and should be in all pathology and general hospital libraries.