Description: This is a well-organized, nicely illustrated textbook of fine needle aspiration (FNA) technique applied to the breast. It is a comprehensive book in which the entire practice of breast FNA from the aspiration techniques and smear preparation, through diagnostic features to quality assurance is covered.
Purpose: The authors advertise the value of FNA procedure as a safe alternative to frozen sections of open breast biopsies. They also emphasize the value of a multidisciplinary approach (involving a mammographer and a surgeon) in reaching the final decision regarding the management of a patient. However, frozen sections of suspicious breast lesions are nearly abandoned, and a number of institutions in the U.S. are nowadays favoring needle core biopsies over FNA as a first choice for the pathologic evaluation of lesions suspicious for malignancy.
Audience: The book is targeted at cytopathologists performing FNA, as well as at breast surgeons and mammographers. This goal may be a bit too ambitious, because mammographic illustrations are those of the most characteristic lesions, and no algorithms for decision-making are provided. It is better suited for senior pathology residents and fellows, as it provides a good overview of breast pathology and cytology.
Features: The technique of FNA is nicely covered and useful tricks of the trade are provided to help in a successful completion of the procedure. Details on smearing and staining procedures are also provided. The authors give a comprehensive review of cytologic findings in breast diseases and accompanied by adequate comments on limits of FNA interpretations. The book concludes with the chapter on quality assurance, which will be useful to not only cytopathologists, but histopathologists also.
Assessment: This is a well-organized and clearly written book. It should be aimed primarily at senior pathology residents and cytology fellows. Interested readers should also consider Masood's Cytopathology of the Breast (ASCP Press, 1996), which is comparable in scope and volume.