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J. N. Eble , G. Sauter , J. I. Epstein & I. A. Sesterhenn , eds. Lyon : IARC Press , 2004 , 359 pp., $75.00. ISBN 92 832 24 12 4 Pathology and genetics of tumours of the urinary system and male genital organs is part of the World Health Organization Classification of Tumours series. It bears a short dedication to Dr S. K. Mostofi, the distinguished pathologist and coauthor, who died during its preparation. The volume has four editors and 128 other contributors, who wrote the various sections of the five chapters (dealing with tumours of the kidney; urinary system; prostate; testis and paratesticular tissue; and penis). Thirty‐three of the authors participated in a working group that met for an editorial and consensus conference in Lyon in December 2002. The volume cites 2952 references, most relatively recent (up to 2003) but including some of historical significance (e.g. von Hippel's 1904 paper). The philosophy of tumour classification in general and of non‐invasive urothelial tumours in particular is discussed by 10 of the authors on page 110. They acknowledge that the current classification of urothelial neoplasms reflects work in progress and note that changes are likely in future with the acquisition of new, particularly genetic, understanding. There are many reasons for accepting their recommendation that the new system should be adopted (and this could apply to the whole volume), not least that its wide use will more easily allow the incorporation of molecular data into future refinements. Each chapter follows a similar scheme: a brief note encompassing an indication of the scale of the problem of tumours of that organ, factors in causation, and so on; followed by the WHO histological classification for that organ or system and then by the TNM classification (6th edn, 2002). A discussion of the various entities listed in the WHO histological classification then follows. This includes matters of definition, epidemiology, aetiology, clinical and radiological features, and so on, as well as of macroscopic and microscopic appearances, genetics (where known) and prognosis. Generally, the order of the entities described in the text follows that given in the table at the start of the chapter, but, confusingly, there are places where this does not occur. The book's written style is remarkably uniform, considering the large number of authors, and is easy to read. There are occasional infelicitous phrases, usually from those whose mother tongue is not English. Occasional lapses or eccentricities do occur. Most of the descriptions are in the present tense but some are partly in the past. Tumour sizes are usually given in centimetres but occasionally in millimetres. We are told in the section on tumour spread and staging of renal cell carcinoma that retrograde spread may occur via the v. testicularis/v. ovarii , among other routes. The use of Latin in this context strikes even somebody as old‐fashioned as me as curiously out‐dated! The old problem of creating bogus Latin plurals from an already plural form occurs elsewhere in septae (for septa ) . Of course, none of these things is, in the grand scheme of things, particularly important and the underlying message is still clear. The text also contains scattered typographical errors. For example, incidence rates for infiltrating urothelial carcinomas are given as n /105 (rather than n /10 5 ). Other sections use n per 100 000. The paragraph on papillary renal cell carcinoma starts with the acronym BHD (which stands for Birt–Hogg–Dubé syndrome), rather than the expected PRCC. The discussion of the extrarenal manifestations of von Hippel–Lindau disease notes that CNS haemangiomas are predominantly located in the cerebellum, further in the brain stem and spinal chord, allowing a possible pleasingly musical additional dimension to the description! These are several occasions when the words neoplasia or neoplasias are used for neoplasms . Elsewhere, Retzius is renamed Retzious . But enough of such carping criticism! I found this volume both readable and helpful. It is generally accessible and well referenced, so that readers can explore further, should the need arise. Many sections touch on matters of differential diagnosis; some are better than others at pointing out how to resolve them. The illustrations are almost all of a high standard but the exposure for a few photomicrographs was not ideal. In one histogram, the colours seem badly registered. As seems to be the case for this series of books, there is no direct linkage between the text and the accompanying illustrations. I find it helpful to have my attention drawn to figures as I read the text, rather than to read the text and look at the illustrations as separate events. In summary, this volume, which is very good value for money, should be a standard part of the working library of those reporting such neoplasms. We should all try to report the latter consistently, using standard nomenclature. Of course, many will also want to read other texts, both to supplement the descriptions and illustrations and also to address more fully the matter of resolving differential diagnoses.
Histopathology – Wiley
Published: May 1, 2005
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