Mammography: Diagnosis and Pathological Analysis
http://www.100md.com
《新英格兰医药杂志》
Marton Lanyi, whose career is filled with important contributions to mammographic diagnosis based on insight, fascinating case material, and elegant histopathologic correlation of imaging findings, has written Mammography: Diagnosis and Pathological Analysis. Originally published in German, this book regales the reader with the insights and anecdotal experience of one of mammography's great pioneers.
The book is delightful and insightful and also well translated. However, it is not a comprehensive work on breast imaging. Sonography, magnetic resonance imaging, and imaging-guided interventional techniques in the breast are hardly mentioned and rarely illustrated. The physics of mammography, equipment considerations, quality-assurance and quality-control issues, and concepts in breast-cancer screening are avoided. Implants are discussed only superficially, and breast conservation is not mentioned at all. A unified, comprehensive discussion of breast cancer is also absent from these pages. Therefore, this book cannot be recommended to the neophyte.
For the reader with a solid background in the field, however, Mammography is a treasure. Not surprisingly, the coverage of calcifications detected on mammography is wonderful and includes well-illustrated discussions of the histopathologic causes of these white dots on the mammogram. In each chapter, the considerable peer-reviewed data are accompanied by superb bibliographies. This ordinarily dry material is punctuated by the individual cases that Lanyi describes, as well as his own observations. Some parts of the book even become more conversational than professorial in tone, making for a very pleasant read.
There are scattered areas in which the American reader might disagree with Lanyi's recommendations. He suggests that a magnifying lens can replace geometric magnification. There is considerable discussion of the role of pneumocystography, and even a mention of contrast injection into fibroadenomas.
As in any radiology book, the true lessons are in the images (Figure). The included mammographic images were obtained over a period of several decades and therefore are of variable quality. However, the teaching points are readily appreciated, and the collection of images has obviously taken a lifetime to accumulate. The mammograms are accompanied by diagrams, histologic images, and photographs of clinical findings on breast examination. In addition to the expected material, there is coverage of parasitic diseases, foreign bodies, and (with extensive illustrations) cutaneous diseases that involve the breast. The impressive material presented is compromised only by the necessity to search the text for explanations of many of the illustrations.
Visualization of Milk Ducts by Galactography.
Reprinted from Mammography: Diagnosis and Pathological Analysis, with the permission of the publisher.
For the experienced practitioner in breast imaging, Lanyi's Mammography is an opportunity to revisit some of the basics with one of the masters. The book is well written and sometimes entertaining, and it contains wisdom and insight. But best of all are the images — among them the usual and spectacular cases of primary carcinoma, fibroadenomas, adenoses, high-risk lesions, and desmoid tumor. Lanyi apologizes for not including any cases of angiosarcoma and then shows osteogenic sarcomas, fibrosarcomas, and leiomyosarcomas of the breast. These are followed by filariasis, hydatid disease, and trichinosis and then, on the last pages, a ductogram in a man. What a delight!
D. David Dershaw, M.D.
Memorial Sloan-Kettering Cancer Center
New York, NY 10021(By Marton Lanyi. Translat)
The book is delightful and insightful and also well translated. However, it is not a comprehensive work on breast imaging. Sonography, magnetic resonance imaging, and imaging-guided interventional techniques in the breast are hardly mentioned and rarely illustrated. The physics of mammography, equipment considerations, quality-assurance and quality-control issues, and concepts in breast-cancer screening are avoided. Implants are discussed only superficially, and breast conservation is not mentioned at all. A unified, comprehensive discussion of breast cancer is also absent from these pages. Therefore, this book cannot be recommended to the neophyte.
For the reader with a solid background in the field, however, Mammography is a treasure. Not surprisingly, the coverage of calcifications detected on mammography is wonderful and includes well-illustrated discussions of the histopathologic causes of these white dots on the mammogram. In each chapter, the considerable peer-reviewed data are accompanied by superb bibliographies. This ordinarily dry material is punctuated by the individual cases that Lanyi describes, as well as his own observations. Some parts of the book even become more conversational than professorial in tone, making for a very pleasant read.
There are scattered areas in which the American reader might disagree with Lanyi's recommendations. He suggests that a magnifying lens can replace geometric magnification. There is considerable discussion of the role of pneumocystography, and even a mention of contrast injection into fibroadenomas.
As in any radiology book, the true lessons are in the images (Figure). The included mammographic images were obtained over a period of several decades and therefore are of variable quality. However, the teaching points are readily appreciated, and the collection of images has obviously taken a lifetime to accumulate. The mammograms are accompanied by diagrams, histologic images, and photographs of clinical findings on breast examination. In addition to the expected material, there is coverage of parasitic diseases, foreign bodies, and (with extensive illustrations) cutaneous diseases that involve the breast. The impressive material presented is compromised only by the necessity to search the text for explanations of many of the illustrations.
Visualization of Milk Ducts by Galactography.
Reprinted from Mammography: Diagnosis and Pathological Analysis, with the permission of the publisher.
For the experienced practitioner in breast imaging, Lanyi's Mammography is an opportunity to revisit some of the basics with one of the masters. The book is well written and sometimes entertaining, and it contains wisdom and insight. But best of all are the images — among them the usual and spectacular cases of primary carcinoma, fibroadenomas, adenoses, high-risk lesions, and desmoid tumor. Lanyi apologizes for not including any cases of angiosarcoma and then shows osteogenic sarcomas, fibrosarcomas, and leiomyosarcomas of the breast. These are followed by filariasis, hydatid disease, and trichinosis and then, on the last pages, a ductogram in a man. What a delight!
D. David Dershaw, M.D.
Memorial Sloan-Kettering Cancer Center
New York, NY 10021(By Marton Lanyi. Translat)