Tumor of the Soft Tissues

Tumor of the Soft Tissues

HUMAN PATHOLOGY Volume 33, No. 1 (January 2002) BOOK REVIEWS Color Atlas of Dental Medicine—Oral Pathology. Peter A. Reichart and Hans Peter Philips...

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Volume 33, No. 1 (January 2002)

BOOK REVIEWS Color Atlas of Dental Medicine—Oral Pathology. Peter A. Reichart and Hans Peter Philipsen. New York, NY, Thieme Publishing, 2001, 285 pages, $199.00. This book is an atlas of oral pathology that is part of a series of Color Atlases of Dental Medicine. Its intended audience is dentists, but indeed it offers some excellent illustrations and terse discussions of many lesions that the general pathologist encounters in daily practice. The focus of the early part of the book is on the oral examination, the biopsy, and infections. The chapter on the biopsy itself is outstanding because it reviews the techniques used and how the specimen should be handled and processed. Any surgical pathologist who has struggled to interpret a maloriented piece of oral mucosa and tried to decide if dysplasia is present or “is it a tangential cut” will appreciate the table listing the “Dos and Don’ts” of tissue biopsy given here. The rest of the book is divided into lesions of the lips, buccal mucosa, tongue, floor of mouth, palate, gingiva, and jaws. The final chapters focus on odontogenic tumors and salivary gland lesions. Of these, the chapter entitled “Epithelial Cysts of the Jaws” is a gem. It is by far the most erudite description of all the confusing jaw cysts with clinical and radiologic photographs and correlative histology. All of the pathology and clinical photographs are in full color and they are superb. Another cute and helpful feature is the Diagnostic Key Section at the end of the text, which summarizes in color-coordinated tables white, gray, brown, red, and yellow lesions, and directs the reader to that portion of the test in which to find these topics discussed in detail. The text is short but to the point and appropriate for an atlas format. One slightly annoying feature is the presence of references in the back of the book in alphabetical order by author, but not listed by topic. This is not very useful. Although this book will not find use on the shelf of every general anatomic pathologist, it should be in the pathology library because it can serve as an excellent reference resource

for the nonoral pathologist.—VIRGINIA A. LIVOLSI, MD, University of Pennsylvania, Philadelphia, PA. Tumor of the Soft Tissues. AFIP Fascicle No. 30 (ed 3). Richard L. Kempson, Christopher D.M. Fletcher, Harry L. Evans, Michael R. Hendrickson, and Richard K. Sibley. Washington, DC, American Registry of Pathology, Armed Forces Institute of Pathology, 2001, 507 pages, $88.00. It has been more than 3 decades since the publication of Tumors of the Soft Tissues by Drs Stout and Lattess in the second edition of the Armed Forces Institute of Pathology (AFIP) Fascicles. Since then, many soft tissue tumors have been further classified and new concepts and entities have evolved because of more vigorous morphologic subclassification, the availability of immunohistochemical study, and more significantly, the molecular genetic findings in soft tissue tumors. Immunohistochemical and molecular genetic analyses have been playing an important role in soft tissue tumor diagnosis, and have significantly improved our diagnostic capability and consistency that were otherwise traditionally based on morphologic analysis. The new Fascicle of Tumors of the Soft Tissue surely bridges the gap that is more than 30 years apart. Overall, the chapters are well written in a clear but comprehensive fashion with special attention to meaningful recent developments and debates in the various issues, with helpful bibliographies at the end of each chapter. Practical issues dealing with tumor grading, definitions, clinical features, diagnostic criteria, differential diagnosis, clinical behavior, and patient management are all addressed concisely for each entity. In addition, the current fascicle contains an excellent collection of highquality photomicrographs that are all color and new for the edition. In comparison with the previous edition, however, illustrations of gross specimen and radiologic imaging are relatively scarce. The most unique feature of the book is the introduction


of the prognosis/treatment focused managerial classification in categorizing soft tissue tumors. The different concept and emphasis of the managerial classification is clearly reviewed together with the histogenesis-based scientific classification and the currently more popular “chimeric” World Health Organization (WHO) classification in the introduction chapter. Differences among these classifications are also well addressed in individual chapters on specific tumors in which the differences become evident to minimize potential perplexity to readers unfamiliar with the managerial classification.

As all other AFIP Fascicles in the series, the new soft tissue Fascicle is a great value. It provides up-to-date references on diagnostic and management issues involving soft tissue tumors. It is practical and user-friendly to surgical pathologists who would like to gain diagnostic guidelines for soft tissue tumors in a manual-size benchbook that is concise and yet complete with excellent photomicrographs and useful information regarding patient management.— PAUL J. ZHANG, MD, University of Pennsylvania Medical Center, Philadelphia, PA.