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Bilharziasis of the Overy in Egypt.
Volume 81 Number 5
haps more emphasis could have been placed on the presentation of ideas and problems in anatOmy even at the expense of omitting some of the facts. There is an excellent correlation of structure and function throughout the book which makes the book unique in this respect. It may be unfortunate, however, that living and radiological anatomy are presented as separate sections for each region, and thus may appear to the student as simply additional material to be learned. The difficult task of utilizing living and radiological anatomy as a tool for a more complete understanding of human anatomy has therefore not been fully achieved. The treatment of muscle function is excellent and a welcome relief from the long lists of muscle actions of the older textbooks. In most textbooks of anatomy there aprears to be confusion regarding the terms muscle action" and "muscle function" with the result that the terms are often used interchangeably. The authors clearly define muscle action ~d function in the general anatomy section. owever, in describing particular muscles, the au.thors usc the term "muscle action" which, to ~~IS reviewer, appears to contradict their definiIon of the term. Bilharziasis of the Ovary in Egypt. Egyptian Society of Gynecology and Obstetrics Monograph Series No. I. By M. Alaedine Shafeek. 48 pages, 45 iIlustran' tions. Cairo, 1958. C. T. Soumas & Co. Ilharziasis of the ovary is not rare in Egypt. It constituted 8.2 per cent of all ovarian lesions ex~n:ined in the Pathological Department of the Mmlstry of Public Health from 19·46 to 1955. Bilharzial oophoritis is more common in Lower Egypt and is caused mostly by Schistosoma haernatobium. Commonly the condition is bilate~~l and there is an associated bilhart.ial salpingitIs, and, not uncommonly, follicular and corpus luteum cysts. Pathologically one sees fibrosis of the ovary, chronic perioophoritis, thickening of the tunica alb . ugmea, variable amounts of ova, and bilharzial pseudotubercles. The author feels the association of ovarian neoplasms with bilharziasis is mere coincidence. It is a disease of adults and may be asymptomatic. The condition should be suspected when there is a h'IStOry 0 f exposure or eVIdence . f 0 . btlharzial infection in other parts of the genital tract or other organs. The proper treatment in most cases is medical
Book reviews
1067
(fovadin or tartar emetic) followed if necessary by conservative operation. Cancer of the Cervix-Diagnosis of Early Forms (Ciba Foundation Study Group No.5). Edited by G. E. W. Wolstenholme and M. O·Connor. 114 pages, 27 figures . Boston, 1959, Little, Brown & Company. $2.50. This informative pocket-sized book is a concise report on the works and related discussions presented at the Study Group on "Cancer of the Cervix-Diagnosis of Early Forms" on Friday, May 8, 1959. The papers covered topics such as the classification, histopathology, cytopathology, and early diagnosis of cervical carcinoma. Along with these cogent presentations, there were significant studies of the biology and morphology of the cervix and their relationship to carcinoma of the cervix. Following each presentation there were verbatum discussions by prominent investigators in this field. The discussions were for the most part factual, enlightening, and interesting but at times seemed a trifle irrelevant. Carcinoma in Situ of the Uterine Cervix. By G. H. Friedell, A. T. Hertig, and P. A. Younge. 154 pages, 97 figures, 19 tables. Springfield, III., 1960, Charles C Thomas, Publisher. $7.50. This timely monograph, starting with the historical background, presents a coherent review of the subject of carcinoma in situ of the uterine cervix. It recapitulates much of this historical background in describing the accumulation, by addition and attrition, of the 235 cases over a period of 36 years (from the Free Hospital for \Volllen in Brookline, Massachusl'lts) that form the basis for this review. The thoroughness with which the specimens obtained are prepared and studied in the pathology department is very impressive and serves to emphasize the need for thorough collaboration hetween clinician and pathologist. Every pathologist, as well as every clinician who is faced with the problem of rendering a decision on the presence or absence of carcinoma in a cervical biopsy, can benefit from study of the chapter Oil pathologic anatomy. It is emphasized that the 1lI0rc thorough the study, the smaller will be the group of questionably invasive neoplasms. The same discernment docs not carryover to the chapter 011 clinical find-
haps more emphasis could have been placed on the presentation of ideas and problems in anatOmy even at the expense of omitting some of the facts. There is an excellent correlation of structure and function throughout the book which makes the book unique in this respect. It may be unfortunate, however, that living and radiological anatomy are presented as separate sections for each region, and thus may appear to the student as simply additional material to be learned. The difficult task of utilizing living and radiological anatomy as a tool for a more complete understanding of human anatomy has therefore not been fully achieved. The treatment of muscle function is excellent and a welcome relief from the long lists of muscle actions of the older textbooks. In most textbooks of anatomy there aprears to be confusion regarding the terms muscle action" and "muscle function" with the result that the terms are often used interchangeably. The authors clearly define muscle action ~d function in the general anatomy section. owever, in describing particular muscles, the au.thors usc the term "muscle action" which, to ~~IS reviewer, appears to contradict their definiIon of the term. Bilharziasis of the Ovary in Egypt. Egyptian Society of Gynecology and Obstetrics Monograph Series No. I. By M. Alaedine Shafeek. 48 pages, 45 iIlustran' tions. Cairo, 1958. C. T. Soumas & Co. Ilharziasis of the ovary is not rare in Egypt. It constituted 8.2 per cent of all ovarian lesions ex~n:ined in the Pathological Department of the Mmlstry of Public Health from 19·46 to 1955. Bilharzial oophoritis is more common in Lower Egypt and is caused mostly by Schistosoma haernatobium. Commonly the condition is bilate~~l and there is an associated bilhart.ial salpingitIs, and, not uncommonly, follicular and corpus luteum cysts. Pathologically one sees fibrosis of the ovary, chronic perioophoritis, thickening of the tunica alb . ugmea, variable amounts of ova, and bilharzial pseudotubercles. The author feels the association of ovarian neoplasms with bilharziasis is mere coincidence. It is a disease of adults and may be asymptomatic. The condition should be suspected when there is a h'IStOry 0 f exposure or eVIdence . f 0 . btlharzial infection in other parts of the genital tract or other organs. The proper treatment in most cases is medical
Book reviews
1067
(fovadin or tartar emetic) followed if necessary by conservative operation. Cancer of the Cervix-Diagnosis of Early Forms (Ciba Foundation Study Group No.5). Edited by G. E. W. Wolstenholme and M. O·Connor. 114 pages, 27 figures . Boston, 1959, Little, Brown & Company. $2.50. This informative pocket-sized book is a concise report on the works and related discussions presented at the Study Group on "Cancer of the Cervix-Diagnosis of Early Forms" on Friday, May 8, 1959. The papers covered topics such as the classification, histopathology, cytopathology, and early diagnosis of cervical carcinoma. Along with these cogent presentations, there were significant studies of the biology and morphology of the cervix and their relationship to carcinoma of the cervix. Following each presentation there were verbatum discussions by prominent investigators in this field. The discussions were for the most part factual, enlightening, and interesting but at times seemed a trifle irrelevant. Carcinoma in Situ of the Uterine Cervix. By G. H. Friedell, A. T. Hertig, and P. A. Younge. 154 pages, 97 figures, 19 tables. Springfield, III., 1960, Charles C Thomas, Publisher. $7.50. This timely monograph, starting with the historical background, presents a coherent review of the subject of carcinoma in situ of the uterine cervix. It recapitulates much of this historical background in describing the accumulation, by addition and attrition, of the 235 cases over a period of 36 years (from the Free Hospital for \Volllen in Brookline, Massachusl'lts) that form the basis for this review. The thoroughness with which the specimens obtained are prepared and studied in the pathology department is very impressive and serves to emphasize the need for thorough collaboration hetween clinician and pathologist. Every pathologist, as well as every clinician who is faced with the problem of rendering a decision on the presence or absence of carcinoma in a cervical biopsy, can benefit from study of the chapter Oil pathologic anatomy. It is emphasized that the 1lI0rc thorough the study, the smaller will be the group of questionably invasive neoplasms. The same discernment docs not carryover to the chapter 011 clinical find-