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Enfermedades de la mamma
VoIume 71 Number
ROOK
3
RE\‘IEWS
6%
without therapy modality
adequate description of the pathology and course of the disease. The problem of is passed over in a few sentences without statement of techniques, advantages of one over another, end resuIts, and other important features of vulva1 malignancy. There are no bibliographies which the reader might use to investigate a particular subject in greater detail. Although authors are quoted in the written text, there are only a few references as to the source of the quotation. Almost all of the suggestions to “further reading” are limited to papers in either the English or American literature. For the specialist in the field of gynecology, this book offers very little because of the superficial and dated presentation of treatments and end results. On the use of radium in the therapy of uterine malignancy, the authors speak of dosage in terms of milligram hours in describing the “Paris Method” and in roentgens in the “Manchester Rlethod.” The reader might assume that these terms are interchangeable. In relating end results, there is no apparent consideration of factors that determine statist&l significance. The authors admit the incompleteness of the chapter on gynecological operations, in view of which, this reviewer wonders whether it might not have been omitted. One finds many dated statements in the section of this chapter devoted to postoperative complications. For example, in speaking of the treatment of paralytic ileus, the authors state that “purgatives, colonic irrigation by high enematn, and use of certain drugs such as acetylcholine and prostigmine are the methods of choice.” In cases associated with toxemia, they advocate the use of B. tcelclti~i serum in a massive subcutaneous dose of 60 to 100 C.C.
Breast
Cancer and Its Diagnosis pages
with
181 illustrations.
and Treatment. Baltimore, 1955,
Edited Williams
by Edward 8; Wilkins
F. Lewison. Company.
477 $15.66.
The feeble grasp which we have of the problem of cancer is well illustrated by the Status of breast cancer and its treatment. We know little of its cause and are divided as to the significance of pre-existing benign breast disease. With respect to treatment, 60 years after Halsted reported the operation which for the first time materially affected the course of the disease, some argue that “results” are a function of the biologic properties of the individual tumor, and there is wide disagreement in practice as to what constitut,es a Halsted radical mastectomy, and there is no agreement as to the importance of wide skin resection, thin skin flaps, skin grafting. At the same time that one group of surgeons is making a practice of adding to radical mastectomy the extended mediastinal and cervical dissections which Halsted and his students had also investigated, another school has abandoned radical mastectomy in favor of simple mastectomy and heavy axillary irradiation. Dr. Lewison’s book, written with eight contributors, provides a very satisfactory reSome of the view of the problem, in all its aspects and from various points of view. ” “Surgical Treatment,” tend to be piosp, unnecessarily detailed, and sections, “Diagnosis, Most of the sections by contributing authors are expitched at too elementary a level. cellent, The chapter by Handley on surgical anatomy of the breast is a beautiful example of clear surgical writing. There are excellent sections on the pathology of cancer of the breast by Robert C. Horn, Jr., and on the extended radical mastectomy, by Jerome A. Urban. The book is extensively and handsomely illustrated, perhaps overillustrated (Figures The historical approach is a valuable aspect of the treatment of 81 and 83 are identical). The author and many of his contributors refrain from editorializing and the subject. special pleading. There are wide and repeated comparison and analysis of the results of various clinics, with thorough bibliography, and this is perhaps the most valuable feature of the book. Enfermedades Aires,
de la Mamma. 1955, Lopez and
By A. E. Nogues. Etehegoyen.
This is a well-written book are discussed from the viewpoints
on the major of etiol.ogy,
626 pages
with
191 illustrations.
Buenos
diseases of the breast. All disease entities pathogenesis, clinical forms, macroscopic and
BOOK
696
\:n
REVlEWS
I 0h.t. 6 ti>lieL. .\fnr,-Il. I’)ir,
‘l‘ii I tit, microscopic pathology, diagnosis, differential diagnosis, prognosis, an<1 treatmerit. The l~it~liograph~i-; end of each chapter is appended a concise rtlvirw of the chaptcbr. drawn from both English and European sour~s as well as Spanish ones, and great em phasis is placed on the American sources, especially in reference to carcinoma of thts brrast. in(aluding a section ilu thca An entire chapter is devoted to chronic q-stic mastopathy, ThPrc is also a Jingle c,hapter relationship of this disease to carcinoma of thr breast. The relationship of (+arcinom;~, to pregnancy anil devoted to the treatment of carcinoma. lactation is also discussed. The author has an open mind the feelings and statistics of other photographs are in black and white. in the book is easy to read.
Textbook with
of Endocrinology. 172 illustrations.
on many c*outroveraial subjec,ts and freely polnrs out authors on different, rutljecath. ,\lthough a11 13f thtiIesir)lla arp c~sl~cllcnt. 7’11~ Kpani>]i those of thca cross
Edited by Philadelphia,
Robert 1955:
H. Williarn~. TV. B. Saunders
Second edition. 771; ]WY” ( iompany. $]Xcl~l.
The increasing number of publications concerning endocrinology attests to the :rrat The book under discussion is tfivillerl into interest this branch of medicine has provoked. These authors aw outstan6lirrg arltliori~ thirteen parts, ant1 there are ten different author?. ties in their respective fields and have brought their subjects up to date. As a result P~JICP the lirst edition antI thr rt’several of the chapters have been completely rewritten maining chapters revised and amended. there are areas whertr one As in the entire field of endocrinology so in this testt~ook. could disagree but on the whole the writers have present.ed the ntaterial and evidel1r.e for their opinions in an unbiased manner. It is impossible to select interest attached to the adrenal book handled xo well.
any single chapter as outstanding. cortex, however, it is refreshing
The chapter dealing with laboratory procedures neophyte in this field and particularly to the student.
should
The entire book is very readable and writt,en proper understanding of the subject. One important bibliography and it is most complete. Thus anyon,’ no difficulty in finding plenty of references.
in
Obstetrics.
By Philadelphia,
J.
prove
With the inezreasing to find this phast~ of thr of great
interest
IO the
a manner that is conduc~ivt~ to :I aspect of this t,vpe of book is rh? Ilesiring further information will have
P. Greenhill. Eleventh edition. 1118S pages 1955, W. R. Sauntlers Campan:-. $14.00.
with
]liO
illustr:~tiorls.
The appearance of a new edition of one of our standard textbooks is always a u-elcome event. The present volume has been so greatly changed that it bears little rclsemblance to DeLee’s P~rinciples and Prncficc of Obstetrics which first was published in 1913. Greenhill collaborated with DeLee, IJeginning with the eighth edition published in 1943. Just why the present volume should be called the eleventh edition is somewhat of a ICbliographic* puzzle since DrLee’s name no longer appears on the title page and he is not mentioned in 11118 preface. The entire book has been rewritten. Kumerous illustrations used in previous editions IIXVP been removed and 125 new illustrations have been added; 144 illustrations are in color. ‘~IIc author has enlisted the aid of fourteen specialists, a wise course in view of the fact that out knowledge of the specialty has grown so complex. Entirely new chapters have been arIde on roentgenology in obstetrics, analgesia and anesthesia, fetal erythroblastosis and the Rh far,tor, diseases of the nervous system, induction of labor, and prolonged labor. There is :L q])txfzial chapter on endocrine changes and diseases during pregnancy. The first three sections of the book are devoted to the physiology and conduct of preg. nancy, labor, and the puerperium. The chapter on analgesia and anesthesia is esce]]ent.
ROOK
3
RE\‘IEWS
6%
without therapy modality
adequate description of the pathology and course of the disease. The problem of is passed over in a few sentences without statement of techniques, advantages of one over another, end resuIts, and other important features of vulva1 malignancy. There are no bibliographies which the reader might use to investigate a particular subject in greater detail. Although authors are quoted in the written text, there are only a few references as to the source of the quotation. Almost all of the suggestions to “further reading” are limited to papers in either the English or American literature. For the specialist in the field of gynecology, this book offers very little because of the superficial and dated presentation of treatments and end results. On the use of radium in the therapy of uterine malignancy, the authors speak of dosage in terms of milligram hours in describing the “Paris Method” and in roentgens in the “Manchester Rlethod.” The reader might assume that these terms are interchangeable. In relating end results, there is no apparent consideration of factors that determine statist&l significance. The authors admit the incompleteness of the chapter on gynecological operations, in view of which, this reviewer wonders whether it might not have been omitted. One finds many dated statements in the section of this chapter devoted to postoperative complications. For example, in speaking of the treatment of paralytic ileus, the authors state that “purgatives, colonic irrigation by high enematn, and use of certain drugs such as acetylcholine and prostigmine are the methods of choice.” In cases associated with toxemia, they advocate the use of B. tcelclti~i serum in a massive subcutaneous dose of 60 to 100 C.C.
Breast
Cancer and Its Diagnosis pages
with
181 illustrations.
and Treatment. Baltimore, 1955,
Edited Williams
by Edward 8; Wilkins
F. Lewison. Company.
477 $15.66.
The feeble grasp which we have of the problem of cancer is well illustrated by the Status of breast cancer and its treatment. We know little of its cause and are divided as to the significance of pre-existing benign breast disease. With respect to treatment, 60 years after Halsted reported the operation which for the first time materially affected the course of the disease, some argue that “results” are a function of the biologic properties of the individual tumor, and there is wide disagreement in practice as to what constitut,es a Halsted radical mastectomy, and there is no agreement as to the importance of wide skin resection, thin skin flaps, skin grafting. At the same time that one group of surgeons is making a practice of adding to radical mastectomy the extended mediastinal and cervical dissections which Halsted and his students had also investigated, another school has abandoned radical mastectomy in favor of simple mastectomy and heavy axillary irradiation. Dr. Lewison’s book, written with eight contributors, provides a very satisfactory reSome of the view of the problem, in all its aspects and from various points of view. ” “Surgical Treatment,” tend to be piosp, unnecessarily detailed, and sections, “Diagnosis, Most of the sections by contributing authors are expitched at too elementary a level. cellent, The chapter by Handley on surgical anatomy of the breast is a beautiful example of clear surgical writing. There are excellent sections on the pathology of cancer of the breast by Robert C. Horn, Jr., and on the extended radical mastectomy, by Jerome A. Urban. The book is extensively and handsomely illustrated, perhaps overillustrated (Figures The historical approach is a valuable aspect of the treatment of 81 and 83 are identical). The author and many of his contributors refrain from editorializing and the subject. special pleading. There are wide and repeated comparison and analysis of the results of various clinics, with thorough bibliography, and this is perhaps the most valuable feature of the book. Enfermedades Aires,
de la Mamma. 1955, Lopez and
By A. E. Nogues. Etehegoyen.
This is a well-written book are discussed from the viewpoints
on the major of etiol.ogy,
626 pages
with
191 illustrations.
Buenos
diseases of the breast. All disease entities pathogenesis, clinical forms, macroscopic and
BOOK
696
\:n
REVlEWS
I 0h.t. 6 ti>lieL. .\fnr,-Il. I’)ir,
‘l‘ii I tit, microscopic pathology, diagnosis, differential diagnosis, prognosis, an<1 treatmerit. The l~it~liograph~i-; end of each chapter is appended a concise rtlvirw of the chaptcbr. drawn from both English and European sour~s as well as Spanish ones, and great em phasis is placed on the American sources, especially in reference to carcinoma of thts brrast. in(aluding a section ilu thca An entire chapter is devoted to chronic q-stic mastopathy, ThPrc is also a Jingle c,hapter relationship of this disease to carcinoma of thr breast. The relationship of (+arcinom;~, to pregnancy anil devoted to the treatment of carcinoma. lactation is also discussed. The author has an open mind the feelings and statistics of other photographs are in black and white. in the book is easy to read.
Textbook with
of Endocrinology. 172 illustrations.
on many c*outroveraial subjec,ts and freely polnrs out authors on different, rutljecath. ,\lthough a11 13f thtiIesir)lla arp c~sl~cllcnt. 7’11~ Kpani>]i those of thca cross
Edited by Philadelphia,
Robert 1955:
H. Williarn~. TV. B. Saunders
Second edition. 771; ]WY” ( iompany. $]Xcl~l.
The increasing number of publications concerning endocrinology attests to the :rrat The book under discussion is tfivillerl into interest this branch of medicine has provoked. These authors aw outstan6lirrg arltliori~ thirteen parts, ant1 there are ten different author?. ties in their respective fields and have brought their subjects up to date. As a result P~JICP the lirst edition antI thr rt’several of the chapters have been completely rewritten maining chapters revised and amended. there are areas whertr one As in the entire field of endocrinology so in this testt~ook. could disagree but on the whole the writers have present.ed the ntaterial and evidel1r.e for their opinions in an unbiased manner. It is impossible to select interest attached to the adrenal book handled xo well.
any single chapter as outstanding. cortex, however, it is refreshing
The chapter dealing with laboratory procedures neophyte in this field and particularly to the student.
should
The entire book is very readable and writt,en proper understanding of the subject. One important bibliography and it is most complete. Thus anyon,’ no difficulty in finding plenty of references.
in
Obstetrics.
By Philadelphia,
J.
prove
With the inezreasing to find this phast~ of thr of great
interest
IO the
a manner that is conduc~ivt~ to :I aspect of this t,vpe of book is rh? Ilesiring further information will have
P. Greenhill. Eleventh edition. 1118S pages 1955, W. R. Sauntlers Campan:-. $14.00.
with
]liO
illustr:~tiorls.
The appearance of a new edition of one of our standard textbooks is always a u-elcome event. The present volume has been so greatly changed that it bears little rclsemblance to DeLee’s P~rinciples and Prncficc of Obstetrics which first was published in 1913. Greenhill collaborated with DeLee, IJeginning with the eighth edition published in 1943. Just why the present volume should be called the eleventh edition is somewhat of a ICbliographic* puzzle since DrLee’s name no longer appears on the title page and he is not mentioned in 11118 preface. The entire book has been rewritten. Kumerous illustrations used in previous editions IIXVP been removed and 125 new illustrations have been added; 144 illustrations are in color. ‘~IIc author has enlisted the aid of fourteen specialists, a wise course in view of the fact that out knowledge of the specialty has grown so complex. Entirely new chapters have been arIde on roentgenology in obstetrics, analgesia and anesthesia, fetal erythroblastosis and the Rh far,tor, diseases of the nervous system, induction of labor, and prolonged labor. There is :L q])txfzial chapter on endocrine changes and diseases during pregnancy. The first three sections of the book are devoted to the physiology and conduct of preg. nancy, labor, and the puerperium. The chapter on analgesia and anesthesia is esce]]ent.