Brain Tumors

Abstract

Richard Prayson, Bette Kleinschmidt-DeMasters, Mark Cohen and David Elder Brain Tumors Demos Medical Publishing , New York , 2010 . 318 + xv Pages. Price $140 (hardback). ISBN 978-1933864693 Brain Tumors is one of a series of pathology texts by Demos Medical Publishing which aim to cover the full spectrum of surgical pathology in a case-based series format. In addition to a volume on brain tumours the Consultant Pathology Series currently includes volumes on head and neck pathology and tumorigenic melanocytic proliferations with forthcoming volumes in the series covering pathology of the liver, bladder and thyroid papillary lesions. The authors are all experienced pathologists who have accumulated large collections of difficult cases. The cases presented in Brain Tumors are based on actual consultations with no less than 101 individual chapters over 318 pages. The text covers a full range of histopathological diagnoses, ranging from normal and reactive conditions to the rarer tumours which have only recently been included in the most up to date World Health Organization (WHO) classification. Each chapter follows an identical format. A short introductory paragraph provides background clinical information including age, clinical presentation and imaging findings. Next is a summary of the reporting pathologist's opinion with a description of the histological findings. This opinion is then expanded upon in a section of comment and discussion with further details of the diagnostic histological features, a review of relevant differential diagnoses and some clinicopathological correlation. A discussion of the immunohistochemical findings and, where relevant, the molecular pathology, is also included. Each case is accompanied by a series of illustrations to highlight the relevant diagnostic features and two or three references for those wishing to do some further reading. Although not currently available, the publishers anticipate that the images from the book, along with additional images to supplement the presentation of the case, will eventually become available on a website for downloading, study and use in education. Brain Tumors is an attempt to cover the entire scope of central nervous system malignancy (with a few exceptions) and will, as the preface states, offer the beginner or relatively inexperienced pathologist an opportunity to review the basics and see some of the rarer entities. The descriptions of the histology are succinct with the diagnostic features nicely illustrated by the accompanying micrographs. In each case the thought process leading to each diagnosis is clearly reviewed and the utility of immunohistochemical markers and special stains are elaborated upon, with their role in ruling out alternative diagnoses clearly explained. The format of the text is easily accessible with a user-friendly layout, and the consistency of presentation means that the relevant information is easily located at a glance. It is not in the same league as some other textbooks on the histopathology of brain tumours, such as the WHO classification and the Armed Forces Institute of Pathology (AFIP) fascicle on tumours of the central nervous system. It does not cover intra-operative diagnoses or detailed information on the genetics of brain tumours, although ultrastructural features are briefly covered in some of the chapters where relevant. As such it will not provide the sort of detailed information that a specialist neuropathologist may need to access. However, in fairness, this is not a claim that the authors make and although each entity is covered, in most cases, in only two to three pages, the amount of information that the authors are able to provide is impressive. Indeed even the more experienced neuropathologist is likely to find the description and differential diagnosis of the rarer entities useful on those occasions that they face them as part of their daily practice. In summary Brain Tumors certainly delivers what it promises to its intended target audience. It will provide those at the start of their careers in diagnostic neuropathology or general pathologists who occasionally dabble in diagnostic neuropathology with a well thought out, practical and easily accessible resource which covers the whole range of brain tumours in an easy to read textbook. The well-organized layout, the short but informative reviews of each diagnostic entity and the good quality micrographs justify a competitively placed price of $140.