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Multidisciplinary Atlas of Breast Surgery

British Journal of Cancer
Nature Publishing Group
Publication Date
  • Book Review
  • Biology
  • Medicine


British Journal of Cancer (1998) 78(2), 276 © 1998 Cancer Research Campaign Book reviews Multidisciplinary Atlas of Breast Surgery Edited by David W Kinne, Lippincott Raven Publishers, pp. 194 Among the erudite readers of the British Journal of Cancer, how many will be moved to read an atlas of breast surgery? Not many. A few prurient molecular biologists might scan some pages to confirm their prejudices that surgeons are mere rude mechanicals who have no right to claim that they play any part in cancer research. Some medical oncologists might care to discover the technical legerdemain necessary to achieve maximal local control and optimal determination of prognostic variables. Radiation oncologists, who are often asked to salvage situations after inade- quate surgery, may chose to read and photocopy some of the sections to send to their erring surgical colleagues, most of whom will read neither this Journal nor the Atlas. The Atlas is a New York production from the combined talents of the Columbia-Presbyterian Medical Center and the Memorial Sloan-Kettering Cancer Center, continuing the tradition of those giants of breast surgery Frank Adair and Cushman Haagensen. The book covers the spectrum of invasive procedures, from the decep- tively simple fine-needle aspiration to the almost totally superseded radical mastectomy. The multidisciplinary aspects are represented by stereotactic core-needle biopsy, interstitial implant and breast reconstructive surgery. It seems strange that there is no section on core-needle biopsy of palpable lesions, as this is a common tech- nique for obtaining a preoperative histological diagnosis. The book is well illustrated with line drawings and is surpris- ingly consistent, considering its multi-authorship. Medical students, for whom the operating theatre is now a no-go zone, may use the Atlas to gain some notion of the main operative procedures for breast cancer. Surgeons in training will be able to grasp the prin- ciples of the procedures before learning how a

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