Some of the text is canted towards the generalist and will be useful to early stage trainees. There is a brief discussion Buparlisib on the use of squash/smear preparations in which the authors discuss the pros and cons vs. frozen section. They conclude that relative usage depends on the technical availability of quality frozen sections and by which method the pathologist was trained.
Having touched upon these matters, the authors are entirely clear that this book is solely focussed on frozen section diagnosis and readers expecting to learn something of smear diagnosis interpretation should look elsewhere – there is only one smear micrograph in the whole book. Chapter 3 is dedicated to identifying non-neoplastic disease and avoiding the pathologist’s nightmare of a false positive tumour diagnosis. As with the initial chapters, Selleck Epacadostat this is approached in a structured manner, directing the reader to observe the presence or absence of specific features (‘flags’) and leading them through a diagnostic algorithm suggesting suitable differential diagnoses that are conveniently summarized in a couple of tables. Chapters 4 and 5 are a logical extension to Chapter 3 and deal with tumours of the cerebral parenchyma, addressing first the metastatic lesions (Chapter 4) and then the primary brain tumours (Chapter 5).
There is more of a descriptive approach to these chapters and the major histological features of intrinsic tumours and their sub-types, as detailed in the current WHO manual, are rehearsed in brief. The authors interestingly advocate providing the surgeons with a WHO grade in this provisional assessment. The subsequent chapters follow this general format and cover dural based tumours, intraventricular lesions, cerebellar based lesions, pituitary gland and sellar lesions, pineal about gland lesions and spinal cord lesions. Each chapter adequately addresses the range of possibilities one might reasonably expect to encounter, en route indicating pitfalls and providing differential diagnoses. Overall
the writing style is clear and concise but some readers may find it possibly a little too narrative for ‘flick and find’ rapid reference as the publishers intend. Most chapters have an introductory paragraph to set the scene. Presumably owing to the volume’s compact size, the print size is slightly smaller than the usual text book (I estimate around 11 point) and the presbyopic will need their reading glasses. The micrographs (c. 164 in number) are generally of good print quality and colour balance and as large as the format allows with a maximum of two per page covering the available width. Most of the frozen section material from which these micrographs derive are of outstanding quality and can easily be taken for paraffin embedded H&E’s.