Advances in Anatomic Pathology:
Baptist Hospital Miami, FL
The author has no funding or conflicts of interest to disclose.
- Title: Practical Breast PathologyAuthor: Atkins K.A., Kong C.S.
- Publishers: Elsevier Saunders
- Year/ISBN: 2013, 978-1-4377-0763-2
- Organization: By pattern
- Readability: Concise and straight forward
- Pictures: Full color, excellent focus
- Strengths: Inclusiveness, organization, images
- Pages: 321
Breast pathology is part of the “bread and butter” of surgical pathology. Although some academic pathologists may be able to avoid these often lengthy cases, most general surgical pathologists must be able to correctly categorize a wide variety of breast lesions, many of which have relatively subjective diagnostic criteria. They also must be able to evaluate these lesions with ancillary studies that have very specific and objective criteria for implementation. As a result, although there are many good textbooks on breast pathology, any new text that can bring a different perspective to the subject is a welcome addition. This current text does just that.
This text is part of the Pattern Recognition Series that Drs Leslie and Wick began with their textbook on lung pathology. For this text, Drs. Atkins and Kong have divided breast pathology into the patterns of: stroma predominant, mixed stroma and epithelial, infiltrative, nodular, intraductal, and intralobular. Each of these patterns include representative images as well as tables containing the full differential diagnosis involved. These images, as are those in the whole book, are large, in sharp focus, and very representative. For any case in which the diagnosis might be in doubt, these tables provide an excellent starting point to consider the full differential diagnosis.
In addition, the text is composed of chapters organized around not only these categories but also including more traditional topics such as juvenile breast lesions, fibrosing lesions, and cutaneous lesions. The text in these chapters is well organized, succinct, and clear. It also contains some details that may be useful but unknown to many pathologists, such as cross reactivity of D2-40 with myoepithelial cells.
There is also an extensive chapter on breast imaging that is organized like a teaching seminar. Such a chapter may be especially useful to some pathologists. Although many academic centers insist that pathologic radiologic correlation is essential for breast cases, especially in evaluation of core biopsies, my impression is that the recommendation for correlation has outpaced the skills and practice patterns of not a few pathologists who interpret these images. Although there are other chapters and books on this subject, this chapter provides a relatively easy entry point for practicing pathologists to improve their skills in this area.
In summary, this text is an excellent addition to the Pattern Recognition Series, and is likely to be useful to a wide variety of pathologists who interpret breast specimens.
Andrew Renshaw, MD