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The goal of Roses's Breast Cancer is to present current issues in the diagnosis and management of breast cancer from the viewpoint of the practicing physician. It offers considerably more information than is usual in general surgical and medical textbooks, but by covering virtually all aspects of the disease in 688 pages it is less encyclopedic in certain areas (e.g., molecular biology) than are specialized textbooks on these subjects. Interestingly, the book is organized in a question-and-answer format. "What is the frequency of breast cancer in the United States?" is the first question in the book; "What other social and psychological issues should be addressed with the patient?" (in the chapter on genetic counseling) is the last. Although artificial, this approach helps to keep the text focused on the needs of all who are involved in the care of patients with breast cancer.
The book is also a source of information on subjects related to breast cancer that elsewhere are often dealt with superficially. Twelve pages are devoted to breast cancer in men, 20 to breast cancer in women who are pregnant, and 22 to the pathology of special forms of breast cancer. Inevitably, a book such as this also has its imbalances. The chapter on the treatment of metastatic breast cancer is considerably shorter than the chapter on pathology. Almost 40 pages deal with reconstructive surgery, whereas only 11 pages concern the principles of chemotherapy. Moreover, of that 11-page discussion, 5 pages deal with high-dose chemotherapy with stem-cell transplantation, an approach of unproven value in the treatment of metastatic disease.
Breast Cancer is a beautiful book that contains a wealth of information and illustrations related to this fascinating disease. Despite its imbalances, it will be of great use to all those who care for patients with breast cancer and who have questions requiring a quick, precise, and up-to-date answer.
Reviewed by Geert H. Blijham, M.D., Ph.D.
Copyright © 1999 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.
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1.0 out of 5 stars
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This review is from: Breast Cancer, 1e (Hardcover)
I bought this item to be shipped internationally and I was surprised that a very old edition was shipped. I was refunded half the price of the item for that. I still had to go back and buy the same item again.
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