Jul 20, 2016 - cicle for pathologists and others interested in pulmonary neo- plasms. After some ... hood pleuropulmonary blastoma, intra-pulmonary solitary.
BOOK REVIEWS
is seen through our own microscopes. This is a very usable atlas for the diagnostic surgical pathology service.
Orihel TC, Ash LR. Parasites in Human Tissues. Chicago: ASCP Press, 1995, 386 pp, $165.00 ($145.00 ASCP Members).
ANN MARIE NELSON, MD
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Division ofAIDS Pathology Armed Forces Institute of Pathology Washington, DC
Colby TV, Koss MN, Travis WD. Tumors of the Lower Respiratory Tract: Atlas of Tumor Pathology. Third Series, Fascicle 13. Washington, DC: Armed Forces Institute of Pathology, 1995, 554 pp, $69.00. It has been 15 years since the publication of the second edition of the lower respiratory tract tumor fascicle, authored by Drs. Carter and Eggelston. Carcinomas of the lung still constitute some of the more common tumors that practicing pathologists examine, yet in the interval there have been changes in classification, staging, and terminology, as well as advances in molecular biology, tumor markers, and many other facets of lung carcinoma. At the other extreme, many rare tumors of the lung have been described, or at least described in much greater detail, during the 15 years since the publication of the previous fascicle. This divergent focus defines the value of this new fascicle for pathologists and others interested in pulmonary neoplasms. After some introductory material regarding tissue handling, pulmonary development and related disorders and bronchial and salivary gland type-lesions, the book begins with a comprehensive examination of carcinomas, which makes up approximately 60% of the volume. Each major type of carcinoma is presented with copious illustrations and discussion of rare subtypes. Each section also presents relevant ultrastructural and immunohistochemical findings. Separate chapters provide comprehensive staging, prognostic, and survival information. The remaining 40% of the book is devoted to areas such as mesenchymal, lymphoid, metastatic, and pseudoneoplastic lesions. As an atlas should, the book contains numerous illustrations on almost every page. These run the gamut from gross photographs to ultra-low magnification examples that illustrate pattern and distribution, to well-done high magnification photomicrographs. Although only a few color plates were in the previous edition, many color photographs are spread throughout the present edition. This edition also includes many more examples of various types of cytologic preparations, including manyfine-needleaspiration specimens. These cytology photomicrographs are at a sufficiently high magnification, in color, and of exquisite sharpness, to constitute a fine resource in this area. Reference lists for chapters are complete and up to date. Some of the newer entities thoroughly discussed in this edition are spindle cell squamous carcinoma, large cell neuroendocrine carcinoma, carcinomas associated with cysts, childhood pleuropulmonary blastoma, intra-pulmonary solitary fibrous tumor, intravascular lymphomatosis, posttransplant lymphoproliferative disorder, epithelioid hemangioendothelioma, and Kaposi's sarcoma. There is also a greatly expanded section on the salivary gland-like tumors of the lung. This sec-
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Parasites in Human Tissues beautifully illustrates the vast spectrum of parasites that infect man (more than 90 species are discussed). The authors, who have extensive combined experience in parasitology, have provided a comprehensive and practical atlas that will be useful to pathologists, clinical and research parasitologists, laboratory technicians, and students. The 386 page atlas has an introductory section of quick reference tables for each class of parasites that lists the stage(s) of the parasite and the usual, secondary, and rare anatomic locations in which they are found. The text and atlas follow the taxonomic groupings, with sections on Protozoa, Nematoda, Trematoda, Cestoda, Acanthocephala, pseudoparasites, Pentastoma, Arthropods, and artifacts. Identification of parasites in tissue sections requires a systematic approach to morphology, combined with a knowledge of clinical features, sites of infection, and geographic distribution of the parasite. The introductory tables assist in orienting the reader's search for a diagnosis and are helpful in narrowing the possibilities. The text sections provide succinct descriptions * of relevant information on epidemiology, biology and life cycle, clinical manifestations and pathology, as well as morphologic descriptions of each species. A short list of pertinent references is also included. This is followed by full page color plates; the photographs show both low and high magnification features, are large (3X4 inches) with good resolution and descriptive legends that illustrate host tissue changes and diagnostic features of each parasite. Although most sections are stained with hematoxylin and eosin, special stains are shown when needed for accurate diagnosis. The sections on common artifacts, pseudoparasites, pentastomes, and arthropods are helpful. Unlike earlier books on the subject, such as Diagnostic Pathology of Parasitic Infections by Gutierrez or the AFIP atlas on tropical diseases by Binford and Connor, the descriptions of the host reaction in the present atlas are not as detailed as some pathologists would like. However, the authors's purpose was to provide microanatomic descriptions of the parasites, not the pathology. The quantity and, for the most part, the quality of the illustrations in this text exceed those of the earlier texts. However, I was disappointed that photomicrographs of Isospora species, Cyclospora cayetanensis and tachyzooites of Toxoplasma gondii were not included, because these are important pathogens in the immunocompromised host. Comparative tables for the differential diagnosis of microfilariae and some of the other helminths could have been included. Although Pneumocystis carinii is considered by many to be a primitive fungus rather than a parasite (results that the authors acknowledge), it is appropriate that this organism still be included in the atlas. Overall, I was very pleased with the book and think that it is an excellent companion to the authors' earlier Atlas of Human Parasitology. It is an important addition to the reference library of those who see parasites in tissues, either routinely or occasionally. The organisms and diagnostic features are large and easy to identify in the illustrations and are comparable to what
