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The Cambridge Encyclopedia of Human Paleopathology

Article  in  Journal of Clinical Pathology · November 1998


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Letters, Book reviews, CD-ROM, Notices 879

Prof J C Rambaud and Dr A Lavergne, made a little more forcibly, as it concerns a The Cambridge Encyclopedia of
H6pital Lariboisiere, Paris). very important and frequently occurring Human Paleopathology. A C Autderheide,
Thus our case showed similarities with the problem. These reservations are, however, C Rodriguez-Martin. (L;75.00.) Cambridge
one described by Mason and Dunk (that is, minor points and this eminently practical
an association with lymphocytic gastritis). As book can be warmly recommended to University Press, 1998. ISBN 0 521 552023 6
with MacGowan's two patients, coeliac dis- (neuro)pathologists, who are called upon to (HB).
ease was also diagnosed in our case on the make intraoperative diagnoses. Humanity has lived with disease for all of
operative specimen but, in contrast to those our existence. Injuries and diseases have
PAUL VAN DER VALK changed bones and teeth since prehistoric
cases, the problem here was not the unmask-
ing of coeliac disease but a misdiagnosis, and times. However, the birth of paleopathology
the error on behalf of both clinician and Russell & Rubinstein's Pathology of is attributed to the German naturalist Johann
pathologist resulted in a delay of more than Tumors of the Nervous System (6th Friederich Esper, who correctly diagnosed an
one year after the onset of symptoms before osteosarcoma in a cave bear's femur in 1774.
edition). Edited by D D Bignar, R E Human paleopathology is the study of disease
suitable treatment was begun. McLendon, J M Bruner. (,C265.00; two in ancient populations by the examination of
SVEN WIDGREN volume set.) Edward Arnold, 1998. ISBN 0 human remains. Physicians and anthropolo-
Institut neuchatelois d'anatomie pathologique, Les 340 58113 1.
Cadolles 4, CH 2000 Neuchdtel, Switzerland gists have now practised paleopathology for
This title has been a classic in the neuropa- more than a century. This superbly produced
SERGE LEYVRAZ thology literature for many decades the book deals with the subject of human
Centre Pluridisciplinaire d'Oncologie, CHUV-Niveau previous edition in 1989 was a single author
10, CH 1011 Lausanne, Switzerland paleopathology and is likely to become a
textbook, and with the death of Professor major reference work for those interested in
Rubinstein the title has been taken over by a the identification of human remains. The
1 Mason CH, Dunk AA. Duodeno-jejunal adeno- multiauthor team headed by three dis- quality of the specimen photographs is very
carcinoma and coeliac disease [letter]. J Clin tinguished North American neuropatholo- high and the specimens selected for illustra-
Pathol 1997;50:619. gists. Their task has not been easy since there tion are all good examples, coming from
2 MacGowan DJL, O'B Hourihane D, Tanner have been enormous advances in the pathol- museums in the United States, Spain, and
WA, O'Morain C. Duodeno-jejunal adenocar- ogy of brain tumours over the past decade,
cinoma as a first presentation of coeliac Chile. The book covers almost all diseases
disease. J Clin Pathol 1996;49:602-4. encompassing major changes in the classifi- that produce macroscopic changes in bones,
3 Gander M, Leyvraz S, Widgren S. Adenocarci- cation and, inevitably, the explosion of data teeth, and soft tissues and survive in archaeo-
noma of the small bowel associated with coeliac from molecular biological studies. These logical specimens. Soft tissues are included
disease. Bull Suisse Cancer 1993;13: 141-3.
changes have been wholeheartedly embraced because they are commonly present in mum-
by the editors and this title is now contained mified remains. The book also includes
in two volumes, comprising 23 chapters sections on other conditions relevant to the
ranging from epidemiology to cell biology study of ancient populations. For example, it
and molecular genetics, immunology and explains how the unique geographical popu-
detailed chapters on individual tumour lation pattern of gene frequencies of Duffy
Book reviews groups. The chapter titles have substantially
altered from the previous edition to encom-
red blood cell antigens becomes comprehen-
sible when the role of these antigens in the
pass recent changes in classification, and it is vivax malarial life cycle is understood. Clearly
interesting to see how some of Professor paleopathology has become a highly special-
Rubinstein's war horses-for example, the ised field and few British pathologists are ever
Intra-operative Diagnosis of CNS angioblastic meningioma-have vanished likely to view such material. However, as a
without trace. book to be read for the sake of interest alone,
Tumours. T H Moss, J A R Nicoll, J W These volumes contain a wealth of infor- I would wholeheartedly recommend this vol-
Ironside. (,C145.00.) Oxford University mation that will be of great interest to all ume.
Press, 1997. ISBN 0 340 67737 6. neuropathologists and to those with an inter-
This is a splendid book. Not just because of est in brain tumours including neurosur- J R SALISBURY
its extensive coverage of this area, but more geons, oncologists, radiotherapists, and basic
especially because of the first general chap- neuroscientists. In our department, which has
ters that precisely place the role of smear a major commitment to brain tumour diag-
preparations and frozen sections and address nosis, the book has proven invaluable as a ref-
the logistics of both procedures-easy to erence text and as stimulation for further
overlook this, but so important in practice. In
addition, a wealth of clinical information is
reading and research. The text is usefully
supplemented by illustrations and tables with
CD-ROM
thrown in, to help interpret slides. It could be occasional line diagrams in the earlier chap-
argued that most neuropathologists (for ters. Some of the illustrations are of poor
whom this book is intended) ought to know quality and this is acknowledged in the copy
most of this, but to see all this information sent for review in an apology from the
assembled and placed in perspective is Haematology Library: Basic Principles
publishers. The problems with reproduction
helpful for anyone, not just registrars or in my copies particularly involved volume 2, and Practice, 2nd ed (CD-ROM).
pathologists who deal with neuropathological where some of the colour images (for R Hoffman, E J Benz Jr, S J Shattil, B Furie,
samples on a less than regular basis. example Fig 15.23) where uninterpretable. H J Cohen, L E Silberstein, eds. Churchill
I have only two small points to raise. One However, it is anticipated that this error will Livingstone, 1996. (,199.00.) ISBN 0 443
concerns the small number of high magnifi- be rapidly corrected and in volume 1 the fig- 07669 3.
cations among the otherwise high quality ures where of a satisfactory standard, includ- Medical knowledge has expanded so fast
illustrations. It is a little surprising that, for a ing many colour illustrations of macroscopic that textbooks now require one to have
technique that focuses on cellular detail, not and microscopic pathology and good repro- Arnold Schwarzenegger's physique to lift
more (very) high magnifications were in- ductions of neuroradiology. The index is them off the shelf. Furthermore even with the
cluded. excellent but the references are not subdiv- best indexes, multivolumed books of several
Second, the categorised layout of the book ided in line with the subdivision of chapters, thousand pages are difficult to use, and take
is very clear, but suggests more differences making it rather difficult to locate references so long to get published they are partly out of
between some entities than exist in reality. in the lengthier chapters. date by the time they appear.
The astrocytic tumours are a case in point. It This major work is not primarily intended A solution to these problems is the
can be notoriously difficult to distinguish as a bench book for diagnostic neuropatholo- CD-ROM. Large "books" presented as
between astrocytoma and anaplastic astrocy- gists and indeed it is not always helpful in this CD-ROMs are familiar to anyone who has a
toma on smear preparations. Also, there is a respect. However, as a comprehensive and computer-even very large texts like the
difference in the ease with which mitotic fig- authoritative source of information on virtu- Encyclopaedia Britannica comfortably fit onto
ures are identified in smears and in sections. ally all aspects of brain tumours, from genet- one or two disks. Other advantages of
Whether this influences grading of such ics to therapeutics, it is an essential purchase CD-ROMs are that some degree of multi-
tumours has not been investigated. The for any department involved with brain media can be included (such as video clips),
authors do mention some of these potential tumour diagnosis. and they should be cheaper to produce and
problems, but the point could have been JAMES IRONSIDE more capable of being updated regularly.

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