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uestions in Daily Urologic Practicepringer Publications 2008

his handbook discusses various uropathology issues thate come across in our day-to-day life. It is primarilyritten by 2 pathologists, R. Oyasu and X.J. Yang fromorthwestern University, Chicago, Illinois, with contri-

utions from a Japanese Urologist, O. Yoshida. Evenhough the primary authors are pathologists, referencesave been taken equally from both urology and pathologyrticles.

This book attempts to answer various questions in theractice of uro-oncology. Because the pathologist’s rolen urology is mainly in oncology, only oncology-relatedssues are addressed. The questions-and-answers format isery interesting, with detailed comments and references.eading the questions and answers alone is enough to get

he take-home message. In the evidence-based era, toubstantiate the answers we need a back up from pub-ished studies. The evidence part is described in detail inhe “Comment” section, with appropriate illustrationsnd references.

As we know, major research is done and maximumublications are seen in prostate cancer. Every year inhe American Urological Association and European As-

ociation of Urology meetings, newer updates are addedore in prostate cancer than in any other area. This book

lso dedicates one third of its volume to prostate cancer.he remaining pages discuss adrenal, renal, bladder, and

esticular cancers. Penile cancer is left out because of itsecreasing incidence in the Western world.Few questions not answered by the standard textbooks

re answered in this book, for example, importance ofertiary Gleason’s score in prostate cancer and deficien-ies in the 2002 TNM/AJCC staging of renal cell carci-oma.1 In few questions with ambiguity, both the con-

rast views are answered with references, enabling the

2009 Elsevier Inc.ll Rights Reserved

eader to select their options, for example, presence orbsence of prostatic capsule and importance of perineuralnvasion in prostate cancer. Few issues that still needurther support from published data have been truthfullyeft unanswered, such as the research question, “Is Pros-ate cancer involving sphincter still pT2 or pT3?”

The authors also have many of their own contributiono uropathology, such as molecular classification of type 2apillary RCC into types 2 A and 2 B.2

I conclude by saying that this book is a must read for allhose preparing for postgraduate examinations. A consid-rable amount of information they obtain by wide search-ng is concentrated in this single handbook. This is aood reference book for practicing urologists to face aell-read colleague from pathology branch and to talk in

Pathological” language. It is a well-updated book for allathologists practicing uropathology.If you present this book to your pathologist–

. You will be thanked immensely,

. You will obtain better evidence-based pathology re-ports, and

. You will, in turn, give evidence-based treatment toyour patient—the ultimate aim of all research work inthis world.

eferences. Leibovich BC, Cheville JC, Lohse CM, et al. Cancer specific sur-

vival for patients with pT3 renal cell carcinoma: can the 2002primary tumor classification be improved? J Urol. 2005;173:716-719.

. Yang XJ, Tan MH, Kim HL, et al. A molecular classification ofpapillary renal cell carcinoma. Cancer Res. 2006;65:5628-5637.

nanda Kumar, M.B.B.S., D.N.B., M.R.C.S. From theepartment of Urology, Vedanayagam Hospital, Coim-atore, Tamil Nadu, India

doi:10.1016/j.urology.2009.04.044

0090-4295/09/$34.00 713