Mammography can be thought of as a (sub)macroscopic "shadow pathology" - confident diagnosis necessitates comprehensive knowledge of breast pathology. The traditional rules of thumb, for example that a regular, rounded shadow means a benign lesion, a radiating structure represents a malignant tumor, and microcalcification indicates biopsy, no longer hold true. This volume aims to explain modern breast pathology to physicians practicing mammography. The over 600 individual illustrations and...

This book is the product of long years of close collaboration between two physicians, a pediatric endocrinologist and a pediatric surgeon, who are interested in the complex field of human malformations. Their efforts have set a new standard in the treatment of children with intersexual or mal formed female genitalia. It is impossible to convey the details of complex surgical procedures without the help of meticulous illustrations. It is fortunate that happened to meet an academically train...

Building upon scientific discoveries of past years, B-scan ultrasonography has become a widely accepted diagnostic procedure that has assumed particular importance in the areas of obstetrics and gynecology, internal medicine, and urology. The early and liberal use of the method, even for outpatients and in outlying hospitals, is in accordance with the safety and the relatively low costs of diagnostic ultrasonography. Perhaps more than in any other method, however, the user of diagnostic ul...

Surgeons confronted with acute trauma are frequently under great pressure to act quickly. Only a few have an infallible three-dimensional memory as regards the different approaches necessary for treating fractures by inter nal fixation. Thus there is a real need for a reference book on the approaches to the shoulder, arm, pelvis, and leg which is instructive and based on clinical practice. This is true both for the emergency situation and for the "evening before" with the imperative preope...

It is a great pleasure and honor to be asked to participate in the translation of this important and historical volume on thoracic surgery and to provide this foreword. Martin Kirschner of Mannheim/Heidelberg was an early pioneer in thoracic and esophageal surgery. His operation for bypass of the esophagus using the entire stomach remains a standard of the surgical armamentarium to this date. The original Kirschner Textbook of Surgery was a standard in its day. We are fortunate that Profes...

Even the earliest applications of nuclear magnetic resonance (NMR) spectroscopy and tomography to medical inquiries, using experimental apparatus that was primitive by today's standards, demonstrated the extraordinary potential of the NMR method. The subsequent rapid advances in this area were due largely to the ef forts of commercial manufacturers, who, by improving magnet and computer designs, were able to produce and market instruments having a remarkable image quality. Experimental dat...

The reconstructive surgery of posttraumatic deformities has made significant advances in recent years. Reports on technical progress and clinical results are encouraging, even though they have often raised patient expectations to an unrealistic level. The operative methods available to us today enable corrective osteotomies to be performed with a high degree of accuracy and success. Precisely because the sequelae of trauma are so difficult to schematize, every case must be evaluated indivi...

This volume contains the proceedings of the Symposion on Shoulder Joint Replace ment held at the Kieler Yacht Club in conjunction with the 35th Annual Meeting of the Northwest German Orthopaedic Surgeons at Kiel in 1985. Since the advent of suitable implant materials hemiarthroplasty of the shoulder was explored in the 1950s; total shoulder joint replacement was first reported in 1971. As interest in solutions to problems of the shoulder is growing, it appeared timely to present to interes...

If a consecutive series of patients with lung cancer is followed up until the decision is made about therapy, it emerges that the role of surgery is quite small. Only a very limited proportion will ultimate ly qualify for rationally conceived surgical therapy; most patients are inoperable. In a series of 397 patients investigated at our hospi tal, 78% were inoperable on the basis of preoperative evaluation and a further 3% proved nonresectable at thoracotomy; therefore, only 19% were suita...

The introduction of lasers into operative medicine and advances in fiberoptic technology have made a significant contribution to minimally invasive surgery. This book was written to raise awareness of the capabilities and advant ages of lasers in urological surgery and to make this tech nology more widely accessible. The book reflects the cumulative experience of 25 years of laser research and clinical application, starting in 1972 with studies on laser tissue interactions, endoscopic stud...

During the past 3 years, little has been added to our funda mental knowledge of hormonal disorders in gynecology. Diagnostically, however, there has been an almost com plete departure from traditional chemical methods in favor of radioimmunoassay techniques. As a result, diagnostic capabilities which previously were restricted to large cen ters have now been extended to the office and small clinic. Accordingly, the chapters dealing with these techniques have been revised and updated. There...