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编号:11325759
Paediatric and Adolescent Gynaecology: A Multidisciplinary Approach
http://www.100md.com 《新英格兰医药杂志》
     The title of this book may suggest that it is a general textbook of pediatric and adolescent gynecology that is unique in its multidisciplinary approach. However, it is actually a more specialized overview of congenital and developmental anomalies of the reproductive tract. It is unique in that it contains extensive discussions and information on the psychological aspects of these complex disorders for patients and their families.

    The first of the book's three sections discusses normal development, including embryology (a rather short chapter for this type of book), genetics, puberty, and bladder function, with a nice chapter on the psychology of sexual development. The second section, on general management, consists of several chapters that focus on the psychological needs of patients and their parents and includes discussions of communication at the time of diagnosis, as well as complex issues surrounding psychological treatment of patients with disorders of sexual differentiation. Also in this section are chapters on imaging (with a large number of magnetic resonance imaging scans), on laparoscopy and other surgical techniques, and on the dilator technique for women with vaginal agenesis.

    The third section deals with a wide variety of topics in pediatric and adolescent gynecology, ranging from specific anomalies to menstrual disorders, vaginal discharge, and anorexia. The choice of topics in general adolescent gynecology is interesting, but some seem out of place here. Contemporary and sometimes controversial topics include preservation of fertility before cancer therapy, surrogacy and egg donation, and gender assignment and the timing of such procedures.

    There is considerable overlap of information among chapters, but in such cases, references are made to other chapters. The index is extensive, which makes looking for a specific topic fairly easy. About half the color pictures are from cases of congenital anomalies and the others show endometriosis, ovarian cysts, general dermatology, and anorexia. The quality of most of the pictures is good, and excellent diagrams serve as a complement.

    Since most of the authors are from European countries (especially the United Kingdom) and Australia, some of the information in the book is not as applicable to U.S. physicians. However, the book certainly offers another perspective and presents an interesting overview of multidisciplinary management of reproductive anomalies. It clearly reflects the experience and opinions of experts in the field — information that is presented with the available evidence. Although this is not a general textbook, it should appeal to physicians who must make complex decisions regarding the care of patients with reproductive anomalies. The chapters that deal with the optimal and individualized care of patients and their families, with all the controversies surrounding the management of their cases, are well worth reading.

    Elisabeth H. Quint, M.D.

    University of Michigan Medical School

    Ann Arbor, MI 48103(Adam H. Balen, Sarah M. C)