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General Pathology and Pathology of Systems
[An Integrated Approach to Pathology, Microbiology and Clinical Pathology]
SG Deodhare

Popular Prakashan, Mumbai, 2002, 2182 Pages in Part I and Part II

Dr. YM Bhende’s text book on “General Pathology” has been a very popular book among under graduate students for the last four decades. His co-authors Dr. SS Kelkar and Dr. SG Deodhare had made significant contributions to the same. Subsequently Dr. Deodhare has greatly expanded the scope of the original text-book to include pathology of systems. This has been published in 2002 as the sixth edition. The treatise is in two parts with 2182 pages covering fifty-one chapters. In most chapters the subject titles are of general pathology and within these is incorporated information about individual organ pathology.

The well-honed and universally accepted practice of separating systemic and general pathology has been abandoned and the novel concept of integrating basic pathology with individual organ pathology is zealously pursued. However the under graduate students may find it very difficult to cope with the copious information assembled together in an unsystematic and inappropriate manner. In an attempt to integrate general pathology with systemic pathology of common conditions, the relevance of the subject is lost. For example, acute glomerulonephritis and the remaining glomerulonephritides have appeared in the chapter on acute pyogenic infections. It is a post infectious immune mediated and not an infective disease.
The term hypertension generally implies systemic hypertension. However to include pulmonary hypertension and portal hypertension in this chapter seems irrelevant. Inclusion of discussion on menstrual disorders, erectile dysfunction in men and action of Viagra in a chapter on endocrine pathology is far fetched. Endocrine tumours are discussed in this chapter but the same are again described in the chapter on pathology of tumours. Thus repetitions and redundancy are frequently encountered through out these two volumes.

The author has not adhered to commonly accepted terminology and definitions. For example: Psoriasis has been included as an example of pathological hyperplasia and muscular dystrophy as another example of growth disturbance in the chapter on disturbances of growth of cells. Modifications in the previous classification of chronic hepatitis along with use of new terminology, grading and staging of disease have not been mentioned. Classification of soft tissue sarcomas is inappropriate because the benign and malignant soft tissue tumours should be classified along the lines of basic histiogenesis. Molluscum contagiosum has been inappropriately included in this chapter.

There are many spelling mistakes: page 1729 in Part II : the word European is spelt as Europian: Table of contents in Part II chapter 51 word haematopathology is spelt as haemotopathology etc.

On the other hand the author has produced a compendium or a reference book, for post-graduate students and teachers alike. There is a lucid and comprehensive discussion on many difficult subjects like molecular biology, carcinogenesis, autoimmune disorders etc. The various difficult concepts in these chapters are profusely illustrated in the form of flow charts and diagrams. A photomicrograph is undoubtedly a pivot around which crucial morphological details are illustrated. However, the quality of the photomicrographs needs considerable improvement.

Dr. Arun Chitale, Dr. Shaila Khubchandani
Jaslok Hospital Research Centre,
Mumbai - 400 026.