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February 1968

Atlas of Bone-Marrow Pathology, ed 3.

Arch Intern Med. 1968;121(2):193. doi:10.1001/archinte.1968.03640020081019

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A major criterion of excellence is whether the book represents a significant increase in our understanding of disease. I am afraid this atlas contains practically nothing that was not illustrated in atlases published 30 years ago; in fact about 80% of the material could be found in Pappenheim's atlas of 1917.

Is it inaccurate? Unfortunately yes, excluding the purely cytologic aspects. Most of these inaccuracies arise from exclusive reliance on smears and failure to realize that marrow cellularity cannot be evaluated in smears of fluid marrow. For example, Fig C on plate 10 on polycythemia vera is completely misleading and could represent almost any disease except polycythemia vera. Far advanced multiple myeloma has a much higher ratio of plasma cells to other marrow cells than shown in Fig C of Plate 12. In Fig B of Plate 12, the impression is left that the field is of marrow; it is

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