June 1978

Visible and Palpable Lesions in Children

Author Affiliations

Children's Service Massachusetts General Hospital Boston, MA 02114


by C. Everett Koop, MD, ScD, 123 pp, $13.75, Grune & Stratton Inc, 1976.

Am J Dis Child. 1978;132(6):641. doi:10.1001/archpedi.1978.02120310105030

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This little gem of a book on lesions usually obvious to patients, parents, and physicians contains all the information pediatricians need to know to give primary advice to parents. Presented succinctly and simply, with occasional reference to basic embryology to enhance understanding, this vignette is directed at the primary physician caring for children whose initial advice and explanations to parents set the stage for adequate continuing care or referral of a particular problem.

The straightforward, differential presentation of the various kinds of cysts, hemangiomas, chest and abdominal wall defects, interabdominal tumors, and inguinal hernias clarifies do's and don'ts of appropriate therapy without bogging down in the technical detail of the surgery involved. It serves as an excellent guide for deciding when to refer the patient to the pediatric surgeon and what to expect as a result. The final threepage chapter, "Screening the Newborn," is typical of the author's remarkable ability

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