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This is an intensely personal book. It is a written record of the author's well-known style of presentation at lectures and meetings with cases. It reflects his great respect for biological data and his strong belief in oral tradition of valuable knowledge. He has followed some 200 cases of myeloma carefully during the last 30 years and tells us about them in an almost conversational manner. American readers may regret that such a vast experience has yielded relatively few crisp analyses in chart form and they may be uncomfortable with the seemingly casual writing, which makes it difficult to look up specific points. However, this book is primarily directed to hematologists who will want to read through the entire text and will be richly rewarded by Waldenström's perspective and his many "pearls," eg, (1) high percentage of plasma cells means poor prognosis; none of his patients with more than 30%