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The book PORTNotes is without doubt, an unusual textbook and outline which can and will be of great value to clinicians seeking aid in diagnosing and treating bone and soft tissue tumors. It will be treasured as a reference text, a book which details the characteristics of disorders of the musculoskeletal system and offers not just a useful description of lesions, but multiple pictures of them, an exhaustive set of references about them, and a plan for evaluating and effectively treating them. There is almost nothing omitted in the review of patients with these diseases and a careful perusal of sections of the book such as for chondrosarcoma or synovial cell sarcoma or osteoid osteoma shows that one can learn more about them in a short period of time than from any other source.

It is important to note that the syllabus deals not only with tumors but provides useful information about metabolic bone disease, infections, inflammatory and arthritic disorders, dysplasias and some basic science concepts regarding the genesis of tumors. All of these knowledge ports are up to date and amazingly comprehensive.

Knowing the author as well as some of us do, it is easy to define the "Pitcheresque" nature of the text, the warmth and humor of the phrases in almost all of the illustration pages and the seemingly boundless enthusiasm and comprehensive approach that makes this volume so worthwhile. I particulary enjoyed his tribute to Crawford J. Campbell as almost a dedication. He is one of my heroes too.

We should be grateful to Dr. Pitcher for this enormous effort and for the enrichment of our specialty interest in pathology and pathophysiology. He has provided us with a treasure.

Henry J. Mankin
Orthopaedic Oncology Service
Massachusetts General Hospital
Edith M. Ashley Professor of Orthopaedic Surgery
Harvard Medical School
October, 2001