Meyers' Dynamic Radiology of the Abdomen: Normal and Pathologic Anatomy PDF
Preview Meyers' Dynamic Radiology of the Abdomen: Normal and Pathologic Anatomy
Meyers’ Dynamic Radiology of the Abdomen S E IXTH DITION Morton A. Meyers Chusilp Charnsangavej Michael Oliphant Meyers’ Dynamic Radiology of the Abdomen Normal and Pathologic Anatomy S E IXTH DITION With531Figures,in729Parts,22inColor 1 3 MortonA.Meyers,MD,FACR,FACG ProfessorEmeritusofRadiologyandMedicine DistinguishedUniversityProfessor StateUniversityofNewYork StonyBrook,NY117948460 USA ChusilpCharnsangavej,MD,FSIR ProfessorofRadiology RobertD.MoretonDistinguished ChairinDiagnosticRadiology TheUniversityofTexas M.D.AndersonCancerCenter Houston,TX77030 USA MichaelOliphant,MD,FACR ProfessorofRadiology DepartmentofRadiology WakeForestUniversity SchoolofMedicine WinstonSalem,NC271571088 USA ISBN9781441959386 eISBN9781441959393 DOI10.1007/9781441959393 SpringerNewYorkDordrechtHeidelbergLondon LibraryofCongressControlNumber:2010932339 #SpringerScienceþBusinessMedia,LLC2011 Print#2005SpringerScienceþBusinessMedia,Inc. Print#2000,1994,1988,1982,1976SpringerVerlagNewYork,Inc. Allrightsreserved.Thisworkmaynotbetranslatedorcopiedinwholeorinpartwithoutthewrittenpermissionofthepublisher (SpringerScienceþBusinessMedia,LLC,233SpringStreet,NewYork,NY10013,USA),exceptforbriefexcerptsinconnection withreviewsorscholarlyanalysis.Useinconnectionwithanyformofinformationstorageandretrieval,electronicadaptation, computersoftware,orbysimilarordissimilarmethodologynowknownorhereafterdevelopedisforbidden. Theuseinthispublicationoftradenames,trademarks,servicemarks,andsimilarterms,eveniftheyarenotidentifiedassuch,isnot tobetakenasanexpressionofopinionastowhetherornottheyaresubjecttoproprietaryrights. Whiletheadviceandinformationinthisbookarebelievedtobetrueandaccurateatthedateofgoingtopress,neithertheauthors northeeditorsnorthepublishercanacceptanylegalresponsibilityforanyerrorsoromissionsthatmaybemade.Thepublisher makesnowarranty,expressorimplied,withrespecttothematerialcontainedherein. Printedonacidfreepaper SpringerispartofSpringerScienceþBusinessMedia(www.springer.com) To Bea, Amy, Richard, Karen, Sarah, and Sam I couldn’t wish for a more loving family Morton A. Meyers To my teachers: Professor Milton Elkin who encouraged me to use multimodality approach and to apply physiology and pathology in Diagnostic Imaging, and to Professor Sidney Wallace who taught me how to be a clinician To my wife and children: Tanitra, Chutapom, Tonyamas, Nalinda, Sirynda, and Larissa who endured my long hours at work To my parents: Chow and Usa who would like their children to be successful and secure a better life Chusilp Charnsangavej To Phyllis, Melissa, Jason, Bradley, and Ella All my love always. In memory of Molly Sara Michael Oliphant Therearesomethingswhichcannotbelearnedquickly,andtime, whichisallwehave,mustbepaidheavilyfortheiracquiring.Theyare theverysimplestthings;and,becauseittakesaman’slifetoknow them,thelittlenewthateachmangetsfromlifeisverycostlyandthe onlyheritagehehastoleave. Ernest Hemingway Death in the Afternoon Preface to the Sixth Edition The preface to the first edition of Meyers’ Dynamic In the pursuit of comprehending the pattern, all Radiology of the Abdomen: Normal and Pathologic methods of investigation have been used, including Anatomystatedthatthisbookintroducesasystematic (a) anatomic cross-sectioning of cadavers frozen to applicationofanatomicanddynamicprinciplestothe maintainrelationships;(b)cadaverinjectionsanddis- practicalunderstandinganddiagnosisofintraabdom- sectionsperformedtodeterminepreferentialplanesof inaldiseases.Theclinicalinsightsandrationalsystem spreadalong ligaments,mesenteries,and extraperito- ofdiagnosticanalysisstimulatedbyanappreciationof neal fascial compartments; (c) selected clinical cases thedynamicintraabdominalrelationshipsoutlinedin withthefullestrangeofimagingstudies;(d)peritoneo- previous editions have been universally adopted. scopy and peritoneography; and (e) surgical opera- Literally thousands of scientific articles in the litera- tions,surgicalpathology,andautopsies. ture have attested to their basic precepts. Formula- Thebasicaimsinwritingthisbookhavenotchan- tions and analytic approaches introduced in the first ged from the first edition, and it is produced in the editionarenowwidelyappliedinclinicalmedicineso samespiritasitspredecessors.Thequestofsciencehas that many of the terminologies, definitions, and con- always sought the identification of a pattern of cir- ceptsofpathogenesishavesolidlyenteredthescientific cumstances. With this recognition, there follows domain.Theseinsightsleadtotheuncoveringofclini- insight and understanding into the nature and callydeceptivediseases,theevaluationoftheeffectsof dynamics of events and thereby their predictability, disease, the anticipation of complications, and the management, and consequences. This book estab- determinationoftheappropriatediagnosticandther- lishes that the spread and localization of diseases apeutic approaches. Spanish, Italian, Japanese, and throughout the abdomen and pelvis are not random, Portuguese editions have encouraged more wide- irrationaloccurrencesbutratheraregovernedbylaws spread application of the principles, which in turn ofstructuralanddynamicfactors. hasledtofurthercontributionstoourunderstanding In the past, radiology books have traditionally of the features of spread and localization of intraab- dealtwithhighlyfocusedtopicslimitedtoaparticular dominal diseases. These principles have been applied organorimagingmodality.Often,thesehavetypically to the full range of imaging modalities – from plain been collections of cases illustrating the range of dis- films and conventional contrast studies to CT, US in eases affecting that organ or the advantages and lim- all its modes (endoscopic, laparoscopic, and intra- itations offered by a particular imaging technique. operative), MRI, and PET-CT – leading to this sixth However, in a clinical setting, patients often present editionafter34years. in a manner challenging the physician’s thinking viii (cid:2) Preface to theSixth Edition patterns: to determine not only ‘‘what?’’ but ‘‘how?’’ explainwhathaslongbeenthoughtofasillogicaland and‘‘why?’’and‘‘where?’’ mysterious circumstances. On this basis, the role of Thefirsteditionwashailedas‘‘thebookthatrevo- diagnosticimagingisvastlyextended. lutionized abdominal radiology.’’ One reviewer Manynewchaptersmeticulouslydetailthepattern enthused:‘‘Inliteraturetherearefavorite64thousand oflymphaticspreadofcancerfromprimaryorgansin dollar questions, namely, which three books would a theabdomenandpelvis.ChusilpCharnsangavejillus- manchooseifhehadtolivealoneonadesertedisland. trates exquisitely precise identification based on ana- If one narrows the field to radiological abdominal lysis of huge clinical material at the M.D. Anderson texts, I wouldn’t hesitate to take Meyers’ Dynamic CancerCenterinHouston. Radiology of the Abdomen...The book would be an With a known primary lesion, it may be critical to intellectual challenge that would make the loneliness anticipatethelikelysitesofspread.Ontheotherhand, bearable.’’Anauthor’spridethatcriticalinsightshad apatientmaypresentwithalesionataremotesite,in been formulated was furthered by another reviewer’s whichcaseitbecomesimportanttothinkbackwardin tribute: ‘‘MortonMeyershasopenedupawholenew ordertorevealtheoccultprimarysite.Charnsangavej worldformanyofus...Meyersontheabdomenislike shows that an intimate knowledge of the vascular Armstrongonthemoon.’’ distributions characteristic of each organ provides Whilehewingtothefundamentaltheme, thissixth the template for identifying its lymphatic pathways. editionisnotsimplyarevision,notmerelyacompen- He emphasizesthat the benefitsof understandingthe diumoftheobservationsandexperiencesreportedby pathways of lymphatic drainage of each individual others.Rather,itisdecidedlyavirtuallynewpresenta- organ are threefold. First, when the primary site of tion. Its authorship has been enlarged by two inter- thetumorisknown,itallowspreciseidentificationof national authorities who have pioneered ground- theexpectedsitesofnodalmetastasesbyfollowingthe breaking perspectives in the precise recognition of a arterial supply or venous drainage in the ligaments, wide spectrum of intraabdominal disease processes. mesentery,ormesocolonattachedtothatorgan.Sec- To satisfy these aims, completely new chapters have ond, when the primary site of tumor is not clinically beenaddedandothershavebeenextensivelyupdated known, identifying abnormal nodes allows tracking andenlarged.Thiseditionincludesmorethan680new the arterial supply or venous drainage in that region imagesandillustrations. totheprimarysource.Third,italsoallowsidentifica- The insights introduced by Morton Meyers in the tion ofthe expected site ofrecurrentdiseaseor nodal first edition and developed over the subsequent edi- metastasis or the pattern of disease progression after tionsensuredthecriticalpositionoftheradiologistin treatment bylooking at the nodal station beyondthe establishingthediagnosis,oftenredirectingthecourse treated site. Accurate assessment is crucial for plan- of investigation, and in indicating the prognosis and ning treatment regarding neoadjuvant therapy and determining the management. Clearly established are surgeryandmayimpacttheoutcomeoftreatment. thedynamicsandpathwaysofspreadandlocalization Additional value is occasionally encountered. An ofintraperitonealinfectionsandmalignancies,andthe incidentally noted abnormal-appearing lymph node anatomic–pathologic delineation of the three extra- not in the expected pathway from a known primary peritoneal spaces. What had been woefully described sitemaybediscountedtorepresentametastasis.And as a ‘‘hinterland of straggling mesenchyme with its today, with increased patient longevity achieved fol- shadowy fascial boundaries’’ is now seen as clearly lowingtreatmentofaprimarycancer,secondandeven demarcated compartments with pathognomonic third primaries may arise. In this setting, if a lymph features. node metastasis is identified at a distant site, knowl- Asusefulasthesehavebeen,muchhasbeengained edgeofthepathwaysofspreadmayhelpinaccurately bybroadeningavisiontoencompassglobalanatomic determiningtheparticularprimarysitefromwhichthe continuitythroughouttheabdomenandpelvis:justas recurrencehastakenorigin. aloopofribbontwistedonceorseveraltimes,asina As in previous editions, great care has been taken Mo¨bius strip, yields a structure with continuity of withthelayouttogiveprominencetoselectedillustra- planes. The unifying concept of the subperitoneal tionsand,mostimportantly,topositionthefiguresas space of the abdomen and pelvis devised and refined closely as possible to their citation in the text so that by Michael Oliphant and colleagues in the scientific thereader’stimeandeffortarenotwastedreferringto literature, including the fifth edition, is here now ele- pagessomedistanceapart. gantly elaborated for clinical applications. It serves The color images detail anatomic features of clin- bothtoilluminatethepotentialofbidirectionalspread icalsignificance. of disease – predominantly cancer but also benign Thereferenceshavebeenexpandedandcontinueto conditions, e.g., inflammation and trauma – and to includebothclassicarticlesandrecentcitations.They Preface to theSixth Edition (cid:2) ix are not restricted to the English language and, when (cid:2) Drs. Maarten S. van Leeuwen and Michiel A.M. pertinent,refertotheoriginaldescriptions.Alengthy Feldberg of the University Medical Center, indexwithcross-referencesprovidesimmediateaccess Utrecht, The Netherlands, who contributed the tothedetailedmaterialpresented. section on Compartmentalization of the Anterior We wish to express our gratitude to the contribut- PararenalSpaceinChapter6. ingauthorswhohaveaddedlustertothisedition: We also wish to thank Dr. Jae Hoon Lim for his (cid:2) Drs. Yong Ho Auh of the Weill Cornell Medical generouscooperationinprovidingmanystate-of-the- College – New York Presbyterian Hospital, New art images depicting extraperitoneal anatomy and York City; Jae Hoon Lim of the Sungkyunkwan pathology. UniversitySchoolofMedicine,SamsungMedical We have submitted this manuscript to Springer, Center, Seoul, Korea; and Sophia T. Kung of confidentthattheirskillshaveproducedanotheredi- the Weill Cornell Medical College – New York tionofhightechnicalquality. Presbyterian Hospital, who contributed Chapter 7onTheExtraperitonealPelvicCompartments; MortonA.Meyers,M.D.,F.A.C.R,F.A.C.G. StonyBrook,NewYork ChusilpCharnsangavej,M.D.,F.S.I.R. Houston,Texas MichaelOliphant,M.D.,F.A.C.R. Winston-Salem,NorthCarolina
Description:The list of books you might like
