A lot of hospitals are now seeing increasing numbers of patients that have malignant mesothelioma. Because of this, pathologists studying the case are given a number of problems, which can be separated into those exposed in finding the differences between malignant mesothelioma and harmless changes and those discovered in setting apart mesotheliomas from additional sorts of e-cadherin and connecting tissue tumors. Immunohistochemistry is a major factor in diagnosing, nevertheless it should be understood with due regard to the scientific setting and radiological features, and understanding the broad morphological variations that exist in cancer of the mesothelium.

Mesothelioma is a cancer affecting the serosal cavities, an anatomical location that is often affected by mets, largely from primary cancers of the breast, ovary and lung. Developments in immunohistochemistry have resulted in improvement in diagnostic sensitivity and precision in the differential diagnosis in both cytological and histological material. Lately, the researchers employed increased levels of throughput technology to the classification of new flags that could help in telling the difference between malignant mesothelioma from ovarian and peritoneal cancer, tumors with closely related histogenesis and antigenic profile. Together with the improved medical devices accessible for cancer of the serosa diagnosis, knowledge regarding the biology of mesothelioma has been accumulating recently.

Since hurricane Katrina Ray Nagin has taken on a celebrity status. Now everything he says is public domain as quick as it is uttered. His sense of responsibility does not seem to be keeping pace with his new fame. There are many now who think Nagin has written his own political obituary with his recent remarks. Given the nature of politics in Louisiana that may not be true. In fact, in the state that produced Huey Long, Edwin Edwards and David Duke it would seem rogue politicians will always have an accepted place in the sportsmen’s paradise.

The remark has drawn criticism from both white and black groups and leaders. None of them have gone so far as to say the remarks are racist. Let’s take another look at the question by posing it in a reverse fashion. If a white mayor were to state that their city should be a vanilla city what could we expect to happen?

Cries of racism would be hastily followed by calls for apologies and resignations. Every black group from the NAACP to Rainbow Coalition would be sounding off with indignant repulsion and a good measure of howling and baying. We could only expect that, and rightly so. That leaves only one question. Why hasn’t anyone noticed that the most damaging effect of Mayor Nagin’s remarks is that it is abetting racism?

America is still working hard to promote racial harmony in this decade but remarks about chocolate cities are more akin to cognitive dissonance than harmony. Nagin who otherwise would be rated among the top of the list of good New Orleans mayors should take notice of what legacy he wants to leave the wonderful city that care forgot and the wonderful nation that spawned such a unique city.

His divisive remarks have even insulted those within the city of New Orleans. Mayor Nagin said he wasn’t worried about what the folks uptown thought about him. Whew! Having spent twenty years of my life in New Orleans I don’t need a degree in demographics to know that one of the few remaining predominantly white areas of New Orleans is the uptown section.

Between the civil rights laws of the sixties and common sense of most decent people who want to see America healed from the grievances of our past, it is easy to conclude that America has no chocolate or vanilla cities. We have only cities. I hope!