ENDOCRINE SURGERY

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ISBN: 9781570595745 | 1570595747
Cover: Nonspecific Binding
Copyright: 1/1/2000

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Rush Medical College, Chicago, IL. Pocket review of the pathophysiological surgical disorders of the pancreas. Contains data on the diagnosis, preoperative, operative, and postoperative management of endocrine surgical disease. For physicians and surgeons. Wire-spiral bound. DNLM: Endocrine Diseases--surgery--Handbooks.

Embryology, Anatomy and Physiology of Thyroid	p. 1
Embryology	p. 1
Anatomy	p. 1
Physiology	p. 4
Solitary Thyroid Nodule	p. 10
Clinical Considerations	p. 10
Fine Needle Aspiration Biopsy	p. 12
Other Imaging Studies	p. 13
Algorithm for Management	p. 15
Substernal Goiter	p. 18
Introduction	p. 18
Incidence	p. 18
Anatomical Classification	p. 18
Pathology and Pathogenesis	p. 19
Clinical Manifestation	p. 20
Diagnosis	p. 21
Treatment	p. 21
Current Research and Its Applications	p. 25
Summary	p. 26
Thyrotoxicosis	p. 28
Introduction	p. 28
Graves' disease	p. 31
Toxic Multinodular Goiter	p. 37
Solitary Toxic Nodule	p. 39
Thyroiditis	p. 41
Iodine-Induced Thyrotoxicosis	p. 42
Follicular and Hurthle Cell Neoplasms	p. 45
Introduction	p. 45
Follicular Neoplasms	p. 45
Hurthle Cell Neoplasms	p. 51
Summary	p. 54
Differentiated Thyroid Carcinoma	p. 56
Introduction	p. 56
Epidemiology and Classification	p. 56
Pathology, Pathogenesis and Carcinogenesis	p. 58
Clinical Presentation and Diagnosis	p. 59
Staging and Prognostic Factors	p. 61
Surgical and Medical Treatment	p. 63
Lymphatic and Distant Metastasis	p. 64
Diagnostic and Therapeutic Radioactive Iodine-131	p. 65
Recurrent Thyroid Carcinoma	p. 67
Summary	p. 68
Medullary Thyroid Carcinoma	p. 69
Introduction	p. 69
Primary Surgical Treatment	p. 71
Current Research: Genetic Testing for MEN 2A, MEN 2B, and FMTC	p. 73
Conclusions	p. 78
Anaplastic Thyroid Carcinoma	p. 80
Introduction	p. 80
Clinical Presentation	p. 80
Diagnosis	p. 81
Pathology	p. 81
Treatment	p. 83
Complications of Thyroid Surgery	p. 87
Embryology, Anatomy and Physiology of the Parathyroid Glands	p. 93
Historical Aspects	p. 93
Embryology and Anatomy	p. 93
Histology	p. 95
Physiology	p. 96
Disorders of the Parathyroid Glands	p. 98
Diagnosis and Management of Primary Hyperparathyroidism	p. 104
Introduction	p. 104
Diagnosis	p. 104
Differential Diagnosis	p. 105
Indications for Surgery	p. 106
Operative Surgery	p. 106
Complications of Surgery	p. 107
Localization Studies	p. 108
Management of Specific Situations	p. 109
Controversies in Management	p. 110
Future Prospects	p. 111
Parathyroid Localization Studies	p. 114
Introduction	p. 114
CT	p. 115
MRI	p. 116
US	p. 117
Nuclear Medicine Studies	p. 117
Discussion	p. 119
Secondary and Tertiary Hyperparathyroidism	p. 121
Physiology	p. 122
Pathophysiology	p. 122
Medical Therapy	p. 126
Surgical Therapy	p. 128
Parathyroid Cancer	p. 132
Introduction	p. 132
Epidemiology	p. 132
Diagnosis	p. 132
Treatment	p. 134
Follow-Up	p. 135
Summary	p. 135
Parathyroid Autotransplantation	p. 137
Introduction	p. 137
History	p. 138
Indications for Autotransplantation	p. 138
Allo- and Xenotransplantation	p. 141
Technique of Autotransplantation	p. 141
Cryopreservation	p. 142
Parathyroid Reoperations	p. 145
Introduction	p. 145
Confirming the Diagnosis in Patients with Recurrent or Persistent Hypercalcemia	p. 145
Localization Studies in Patients with Persistent or Recurrent Hypercalcemia	p. 146
Operative Approach in Patients with Persistent or Recurrent Hypercalcemia	p. 150
Intraoperative Rapid PTH Assay	p. 151
Summary	p. 152
Adrenal Embryology, Anatomy and Physiology	p. 155
History	p. 155
Embryology	p. 155
Anatomy	p. 156
Microscopic Anatomy	p. 157
Adrenal Steroid Biochemistry and Physiology	p. 158
Mineralocorticoids	p. 158
Cortisol	p. 160
Adrenal Sex Steroids	p. 160
Catecholamines	p. 161
Cushing's Syndrome	p. 165
Introduction	p. 165
Diagnosis	p. 165
Localizing	p. 166
Treatment	p. 167
Advances	p. 171
Aldosteronoma	p. 172
Introduction	p. 172
Etiology	p. 172
Clinical Presentation	p. 173
Diagnosis	p. 174
Localization	p. 175
Treatment	p. 176
Summary	p. 177
Adrenocortical Cancer	p. 178
Introduction	p. 178
Epidemiology	p. 178
Diagnosis	p. 179
Treatment	p. 180
Summary	p. 182
Adrenal Incidentaloma	p. 184
Introduction	p. 184
Diagnosis	p. 184
Management	p. 186
Treatment	p. 186
Pheochromocytoma	p. 189
Introduction	p. 189
Genetics and Associated Conditions	p. 189
Clinical Presentation	p. 190
Diagnosis	p. 190
Localization of Tumors	p. 192
Preoperative Management	p. 194
Operations for Pheochromocytoma	p. 194
Postoperative Care	p. 195
Pathology	p. 195
Postoperative and Long-Term Surveillance	p. 197
Malignant Pheochromocytomas	p. 197
Pregnancy	p. 198
Laparoscopic Adrenalectomy	p. 204
Introduction	p. 204
Open versus Laparoscopic Adrenalectomy	p. 204
Indications for Laparoscopic Adrenalectomy	p. 205
Techniques of Laparoscopic Adrenalectomy	p. 205
The Lateral or Flank Approach	p. 205
The Anterior Laparoscopic Approach	p. 208
The Retroperitoneal Laparoscopic Approach	p. 209
Summary	p. 210
Embryology, Anatomy and Physiology of Pancreas	p. 212
Embryology	p. 212
Anatomy	p. 212
Physiology	p. 217
Insulinoma	p. 222
Background	p. 222
Clinical Presentation 1	p. 222
Clinical Evaluation	p. 223
Localization	p. 223
Surgery	p. 224
Intraoperative Glucose Monitoring	p. 225
Results	p. 226
MEN I Patients with Hyperinsulinism	p. 227
Nesidioblastosis	p. 227
Malignant Insulinoma	p. 227
The Future	p. 227
Gastrinoma	p. 229
Introduction	p. 229
Demographic and Pathologic Characteristics	p. 229
Clinical Presentation and Diagnosis	p. 229
Tumor Localization	p. 230
Treatment	p. 231
Glucagonoma	p. 235
Presentation	p. 236
Diabetes	p. 236
Necrolytic Migratory Erythema	p. 236
Other Symptoms	p. 237
Diagnosis	p. 238
Localization	p. 238
Chemotherapy	p. 240
Somatostatin	p. 241
Other Possibilities	p. 241
VIPoma	p. 243
Introduction	p. 243
Current Concepts	p. 243
Clinical Presentation	p. 245
Diagnosis	p. 245
Treatment	p. 247
Outcome	p. 248
Somatostatinoma	p. 250
Introduction	p. 250
Clinical Presentation	p. 250
Diagnosis	p. 251
Pathology	p. 252
Surgical Treatment	p. 252
Systemic Therapy	p. 253
Summary	p. 253
Carcinoid Tumors	p. 254
Introduction	p. 254
Current Research and Therapy	p. 254
Future Applications and Summary	p. 261
Multiple Endocrine Neoplasia Syndrome	p. 263
Introduction	p. 263
Review of Current Research	p. 263
Men 1	p. 264
Men 2A	p. 267
Men 2B	p. 269
Index	p. 273
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ENDOCRINE SURGERY

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