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Endocrine Surgery
Editors:  Arthur E. Schwartz, Demetrius Pertsemlidis & Michael Gagner
Pages: 696  Hard  Cover
ISBN: 0824742974
Marcel Dekker    2004
List Price:  $250.00

Reviewed By:  Samuel W. Beenken, MD, FACS
                          Professor of Surgery
                          The University of Alabama at Birmingham School of Medicine

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  Medical Science Books Medical Book Review:

   It is a pleasure to write this review of an outstanding and comprehensive account of contemporary endocrine surgery and endocrinology. Written by a cadre of experienced Mount Sinai surgeons and by selected international experts, this text provides a comprehensive review of the pathophysiology and pathology of surgical endocrine disease and delineates a thoughtful approach to surgical therapy.

     Endocrine surgery is evolving rapidly and this text strives to keep us abreast of developments in molecular endocrinology, imaging, minimally invasive and video-assisted surgery, and intra-operative assays. The chapters present concise reviews by organ system (pituitary, thyroid, parathyroid, adrenal, pancreas, gastrointestinal tract), which emphasize pathology, imaging and surgical management, in a comprehensive yet readable fashion.

     I particularly enjoyed reading the chapter dealing with the thyroid gland. Thyroid physiology is clearly described and is correlated with testing of thyroid function and dysfunction, including hyperthyroidism. Management of thyroid nodules and mediastinal goiter is presented, as is surgical management of thyroid cancer, including well-differentiated, medullary and anaplastic cancer. I found that the majority of problems, which confront the busy thyroid surgeon, were clearly addressed. The section on MEN syndromes was excellent and included discussion of the clinical significance of mutation of specific codons of the RET oncogene. On the other hand, the chapter on the parathyroid glands, while clearly weighted toward endoscopic and video-assisted parathyroidectomy for primary hyperparathyroidism, provided little information on secondary and tertiary hyperparathyroidism.

     Endocrine Surgery provides a practical summary of diagnostic methods, management options, and surgical techniques and will benefit surgery residents, general and ENT surgeons, and endocrine surgeons as they confront the wide variety of surgical endocrine disorders.

Ratings: (1-4, 4 being the highest)

Organization of information:    3

Usefulness of book:     3

Suitable for intended audience:    4

Authorís objectives met:      4

Significant number of illustrations:     3

Quality of illustrations:    3


Table of Contents:

Section I:  Introduction

Chapter 1.     Molecular Endocrinology

Chapter 2.     Robotic Endocrine Surgery

Section II:  Brain and Lung

Chapter 3.     Selective Venous Sampling for Pituitary Tumors

Chapter 4.     Pituitary Tumors

Chapter 5.     The Neuroendocrine Lung

Section III:  Thyroid

Chapter 6.     Surgery for Differentiated Thyroid Cancer

Chapter 7.     A Guide to the Physiology and Testing of Thyroid Function

Chapter 8.     Thyroid Pathology

Chapter 9.     Hyperthyroidism

Chapter 10.   Diagnosis and Management of Thyroid Nodules

Chapter 11.   Mediastinal Goiter

Chapter 12.   Medullary Thyroid Carcinoma

Chapter 13.   Managment of Papillary and Follicular

Chapter 14.   Anaplastic Thyroid Carcinoma

Chapter 15.   Endoscopic Thyroid Surgery

Chapter 16.   Video-Assisted Thyroid Surgery

Section IV:  Parathyroid

Chapter 17.   Physiology of the Parathyroid Glands and Pathophysiology of Primary Hyperparathyroidism

Chapter 18.   Sestamibi Scintigraphy and Ultrasonography in Primary Hyperparathyroidism

Chapter 19.   Surgical Management of Hyperparathyroidism

Chapter 20.   Reoperation for Primary Hyperthyroidism

Chapter 21.   Parathyroid Carcinoma

Chapter 22.   Endoscopic Parathyroidectomy

Chapter 23.   Video-Assisted Parathyroidectomy in the Management of Patients with Primary Hyperparathyroidism

Section V:  Adrenal

Chapter 24.   Adrenocortical Function and Adrenal Insufficiency

Chapter 25.   The Sympathoadrenal System:  Its Physiology and Function

Chapter 26.   Surgical Pathology of the Adrenal Glands

Chapter 27.   Ultrasonography of the Adrenal Gland

Chapter 28.   Computed Tomography of the Adrenal Glands

Chapter 29.   Magnetic Resonance Imaging of Endocrine Adrenal Tumors

Chapter 30.   Scintigraphic Imaging of the Adrenal Cortex

Chapter 31.   Radionuclide Imaging of Adrenal Medullary Tumors

Chapter 32.   Adrenal Vein Sampling

Chapter 33.   Cushing's Syndromes, Adrenocortical Carcinoma, and Estrogen- and Androgen-Secreting Tumors

Chapter 34.   Primary Aldosteronism:  Pathophysiology, Diagnosis, and Management

Chapter 35.   Adrenal Incidentalomas

Chapter 36.   Pheochromocytoma:  Diagnosis and Treatment

Chapter 37.   Techniques of Conventional Open Adrenalectomy

Chapter 38.   Laparoscopic Adrenalectomy with the Transabdominal Lateral Approach

Chapter 39.   Retroperitoneoscopic Adrenalectomy

Section VI:  Pancreas

Chapter 40.   Pathology of Pancreatic Endocrine Neoplasia

Chapter 41.   Ultrasonography of the Pancreas

Chapter 42.   Computed Tomography of the Pancreas

Chapter 43.   Magnetic Resonance Imaging of  Neuroendocrine Pancreatic Tumors

Chapter 44.   Radionuclide Imaging of the Pancreatic Endocrine Tumors

Chapter 45.   Insulinoma

Chapter 46.   Hyperinsulinism

Chapter 47.   Gastrinomas and Other Rare Pancreatic Endocrine Tumors

Chapter 48.   Techniques of Conventional Open Pancreatic Surgery

Chapter 49.   Laparoscopic Management of Pancreatic Islet Cell Tumors

Section VII:  Inherited Syndromes

Chapter 50.   Multiple Endocrine Neoplasia and Other Familial Endocrine Tumor Syndromes

Section VIII:  Gastrointestinal Tract

Chapter 51.   Carcinoid Tumors

Chapter 52.   Endocrine Tumors of the Gastrointestinal Tract

Section IX:  Treatment of Advanced Malignancy

Chapter 53.   Liver Transplantation for Neuroendocrine Tumors

Chapter 54.   Cytoreduction of Neuroendocrine Tumors

Chapter 55.   Medical Management of Neuroendocrine Gastrointestinal Tumors


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