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Through ten outstanding editions, Werner & Ingbar's The Thyroid: A Fundamental and Clinical Text has been the go-to reference for the most comprehensive coverage of the thyroid, including anatomy, development, biochemistry, physiology, pathophysiology, and treatment of all thyroid disorders. Now in full color throughout, the 11th Edition of this award-winning text remains the clinician’s preferred source of authoritative information on the thyroid—an essential resource for all endocrinologists and thyroid surgeons. •Includes thorough updates and new content throughout the text, especially on thyroid cytopathology, thyroid imaging, and targeted therapy of thyroid cancer as well as a new full-color format.


•Covers all aspects of the thyroid, including thyroid hormone synthesis and secretion, thyroid function, and disorders such as thyrotoxicosis, hypothyroidism, and cancer.
•Discusses surgical management of thyroid cancer, thyroid disruptors, thyroid hormone analogs, thyroid dysfunction’s effects on other organ systems, the aging thyroid, subclinical hypothyroidism and hyperthyroidism, and thyroid disease in pregnancy.
•Features insights from international experts, including new editor Dr. Peter Kopp of Northwestern University’s Feinberg School of Medicine.
Enrich Your Ebook Reading Experience•Read directly on your preferred device(s), such as computer, tablet, or smartphone.
•Easily convert to audiobook, powering your content with natural language text-to-speech.


- 도서목차 -






section I

The Normal Thyroid 1

A. History, Development, Anatomy 1

chapter 1 The heritage of the thyroid: A brief history 1

Peter A. Kopp

chapter 2 Development and anatomy of the hypothalamic–pituitary–thyroid axis 9

Pilar Santisteban and Sabine Costagliola

B. Thyroid Hormone Synthesis and Secretion 39

chapter 3 Thyroid hormone synthesis: Thyroid iodide transport 39

Nancy Carrasco

chapter 4 Thyroid hormone synthesis 59

Peter A. Kopp

C. Peripheral Thyroid Hormone Binding and Metabolism 86

chapter 5 Thyroid hormone transport proteins 86

David Halsall and Carla Moran

chapter 6 Intracellular pathways of iodothyronine metabolism/implications of deiodination

for thyroid hormone action 97

Antonio C. Bianco and Brian W. Kim

D. Thyroid Hormone Action 128

chapter 7 Intracellular actions by thyroid hormones 128

Paul M. Yen, Gregory A. Brent, and Anthony N. Hollenberg

chapter 8 Thyroid hormone structure–function relationships 143

Riccardo Zucchi

E. Factors That Control Thyroid Function 157

chapter 9 Chemistry and biosynthesis of thyrotropin 157

Ronald N. Cohen, Anthony N. Hollenberg, and Fredric E. Wondisford

chapter 10 The thyrotropin receptor 174

Gilbert Vassart and Patrice Rodien

chapter 11 Aging and the thyroid 183

Anne R. Cappola

chapter 12 Effects of drugs on TSH secretion, thyroid hormones’ absorption, synthesis,

metabolism, and action 187

David H. Sarne

chapter 13 Thyroid disruptors 203

Angela M. Leung

chapter 14 Nonthyroidal illness syndrome 214

Anita Boelen, Lies Langouche, Wilmar Wiersinga, and Greet Van den Berghe

chapter 15 Iodine deficiency and excess, endemic cretinism 230

Michael B. Zimmermann and Weiping Tengxx Contents


section II

Assessment of Thyroid Structure and Function 259

chapter 16 Physical examination of the thyroid gland 259

James V. Hennessey and Jeffrey R. Garber

chapter 17 Laboratory measurement of thyroid-related hormones, proteins, and autoantibodies in serum 267

Ulla Feldt-Rasmussen

chapter 18 Nonisotopic thyroid imaging 300

Gilles Russ and Jung Hwan Baek

chapter 19 Thyroid radionuclide uptake and imaging studies 310

Daniel A. Pryma

chapter 20 Cytopathology of the thyroid gland 321

Zubair W. Baloch and Virginia A. Livolsi

chapter 21 Histopathology of the thyroid gland 332

Zubair W. Baloch and Virginia A. Livolsi


section III

Thyroid Diseases: Thyrotoxicosis 353

A. Causes of Thyrotoxicosis 353

chapter 22 Pathogenesis of Graves disease 353

Terry F . Davies and Yaron Tomer

chapter 23 Thyrotropin-induced thyrotoxicosis 370

Paolo Beck-Peccoz, Andrea Lania, and Luca Persani

chapter 24 Toxic adenoma and toxic multinodular goiter 378

Ralf Paschke

chapter 25 Trophoblastic tumors 389

Jerome M. Hershman

chapter 26 Sporadic painless, painful subacute and acute infectious thyroiditis 395

Alan P . Farwell and Elizabeth N. Pearce

chapter 27 Thyrotoxicosis of extrathyroidal origin 414

Angela M. Leung

B. Organ System Manifestations 419

chapter 28 Overview of the clinical manifestations of thyrotoxicosis 419

Henry B. Burch

chapter 29 Ophthalmopathy 427

Luigi Bartalena

chapter 30 The cardiovascular system in thyrotoxicosis 438

Salman Razvi

chapter 31 Thyroid hormones in intermediary metabolism, thermogenesis, and obesity 446

Francesco S. Celi

chapter 32 The skeletal system in thyrotoxicosis 454

Bernard Freudenthal, Laura Watts, Graham R. Williams, and J. H. Duncan Bassett

chapter 33 Thyroid dermopathy and thyroid acropachy 463

Vahab Fatourechi

chapter 34 Psychiatric and cognitive effects of thyrotoxicosis 476

Mary H. Samuels and Kathryn G. Schuff

chapter 35 Thyrotoxic storm 482

Leonard Wartofsky and Kenneth D. Burman

C. Diagnosis and Management of Thyrotoxicosis 489

chapter 36 Diagnosis of thyrotoxicosis 489

Paul W. Ladenson

chapter 37 Treatment of thyrotoxicosis 495

David S. Cooper

chapter 38 Subclinical thyrotoxicosis 524

Kristien BoelaertContents xxi


section IV

Thyroid Diseases: Hypothyroidism 531

A. Causes of Hypothyroidism 531

chapter 39 Chronic autoimmune thyroiditis 531

Anthony P . Weetman

chapter 40 Genetic defects causing hypothyroidism 543

N. Schoenmakers

chapter 41 Primary hypothyroidism due to other causes 555

Caroline T. Nguyen and Peter A. Singer

chapter 42 Central hypothyroidism 566

Luca Persani and Paolo Beck-Peccoz

B. Organ System Manifestations of Hypothyroidism 575

chapter 43 Overview of the clinical manifestations of hypothyroidism 575

Michael T. McDermott

chapter 44 Hypothyroidism and the heart 584

Salman Razvi

chapter 45 The skeletal system in hypothyroidism 592

Laura Watts, Bernard Freudenthal, J.H. Duncan Bassett, and Graham R. Williams

chapter 46 Psychiatric and cognitive effects of hypothyroidism 599

Kathryn G. Schuff and Mary H. Samuels

chapter 47 Myxedema Coma 605

Kenneth D. Burman and Leonard Wartofsky

C. Management of Hypothyroidism 612

chapter 48 Diagnosis of hypothyroidism 612

Paul W. Ladenson

chapter 49 Treatment of hypothyroidism 618

Jacqueline Jonklaas

chapter 50 Subclinical hypothyroidism 635

Robin P . Peeters


section V

Thyroid Diseases: Nontoxic Diffuse and Multinodular Goiter 641

chapter 51 Multinodular goiter: pathogenesis and management 641

Steen Joop Bonnema and Laszlo Hegedüs

chapter 52 Clinical evaluation and management of thyroid nodules 660

Susan J. Mandel and Jill E. Langer


section VI

Thyroid Cancers 683

chapter 53 Carcinomas of follicular epithelium: epidemiology and pathogenesis 683

Arthur B. Schneider, Cari M. Kitahara, and Alina Brenner

chapter 54 Genomic landscapes of thyroid cancers of follicular cell derivation 709

David G. McFadden, Thomas Giordano, James A. Fagin, and Yuri Nikiforov

chapter 55 Carcinoma of the follicular epithelium: surgical therapy 723

David L. Steward and Julie A. Sosa

chapter 56 Staging and prognosis of differentiated thyroid cancer 733

Donald S.A. McLeod

chapter 57 Medical management of differentiated epithelial cell thyroid cancer 751

Sebastiano Filetti, R. Michael Tuttle, and Steven I. Sherman

chapter 58 Papillary microcarcinomas 776

Akira Miyauchi and Yasuhiro Ito

chapter 59 Medullary thyroid cancer 784

Andreas Machens, Dagmar Führer, and Henning Drallexxii Contents

chapter 60 Poorly differentiated thyroid cancer, anaplastic thyroid cancer, and miscellaneous tumors of the

thyroid 796

Bryan R. Haugen, Keith C. Bible, and Robert C. Smallridge

chapter 61 Thyroid cancer in children 813

Catherine A. Dinauer, Emily R. Christison-Lagay, and Gary L. Francis


section VII

The Thyroid in Infancy and Childhood 839

chapter 62 The maturation of thyroid function in the fetus, in the perinatal period and during childhood 839

Gabor Szinnai and Michel Polak

chapter 63 Hypothyroidism in infants and children 855

Johnny Deladoëy, Julia von Oettingen, and Guy Van Vliet

chapter 64 Impaired sensitivity to thyroid hormone: defects of transport, metabolism, and action 868

Alexandra M. Dumitrescu, Manassawee Korwutthikulrangsri, and Samuel Refetoff

chapter 65 Hyperthyroidism in the neonate, child, and adolescent 908

Scott A. Rivkees


section VIII

Thyroid Disorders in Pregnancy and Postpartum 923

chapter 66 Thyroid disorders during preconception, pregnancy, and the postpartum period 923

Tim I.M. Korevaar and Elizabeth N. Pearce

Index 943





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