Controversies in Clinical Thyroidology

1. Front Matter

   Pages i-xiv

   PDF

2. Is Thyroid Imaging an Overutilized Diagnostic Procedure?

   • Joel I. Hamburger, J. Martin Miller, Michael Garcia, Donald A. Meier, Sheldon S. Stoffer, Charles I. Taylor

   Pages 1-20

3. Are Silent Thyroiditis and Postpartum Silent Thyroiditis Forms of Chronic Thyroiditis or Different (New) Forms of Viral Thyroiditis?

   • Joel I. Hamburger, Donald A. Meier

   Pages 21-67

4. Should All Autonomously Functioning Thyroid Nodules Be Ablated to Prevent the Subsequent Development of Thyrotoxicosis?

   • Joel I. Hamburger

   Pages 69-104

5. Is Prevention of Hyperthyroidism Complicating Pregnancy Justification for Routine Ablative Therapy for Hyperthyroidism in Women in the Childbearing Years?

   • Joel I. Hamburger, Sheldon S. Stoffer

   Pages 105-117

6. Is Long-Term Antithyroid Drug Therapy for Graves’ Disease Cost-Effective?

   • Joel I. Hamburger

   Pages 119-157

7. Is There a Place for Long-Term Stable Iodine in the Treatment of Graves’ Disease?

   • Joel I. Hamburger

   Pages 159-183

8. When and How Often Is It Necessary to Prepare Hyperthyroid Patients for 131I Therapy with Antithyroid Drugs?

   • Donald A. Meier, Joel I. Hamburger

   Pages 185-208

9. Is Needle Aspiration of the Cystic Thyroid Nodule Effective and Safe Treatment?

   • J. Martin Miller, Joel I. Hamburger, Charles I. Taylor

   Pages 209-236

10. Do All Nodules Appearing in Patients Subsequent to Radiation Therapy to the Head and Neck Areas Require Excision?

    • Joel I. Hamburger, J. Martin Miller, Michael Garcia

    Pages 237-266

11. Is Lymphoma of the Thyroid a Disease Which Is Increasing in Frequency?

    • J. Martin Miller, Sudha R. Kini, John Rebuck, Joel I. Hamburger

    Pages 267-297

12. Back Matter

    Pages 299-306

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"Man's natural instinct, in fact, is never toward what is sound and true. It is toward what is specious and false . . . The ideas that conquer the race most rapidly and arouse the wildest enthusiasm and are held most tenaciously are precisely the ideas that are most insane. This has been true since the first 'advanced' gorilla put on underwear, cultivated a frown and began his first lecture tour, . . . " H. L. Mencken, from Meditation On Meditation in the Smart Set, June, 1920 pp 45-46 In our opinion there is no field of clinical medicine in such a state of dynamic disequilibrium as clin­ ical thyroidology. Thyroid diseases are very common. The moderately complex but easily understandable physiological interrelationships between the thyroid, pituitary and hypothalamus have provided stimuli for the application of mod­ ern technology in the development of an array of diagnostic procedures. Although therapeutic methods have been more stable, and recent advances more limited, their application by phy- Joel I. Hambufl~er. M. D. sicians representing different disciplines has pro­ vided an ample basis for the expression of differ­ ing viewpoints. Unfortunately there are few opportunities for in-depth exploration of different attitudes and experience relevant to issues of current interest. The review process employed by medical journals often seems to stifle the expression of controver­ sial viewpoints.

• RADIOLOGY
• Schilddrüse
• Schilddrüsenerkrankung
• development
• drug
• drugs
• hypothalamus
• imaging
• lymphoma
• medicine
• patients
• pregnancy
• prevention
• treatment
• women

• Associated Endocrinologists, Southfield, USA

  Joel I. Hamburger

• Division of Endocrinology, Henry Ford Hospital, Detroit, USA

  J. Martin Miller

Policies and ethics