Carcinoma of the Thyroid is the first edition
of a text dedicated to the anatomy, physiology, diagnosis, and
treatment of thyroid malignancy. The book is written in a fairly
uniform format, with 17 chapters contributed either by one of the
editors or by a number of contributing authors. The book is short at
only 134 pages and is generally written in a clear, concise format
with liberal use of over 125 excellent color diagrams in addition to
many lucid tables.
The first four chapters provide a clear, well-illustrated synopsis of
the applied embryology, anatomy, physiology, and pathology of the
thyroid and its malignancies. I found the figures relating to the
embryology and anatomy of the thyroid gland to be particularly
helpful. The color photographs of gross and histologic sections of
thyroid tumors and their descriptions are better than are found in
any other text in this field.
The next section of the book, which deals with the assessment of the
thyroid using ultrasonography, computed tomography (CT), magnetic
resonance imaging (MRI), and fine-needle aspiration is generally
clear and well written. Unfortunately, because of its concise format,
this section provides little data to support the use of the various
modalities and offers little guidance on when they need to be used.
A chapter on surgery for thyroglossal duct remnants follows. It is
clear, concise, and extremely well illustrated.
Subsequent chapters on surgery of the thyroid gland, lymphadenectomy,
and extended surgical procedures are well written and illustrated
from a technical point of view but provide no discussion and little
data on the relative merits of total thyroidectomy vs
hemithyroidectomy for thyroid malignancy. There is a paucity of
discussion regarding the long-term outcome of surgical therapy for
thyroid malignancy. In addition, the chapter on lymphadenectomy does
not include available data on lymphadenectomy for the treatment of
recurrent medullary thyroid carcinoma.
A chapter on the use of radioiodine follows the surgical chapters.
While clearly written, it fails to address long-term outcome measures
relative to the use of radioactive iodine.
The book ends with an excellent, well-referenced chapter on
external-beam radiation therapy for thyroid cancer and a short
discussion of chemotherapy for thyroid cancer.
Notwithstanding the significant limitations associated with writing a
comprehensive but short text on a variety of malignancies of the
thyroid gland, Carcinoma of the Thyroid is a clear, concise,
well-illustrated introduction that should be helpful to students,
residents, and clinicians who treat thyroid malignancies.