Introduction Anthony J. Edis, Richard H. Egdahl, Tracy K. Mcintosh,
Contents Lester F. Williams xi 1 Surgery of the Parathyroids General
Introduction 1 SURGICAL ANATOMY Primary Hyperparathyroidism 7 PATHOLOGY
7 DIAGNOSIS 11 PREOPERATIVE LOCALIZATION STUDIES 22 TREATMENT 27
Secondary Hyperparathyroidism 35 SIGNS, SYMPTOMS, COMPLICATIONS 35
CLINICAL MANAGEMENT 36 Tertiary Hyperparathyroidism 37 Operative
Technique 38 CERVICAL EXPLORATION WITH REMOVAL OF A PARATHYROID ADENOMA
46 SUBTOTAL PARATHYROIDECTOMY FOR HYPERPLASIA 59 PARATHYROIDECTOMY FOR
CARCINOMA 60 MEDIASTINAL EXPLORATION FOR PARATHYROID TUMOR 61 References
66 2 Surgery of the Thyroid 71 General Introduction 71 SURGICAL ANATOMY
72 Nodular Goiter and Thyroid Carcinoma 79 PATHOLOGY 79 DIAGNOSIS 82
TREATMENT OF THYROID NODULES 94 TREATMENT OF THYROID CANCER RELATED TO
PATHOLOGIC TYPE 97 Hyperthyroidism 110 Graves' Disease 111 PATHOLOGY 111
DIAGNOSIS 112 TREATMENT 115 Plummer's Disease 120 PATHOLOGY 120
DIAGNOSIS 120 TREATMENT 122 Complications of Thyroid Surgery 123
PREVENTION AND MANAGEMENT 123 viii CONTENTS 127 Operative Techniques
TOTAL THYROID LOBECTOMY 127 REMOVAL OF A SUBSTERNAL GOITER 134 SUBTOTAL
THYROID LOBECTOMY 136 MODIFIED NECK DISSECTION FOR PAPILLARY THYROID
CARCINOMA 141 References 144 3 Surgery of the Adrenals 151 151 General
Introduction SURGICAL ANATOMY 152 Pheochromocytoma 155 PATHOLOGY 155 156
DIAGNOSIS PREOPERATIVE 162 TREATMENT 166 172 Primary Aldosteronism
PATHOLOGY 172 DIAGNOSIS 174 178 PREOPERATIVE LOCALIZATION STUDIES
TREATMENT 180 Cushing's Syndrome 181 CLASSIFICATION 182 DIAGNOSIS 187
PREOPERATIVE LOCALIZATION STUDIES 192 TREATMENT 194 Adrenal Gland and
Metastatic Breast Carcinoma 198 Adrenocortical Carcinoma 200 DIAGNOSIS
201 PREOPERATIVE LOCALIZATION STUDIES AND STAGING 201 TREATMENT 202
PROGNOSIS 203 Nonfunctioning Adrenal Tumors 203
