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The considerable increase in the incidence of thyroid cancer in children in areas exposed to the fallout from the Chernobyl nuclear reactor accident has drawn attention to the need for a better understanding of the relationship between radiation exposure (especially from the radionuclides of iodine) and the risk of thyroid cancer. An increase in thyroid cancer has been reported both in patients exposed to therapeutic and diagnostic external radiation, and in the population exposed to radiation from the Hiroshima and Nagasaki atomic bombs. While there is no evidence of a significant increase of this cancer in patients treated with radioactive iodine, an increase in thyroid cancer incidence was found in the Marshall Islands population after exposure to the fallout from a thermonuclear explosion, and now an increase has been observed in children exposed to the fallout from Chernobyl.This volume constitutes the proceedings of the first international conference on the relationship between radiation and thyroid cancer — a very important area of research. Besides addressing the link between radiation and thyroid cancer, it examines the many factors influencing the interactions between radiation and the thyroid cell.
are new to this edition. The authors provide not only the The second edition of Thyroid Cancer: A Comp- most current review of their respective areas, but also their hensive Guide to Clinical Management marks the pub- own recommendations and approach. The reader is fo- cation of a markedly updated and expanded volume that warned that in many cases these approaches, albeit rooted covers all aspects of the etiology, pathogenesis, diag- sis, initial treatment, and long-term management of all in available data, may be empiric rather than based varieties of thyroid cancer. Like the first edition, it will upon clear-cut results of well-controlled clinical t- als. Nevertheless, controversial issues are examined serve as a valuable reference source for pathologists, and evidence-based recommendations are presented endocrine surgeons, endocrinologists, nuclear medicine when available. physicians, and oncologists. However, the biggest There are updated chapters on our current state change is that the second edition is significantly enlarged and expanded to encompass important and extensive of knowledge of the molecular changes in thyroid treatments of more topics related to nuclear medicine. cancer, molecular markers, and how targeted the- pies are being developed. New therapeutic trials of Nuclear medicine physicians and procedures play a key redifferentiation agents to restore the sodium iodide role in the management of thyroid cancer patients and in symporter when lacking and more traditional che- retrospect, a comprehensive discussion of topics related therapies are discussed, with referral sources listed for to that field was somewhat lacking in the first edition.
During the 1950s, with the Cold War looming, military planners sought to know more about how to keep fighting forces fit and capable in the harsh Alaskan environment. In 1956 and 1957, the U.S. Air Force's former Arctic Aeromedical Laboratory conducted a study of the role of the thyroid in human acclimatization to cold. To measure thyroid function under various conditions, the researchers administered a radioactive medical trace, Iodine-131, to Alaska Natives and white military personnel; based on the study results, the researchers determined that the thyroid did not play a significant role in human acclimatization to cold. When this study of thyroid function was revisited at a 1993 conference on the Cold War legacy in the Arctic, serious questions were raised about the appropriateness of the activityâ€"whether it posed risks to the people involved and whether the research had been conducted within the bounds of accepted guidelines for research using human participants. In particular, there was concern over the relatively large proportion of Alaska Natives used as subjects and whether they understood the nature of the study. This book evaluates the research in detail, looking at both the possible health effects of Iodine-131 administration in humans and the ethics of human subjects research. This book presents conclusions and recommendations and is a significant addition to the nation's current reevaluation of human radiation experiments conducted during the Cold War.
The goal of this book is to provide Endocrinologists, Surgeons, Nuclear Medicine Physicians, and Radiation Oncologists with practical advice about managing patients with thyroid cancer. This book will not replace the excellent publications that focus on a highly speci?c topic or provide an exhaustive review of major s- jects from the perspective of a particular specialty. These kinds of publications will always be an important source of information for both students and expe- enced practitioners. The void that we see is the lack of a single, concise, up-- date reference that is applicable to all of the specialists who make clinical de- sions about thyroid cancer patients. Essentials of Thyroid Cancer Management will ?ll this void in a manner that is both user-friendly and technically compreh- sive. For reading ef?ciency, this book contains the minimum of text required to explain how to make sound clinical decisions in speci?c situations. We rely heavily on tables, diagrams, graphs, photographs, and other ?gures to convey this information. Subjects are addressed in a large number of chapters that each focus on a relatively narrow topic. In some cases, there is overlap between the information in multiple different chapters so the reader does not have to page back and forth between different sections of the book. As occurs in every area of medicine, there is controversy about important issues in the management of thyroid cancer.