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甲状腺的历史小插曲。

Historical vignettes of the thyroid gland.

机构信息

Division of Head and Neck Surgical Oncology, University of Nebraska Medical Center and Methodist Estabrook Cancer Center, Omaha, Nebraska, USA.

出版信息

Clin Anat. 2011 Jan;24(1):1-9. doi: 10.1002/ca.21073.

Abstract

Although "glands" in the neck corresponding to the thyroid were known for thousands of years, they were mainly considered pathological when encountered. Recognition of the thyroid gland as an anatomical and physiological entity required human dissection, which began in earnest in the 16th century. Leonardo Da Vinci is generally credited as the first to draw the thyroid gland as an anatomical organ. The drawings were subsequently "lost" to medicine for nearly 260 years. The drawings were probably of a nonhuman specimen. Da Vinci vowed to produce an anatomical atlas, but it was never completed. Michelangelo Buonarroti promised to complete drawings for the anatomical work of Realdus Columbus, De Re Anatomica, but these were also never completed. Andreas Vesalius established the thyroid gland as an anatomical organ with his description and drawings in the Fabrica. The thyroid was still depicted in a nonhuman form during this time. The copper etchings of Bartholomew Eustachius made in the 1560s were obviously of humans, but were not actually published until 1714 with a description by Johannes Maria Lancisius. These etchings also depicted some interesting anatomy, which we describe. The Adenographia by Thomas Wharton in 1656 named the thyroid gland for the first time and more fully described it. The book also attempted to assign a function to the gland. The thyroid gland's interesting history thus touches a number of famous men from diverse backgrounds.

摘要

尽管几千年来人们就已经知道颈部与甲状腺相对应的“腺体”,但遇到时主要还是将其视为病态。只有通过人体解剖,人们才能真正认识到甲状腺是一个解剖学和生理学实体,这一过程始于 16 世纪。一般认为,列奥纳多·达·芬奇是第一个将甲状腺描绘为解剖学器官的人。这些画作随后在近 260 年的时间里“消失”在医学领域。这些画作可能是取自非人类标本。达·芬奇曾发誓要制作一本解剖学图谱,但最终未能完成。米开朗基罗·博那罗蒂承诺要为雷阿尔杜斯·哥伦布的解剖学著作《论人体的构造》(De Re Anatomica)完成绘图,但这些也从未完成。安德烈亚斯·维萨里在《人体的构造》一书中对甲状腺进行了描述和绘图,从而确立了甲状腺作为一个解剖学器官的地位。在这个时期,甲状腺仍然被描绘成非人类的形态。巴托洛梅乌斯·埃斯特哈奇(Bartholomew Eustachius)在 16 世纪制作的铜版画显然是取自人类,但直到 1714 年才由若昂·马里亚·兰西利乌斯(Joannes Maria Lancisius)出版并附有描述。这些铜版画还描绘了一些有趣的解剖结构,我们也对其进行了描述。托马斯·惠顿(Thomas Wharton)在 1656 年出版的《腺论》首次命名了甲状腺,并对其进行了更全面的描述。这本书还试图为该腺体赋予一个功能。因此,甲状腺的有趣历史涉及到许多来自不同背景的名人。

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