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Comparative analysis of thyroid carcinoma in Germany and the U.S.

offer interesting contrasts and insights into the presen-tation, diagnosis, and treatment standards of this disease in Germanyand the U.S.. Of particular interest is the extremely high rate ofmultinodular goiter noted in Germany, a country that still does notutilize iodized salt and in which iodine deﬁciency apparently remainsin a substantial proportion of the population. The German authors