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REGENERATION OF THE THYROID GLAND AND THE PREVENTION OF RECURRENT GOITERS

REGENERATION OF THE THYROID GLAND AND THE PREVENTION OF RECURRENT GOITERS The prevention of recurrent goiter is an important problem in the treatment of thyroid disease. A review of patients seen complaining of recurrent goiter permits the following classification: (1) pseudorecurrences; (2) recurrence of goiter without symptoms, and (3) recurrence of goiter with symptoms. PSEUDORECURRENCES Pseudorecurrences are generally the result of (1) diagnostic error; (2) symptoms due to permanent lesions, and (3) insufficient operation. This paper will not deal with that group. RECURRENCE WITHOUT SYMPTOMS In the group of recurrences without symptoms are placed those patients who have a definite enlargement of the remaining thyroid without the symptoms of hyperthyroidism and a normal or subnormal basal metabolic rate. The following pathologic processes have been recognized: (1) colloid goiter, which is probably the most common form; (2) diffuse adenomatous goiter, and (3) true adenoma. Patients with a goiter of the true colloid type are relieved by desiccated thyroid. Goiters belonging in the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

REGENERATION OF THE THYROID GLAND AND THE PREVENTION OF RECURRENT GOITERS

JAMA , Volume 89 (26) – Dec 24, 1927

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References (1)

Publisher
American Medical Association
Copyright
Copyright © 1927 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1927.02690260001001
Publisher site
See Article on Publisher Site

Abstract

The prevention of recurrent goiter is an important problem in the treatment of thyroid disease. A review of patients seen complaining of recurrent goiter permits the following classification: (1) pseudorecurrences; (2) recurrence of goiter without symptoms, and (3) recurrence of goiter with symptoms. PSEUDORECURRENCES Pseudorecurrences are generally the result of (1) diagnostic error; (2) symptoms due to permanent lesions, and (3) insufficient operation. This paper will not deal with that group. RECURRENCE WITHOUT SYMPTOMS In the group of recurrences without symptoms are placed those patients who have a definite enlargement of the remaining thyroid without the symptoms of hyperthyroidism and a normal or subnormal basal metabolic rate. The following pathologic processes have been recognized: (1) colloid goiter, which is probably the most common form; (2) diffuse adenomatous goiter, and (3) true adenoma. Patients with a goiter of the true colloid type are relieved by desiccated thyroid. Goiters belonging in the

Journal

JAMAAmerican Medical Association

Published: Dec 24, 1927

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