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August 9, 1941

THYROID DYSFUNCTIONS AND THEIR TREATMENT

Author Affiliations

CHICAGO
From the Department of Medicine, Rush Medical College of the University of Chicago and the Presbyterian Hospital, Chicago.

JAMA. 1941;117(6):441-450. doi:10.1001/jama.1941.72820320006008
Abstract

CLASSIFICATION OF DISEASES1 

  1. HYPOFUNCTION

    1. Primary

      • Cretinism

        1. Sporadic

        2. Endemic

      • Myxedema

        1. Spontaneous

        2. Postoperative

        3. Postinfectious

        4. During administration of iodine

    2. Secondary

      • Hypopituitarism

      • Addison's disease

  2. HYPERFUNCTION

    1. Exophthalmic goiter (Symmetric toxic goiter)

    2. Toxic adenoma (Nodular toxic goiter)

    3. Mixed type

  3. USUALLY NO DISORDER OF FUNCTION

    1. Simple goiter (Symmetric nontoxic goiter, colloid goiter)

    2. Nontoxic adenoma (Nodular nontoxic goiter)

    3. Anomalies of development

      • Substernal goiter

      • Pyramidal lobe

      • Lingual goiter

      • Thyroglossal cyst

      • Lateral aberrant thyroid tissue

      • Thyroid tissue in teratoma

    4. Thyroiditis

      • Suppurative: acute and chronic

      • Nonsuppurative: acute and chronic

      • Struma lymphomatosa

      • Riedel's struma

      • Chagas' disease (Trypanosoma cruzi)

    5. New growths

      • Primary

        1. Papillary adenocarcinoma—30 per cent

        2. Carcinoma in adenoma (malignant adenoma)—38 per cent

        3. Diffuse adenocarcinoma—31 per cent

        4. Squamous epithelioma—1 per cent

        5. Sarcoma—1

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