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Article
March 1923

FURTHER OBSERVATIONS ON THE ROENTGENRAY TREATMENT OF TOXIC GOITER

Author Affiliations

BOSTON

From the Medical Service and Roentgenologic Department of the Massachusetts General Hospital, aided in part by a gift from Dr. William Norton Bullard.

Arch Intern Med (Chic). 1923;31(3):303-341. doi:10.1001/archinte.1923.00110150002001
Abstract

CONTENTS 

  • Introduction.

  • Historical.

  • Methods.

    1. Thyroid Clinic.

    2. Calorimetry.

    3. Roentgen-Ray Technic.

  • Clinical and Metabolism Data.

    1. Exophthalmic Goiter. Early and late effects of treatment. (Tables 1 and 3; Figs. 1, 2, 3, and 4).

    2. Toxic Adenoma. (Table 2, Fig. 5).

  • Illustrative Cases. (Fig. 6-15).

  • Discussion of results.

    1. Reasons for believing that roentgen-ray has an action in toxic goiter.

    2. Types of cases suitable for roentgen-ray. (Table 4).

    3. Proper use to make of roentgen-ray in toxic goiter. Relation to other sorts of therapy. Results to be expected; limitations.

  • Conclusions.

I. INTRODUCTION  A study of toxic goiter with special reference to the results obtained with various forms of treatment, as shown by clinical and metabolism findings, was begun in this clinic in 1914.1 The forms of treatment that have been studied to date are the surgical procedures of ligation of vessels and partial thyroidectomy, and the exposure of the thyroid gland to the roentgen ray. In

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