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March 7, 1931


Author Affiliations

From the Department of Surgery of the University of Chicago.

JAMA. 1931;96(10):737-741. doi:10.1001/jama.1931.02720360007002

Still too frequently patients are seen with intrathoracic goiter that has escaped recognition even in competent hands. This is due to the fact that a meager symptomatology has not seemed to warrant taking a roentgenogram of the trachea. Since the treatment of intrathoracic goiter is essentially surgical, it is of advantage to practice this early, before the goiter has become too large, adherent or even malignant. As a consequence, I am again calling attention to this disease by presenting a review of ninety-one cases and of the literature, particularly of those papers which have appeared during the past fifteen years. Sixty-six of the cases are from the Surgical Clinic of the University of Berne,1 the remainder are from the Billings Hospital.

That goiter may extend deep into the thoracic cavity was observed as early as 1749 by the Bernese anatomist Albrecht von Haller,2 in the dissecting rooms at