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August 6, 1938

"THE THERAPY OF GOITER AND OF HYPERTHYROIDISM"

Author Affiliations

San Francisco.

JAMA. 1938;111(6):556. doi:10.1001/jama.1938.02790320067027

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Abstract

To the Editor:—  In the article on "The Therapy of Goiter and of Hyperthyroidism" the paragraph which deals with the roentgen irradiation treatment of hyperthyroidism mentions one vague type of treatment. Now, just as the surgical technic of thyroidectomy varies from one surgical clinic to another, as regards the type of incision, the amount of gland removed and the type of anesthesia, so does the radiation treatment of hyperthyroidism vary from one clinic to another. It might be fairest to say that roentgen treatment of hyperthyroidism requires that an adequate dose be delivered to the entire thyroid gland during a period of from four to eight weeks. The total dose applied varies from 1,200 to 2,400 roentgens, measured in air, given to one or more fields. It is important not to check the result of such treatment by basal metabolic tests until at least six weeks has elapsed from the

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