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August 8, 1891

THYROIDECTOMY.Read by title in the Section of Surgery and Anatomy, at the Forty-second Annual Meeting of the American Medical Association, held at Washington, D. C., May, 1891.

JAMA. 1891;XVII(6):203-206. doi:10.1001/jama.1891.02410840003001a

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In discussing the surgical treatment of goitre or bronchocele I propose to do it in a concise and practical way, basing my remarks largely upon the results of my own experience, and therefore will not deal with it from a statistical, theoretical or classical point of view.

Goitre or bronchocele is met with as one of three varieties: Fibrous, cystic, and pulsating or vascular. Bronchocele associated with exophthalmus not being, except in a few cases, amenable to surgical interference, I will not discuss. Of the fibrous and cystic varieties it is not uncommon to meet with these two conditions present in the same case, thus forming a fibro-cystic goitre. Secondary changes, such as the substistitution of gelatinous colloid material for the albuminous, and calcification in the walls of the cysts, and in the fibrous tissue, may modify the variety or form of the goitre.

The surgical treatment of goitre embraces

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