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June 1962

Hyperthyroidism: A Review of 277 Surgically Treated Cases

Author Affiliations

The Bowman Gray School of Medicine, Wake Forest College.

Arch Surg. 1962;84(6):615-618. doi:10.1001/archsurg.1962.01300240019003

Recently we reviewed the surgically treated cases of hyperthyroidism at the North Carolina Baptist Hospital. Since the period covered was 1950 to 1959, it allowed an evaluation of operation as one method of treatment of this disease, the management of which in recent years has been extended to include chemotherapeutic and radioisotope techniques.6,9,10,16,20,22 Especially in view of the ever-increasing use of radioactive iodine, it was thought desirable that the facts about the cases treated operatively be presented in the hope that the future evaluation of these methods will be aided by such reviews.1,2,7, 14,19,21,23 Ninety-six per cent of the cases were followed.

Diagnosis was made from classical symptoms and signs and aided by the laboratory tests such as basal metabolism rate, serum protein-bound iodine, and radioactive iodine uptake.11 For simplicity's sake, the cases were broken down under the headings of (1) hyperthyroidism with exophthalmos and with or

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