Publisher's Synopsis
Excerpt from Radium, Vol. 12: A Monthly Journal Devoted to the Chemistry, Physics and Therapeutics of Radium and Radio-Active Substances; March, 1919
It is to be noted also that it was only in a percentage Of cases that there was decrease in the size Of the gland. Surgical measures would be necessary in many to effect this, and yet the nervous condition was such that surgery was a very risky procedure. The relief of the ner vous symptoms made it possible to undertake the surgical removal of the goitre for cosmetic reasons later on if the patient wished it.
The occurrence Of exophthalmic goitre following the removal of the ovaries in two of three cases under Observation interested the writer in the inter-relationship existing among the organs of internal sec-etion. These cases may be cited in detail.
Illustrative Cases - Blair Bell reports two cases which are extreme ly interesting from the point of view Of the subject we have under con sideration. In one of them, a woman Of 46, double oophorectomy was done for malignant disease. For the first two months after the opera tion the patient did well, but then the symptoms Of exophthalmic goitre developed, and she died from it within a year of the Operation. The second case was that of a woman of 25, who had been perfectly well until the birth of her first child, eleven months before she came under Observation. Menstruation did not recur, and all the typical symptoms Of exophthalmic goitre developed. In this case the uterus was found to be in a state Of super involution, its length being less than two inches. The pathology of super - involution is still somewhat Obscure. He thinks it probable that deficiency of ovarian secretion may play a part in some cases, but that at the same time secretory disturbances of the other ductless glands may lead to a similar condition. The following are de tails of two cases which have come under my Observation.
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