Abstract
The material on which the conclusions in this paper are based consists of four thousand surgical and non-surgical cases of goiter which I have observed during the past five years at the Jackson Clinic and as a Fellow in Goiter Surgery at the Mayo Clinic. Although these observations are for the most part not new, they are culled from a great mass of facts and for the first time formulated in brief statements. Advanced cases of exophthalmic goiter are at times treated as endocarditis by heart specialists, as nervous dyspepsia by gastroenterologists, and as neurosis by neurologists. Little discrimination is made between cases of adenoma of the thyroid with hyperthyroidism and exophthalmic goiter. They are all too generally called “toxic goiter.” The study of goiter is complex, and much confusion exists over the diagnosis and treatment of the various forms.
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