This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on Web of Science (8)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

JOEL I. HAMBURGER, MD; GEORGE KADIAN, MD; HERBERT W. ROSSIN, MD

Arch Intern Med. 1967;119(1):75-79.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE USE of radioiodine as the preferred therapy for toxic nodular goiter (TNG) is still controversial. Many investigators remain opposed to this approach.^1-16 Usually radioiodine is used only if the patient refuses surgery or if surgery is contraindicated. Only a few investigators favor radioiodine therapy for TNG.^17-21 Silver²¹ is included among them but even in his extensive paper he dealt mostly with small goiters. The estimated average weight was 53 gm, and only 22 of 282 patients had goiters larger than 110 gm.

Good results have been reported with the use of radioiodine therapy for TNG. Good results were obtained even by those who argue against its use,^4,6,7,10-16 and even with large multinodular goiters, including those with tracheal compression.^15,16,19

Solitary autonomous hyperfunctioning nodules are excluded from this study. Our approach to the diagnosis and management of this intriguing lesion has been published.^22,23 This paper offers experience with patients with large . . . [Full Text PDF of this Article]

Author Affiliations
DETROIT

From the College of Medicine, Wayne State University, Detroit and the Highland Park General Hospital, Highland Park, Mich.

Footnotes
Received for publication April 26, 1966; accepted Sept 29.

Reprint requests to 300 Northland Medical Bldg, Southfield, Mich (Dr. Hamburger).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?