Struma Lymphomatosa

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STRUMA LYMPHOMATOSA is an uncommon lesion of the thyroid gland. Diagnosis prior to operation is comparatively rare as are complete preoperative studies. In the case of this disease reported here the diagnosis was made preoperatively and special studies were carried out.

Case Report

A slightly obese uniparous white woman, aged 58 years, was admitted to the Cleveland Clinic Hospital on January 16, 1949. Her past history did not reveal anything significant. The present illness, however, dated from 1941 at which time she had had all her teeth extracted. Shortly thereafter she began to have transient episodes of a constricting sensation in her throat accompanied by a mild dysphagia. Concomitantly she experienced aching in the low anterior cervical region with slight radiation laterally. These incidents lasted only a matter of minutes, occurred about six or eight times a year and were not accompanied by either fever or severe pain. She had gained thirty pounds in the past seven years. A thorough study of the patient had been made in 1942. At that time her thyroid was palpable but not enlarged. No history of hyperthyroidism was elicited. Esophagram, chest roentgenogram, esophagoscopy, and laryngoscopy were also normal.

At the time of examination on January 16, 1949 her temperature was 98 F. The pulse rate was 72, respirations 21, and blood pressure 150 systolic, 90 diastolic. The patient was rather short, well developed and moderately obese. The thyroid gland showed definite diffuse enlargement with slight nodularity. No tenderness was elicited. The vocal cords appeared. . .



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