Modern surgery, general and operative . than in men andis very seldom met with, beforethe age of thirty*. It is mostcommon between forty and should always suspect malig-nant disease of the th\Toid glandwhen the growth appears rathersuddenly in a patient over fortyyears of age. If the growthis irregular m outhne and isaccompanied by pain and diffi-culty ia swallowing, the diag-nosis becomes reasonably cer-tain. Later in the case thereare s3n3iptoms due to pressiureupon and infiltration of the nerves; the growth becomes firmly anchored and the honph-glands adjacentto the th\Toid become
Modern surgery, general and operative . than in men andis very seldom met with, beforethe age of thirty*. It is mostcommon between forty and should always suspect malig-nant disease of the th\Toid glandwhen the growth appears rathersuddenly in a patient over fortyyears of age. If the growthis irregular m outhne and isaccompanied by pain and diffi-culty ia swallowing, the diag-nosis becomes reasonably cer-tain. Later in the case thereare s3n3iptoms due to pressiureupon and infiltration of the nerves; the growth becomes firmly anchored and the honph-glands adjacentto the th\Toid become involved: there may be tracheal bleeding, and perhapsfever, and eventually cachexia develops. Sarcoma or carcinoma may occurand it is seldom possible to determine clinically vnth which we are dealing. Thecancer may be a scirrhus or an epithelioma, but is usually an sarcoma may be either of the round cell or spindle cell type. In mahgnantdisease of the th\Toid, metastasis occurs early in a great majority of cases, the. Fie. 80c :vroid gland. I230 Diseases and Injuries of the Thyroid Gland
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
