Modern surgery, general and operative . Fig. 802.—Parenchymatous goiter. Fig. 803.—Adenomatous goiter. discussed on page 1235. Occasionally a simple or an adenomatous goiterbecause of degenerative changes or overstimulation forms toxic material oran excess of secretion and causes symptoms of toxemia. These cases mayhave all the nervous symptoms and heart complications of a bad case ofBasedows disease without the protruding eyes (C. H. Mayo, Illinois , Feb., 1913). This evolution gives rise to what the French call aBasedowified goiter (Morestin, in Rev. de Chir., Nov. 10, 1899). A goit
Modern surgery, general and operative . Fig. 802.—Parenchymatous goiter. Fig. 803.—Adenomatous goiter. discussed on page 1235. Occasionally a simple or an adenomatous goiterbecause of degenerative changes or overstimulation forms toxic material oran excess of secretion and causes symptoms of toxemia. These cases mayhave all the nervous symptoms and heart complications of a bad case ofBasedows disease without the protruding eyes (C. H. Mayo, Illinois , Feb., 1913). This evolution gives rise to what the French call aBasedowified goiter (Morestin, in Rev. de Chir., Nov. 10, 1899). A goiterthat develops with great rapidity is sometimes called an acute goiter, andone that induces marked dyspnea is designated a suffocating goiter. Syphi-litic, tuberculous, and amyloid enlargements are extremely rare, but occasion-ally occur. Further, a goiter may be back of the sternum, that is, substernalor retrosternal. A very movable goiter, which is now above and now below thesternal notch, is called a wandering or diver goiter.
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