Goitres usually enlarge and descend caudad into the substernal space and are not palpable. We report on a patient whose goitre spread downward but anterior to the sternum. The thyroid mass was subsequently removed and was proven to be a papillary thyroid carcinoma. The mechanism by which a presternal goitre develops is probably due to invasion and erosion of the strap muscles and the cervical l...

Of 330 patients given lithium for recurrent manic-depressive disorder 12 developed goitre after treatment periods of five months to two years. All the patients remained clinically euthyroid. Pressure symptoms necessitated subtotal thyroidectomy in two patients. In 9 out of 10 patients with goitre, and in two out of seven without goitre study with radioactive iodine showed abnormal findings in i...

A questionnaire on goitre relating to the years 1937 and 1938 was sent to all the medical officers of the Kangra district to find out the incidence of this disease, the treatment adopted, particularly surgical, and to elicit other points likely to prove of interest to the profession. The following is the summary of the conclusions arrived at from their combined replies :? (i) Goitre is most com...