Struma lymphomatosa (Hashimoto's disease)

Seven cases of struma lymphomatosa are presented. Two patients had known enlargement of the thyroid for five or more years. In five cases only unilateral involvement was discernible at the time of operation. In one case there was a small nodule in the least involved side. In another there was diffuse involvement. Two of the patients were males. There has been recurrence in three of six cases in which partial thyroidectomy was performed. Only one patient with recurrence was treated with x-ray, apparently with satisfactory results. Six of the seven patients had a postoperative basal metabolic rate below normal. Three of them required desiccated thyroid for symptomatic relief.