Abstract |
Over the past 6 years, from May 1960 to June 1966,
1,716 patients with various diseases of thyroid were
examined and thyroid function tests with 131I were
done. Among them, 545 patients with hyperthyroidism
were treated with 131I. A summary of the clinical data
of the 131I-thyroid function tests and the therapeutic
results of 131I were presented and discussed. 1) The
patients examined consisted of;596 cases (34.7%) with
toxic diffuse goiter, 412 cases (24.0%) with non-toxic
nodular goiter, 278 cases (16.2%) with euthyroidism,
236 cases (13.8%) with non-toxic diffuse goiter, 89
cases (5.2%) with hypothyroidism, 53 cases (3.1%) with
toxic nodular goiter, 32 cases (1.9%) with thyroiditis
and 20 cases (1.2%) with dyshormonogenesis. 2) There
were 218 (12.7%) male patients and 1,498 (87.3%) female
patients, showing a ratio of 1:6.9, female
predominantly. 3) The majority of patients (79.6%) were
in the 3rd through 5th decades of their lives showing
the peak in the 4th decades (35.9%). 4) The diagnostic
values and normal ranges of 131I uptake test, 48 hour
serum activity, T3 red blood cell uptake and PB131I
conversion ratio were discussed. 5) An attention was
given to dyshormonogenesis, a qualitative
hypothyroidism, due to its characteristic findings of
clinical and 131I thyroid function tests, and its
pathogenesis was briefly reviewed. 6) Among 545
patients with hyperthyroidism treated with 131I, 68.3%
was cured after single therapeutic dose and another
24.0% was cured after second dose. 7) The complications
of 131I therapy were discussed in some details and
myxedema had developed in 3.9% of our cases. No thyroid
cancer was found after 131I therapy.
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