Tracking back injuries.
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Biomedical subjects
Publications and source records attributed to E F Grayzel.
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We present a case with the unusual association of Graves' disease and functioning pulmonary metastases of follicular thyroid carcinoma. Unlike other reports of thyroid cancer and thyrotoxicosis, this patient's hyperthyroidism was related to a hyperfunctioning primary thyroid neoplasm and not merely to large amounts of functioning metastatic tumor. Thyroidectomy cured her hyperthyroidism. A lung biopsy confirmed the impression of metastatic thyroid cancer. Following therapeutic radioactive I131 pulmonary metastases completely disappeared.
A 56-year-old acromegalic patient was treated with conventional radiotherapy. One year after treatment, the patient's growth hormone level was normal and remained so for a full year. Subsequently, the growth hormone level returned to the pretreatment, acromegalic range. The attainment of a normal growth hormone level after treatment of acromegaly is no assurance that the level will remain normal. Repeated growth hormone level determinations are necessary before cure can be considered permanent.
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