Struma Lymphomatosa (Lymphadenoid Goitre: Hashimoto's Disease)

Cases of struma lymphomatosa (Hashimoto's disease) are comparatively infrequent. In 1931 Graham collected only 24 cases from the literature. This figure was brought up to 50 by McClintock and Wright in 1937, and Joll in 1939 added another series of 81 cases. A difficulty has been its differentiation from Riedel's struma, which is still a matter of dispute. So far as we are aware, no cases have as yet been reported in the Indian literature. A study of the following four cases is, therefore, riot without interest. Three of these cases are comparatively recent, while one was discovered during a search of the specimens of the Andhra Medical College. The four cases are arranged to show an increasing extent of involvement of the gland.