Gustaf Notter

TREATMENT OF MALIGNANT TESTICULAR TUMOURS A report on 355 patients

Malignant testicular tumours are rare. According to GILBERT & HAMILTON (1942) they comprise 1 to 2 % of all malignant growths in men, and 9.5 % of all malignant tumours of the male genito-urinary tract. The Swedish Cancer Registry in 1959 reported 93 cases, constituting 1 yo of all male cancer cases in Sweden, or 5.4 yo of cancer of the male genito-urinary tract. About 1 yo of all deaths from malignancy in the male are caused by these tumours (DALGAARD 1956).

Effects of Surgical Stress on Thyroid Function in Man

The influence of surgical stress on the human thyroid after head and neck operations was studied by measurements of the early accumulation of radioiodide in the thyroid and by determinations of PBI131 - and PBI-levels before and after operation. Studying 21 patients it could be shown that after severe surgical stress the I131-uptake in the thyroid was decreased up to 48 hours. After slighter operations under local or general anesthesia the I132-uptake was unchanged during the first six hours but increased thereafter from the 1st-7th postoperative day with its maximum on the 3rd and 4th days.The PBI131-levels showed an approximately daily increase of about 0.013 % with no significant difference between 14 operated and 11 control cases during the 11 days of observation. In the operated group, however, a rapid secretion of PBI131 after surgical trauma could be observed, followed by decreased hormone secretion. The PBI131-level after the first four postoperative hours comprised half the total increase of the ...