The excuse for presenting so small a series of cases is found in the absence of mortality in dealing with a condition in which a high death rate usually has been reported, and the long duration of cure in several cases. With the exception of recent publications from the Mayo Clinic, only small series of cases by individual operators or collections from the literature have been published. Wilson1 attributes this to the reluctance to report cases in which the diagnosis has usually been incorrect and the treatment futile. This seems unfortunate, for there are many controverted questions concerning all points in this important subject, and reports of experience and further discussion should help.
IMPORTANCE AND FREQUENCY
Malignancy is not only the most difficult problem but one of the greatest causes of mortality in goiter surgery. Probably death results in at least 50 per cent of the cases of malignant