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Appendix 11
Hospital Summary of Leukemia Case
Admitted on 10-2-72 to National Cancer Institute, Hematology and Supportive Care Branch
The patient is a 19-year-old man from the Marshall Islands, who transfers from
the hospital of the Brookhaven National Laboratory witha tentative diagnosis of acute
leukenaia.
PRESENT ILLNESS:
This patient has been followed with yearly physicals and blood counts by the
Medical Research Center of the Brookhaven National Laboratory since age one, at which
count 4.4 million.
to
w
Attemp
and on September 29, 1972, Hes
e time of a routine evaluation in August 1972,
O, platelet count 119,000, and red bleod cell
e
aspiration at that time was unsuccessful,
deneWas flown to the Brookhaven Medical Research
Center for further evaluati@ae? Sue thai@oe complained of easy fatigability, spontaneous
:
ain he me
counts at his yearly
his peripheral blood whit
ee
time he suffered an accidental radiation exposure of 175 total body rads. He had a
transient leukopenia one meen 8
exposure but since then has had normal blood
tions.
Ac the cime of adaxanine 60 SépAober 29, the hemoglobin was 12.5, white blood
cell coune 700 with 26% palgajeR8iphapiecytes, and the remainder abnormal monocytic
precursors.
Urinalysis, liver function tests, and prothrobin time were all within
normal limits. Apsey
PAB LGUs
the left posterior fliac crest was performed
A den neein Ne ge ee
or unusual bruising or Pi@edtag, VieRIGE muscle aches, or amincreased number of infec- ,
and revealed a predominance of early myeloid precursors with some
cypoplesaof of cyto-—
plasmic and nuclear maturation and presence of Auer rods in,
jasa of myeloblaats.
ot
to 101°F. Physand a chronically scar-
teal examianitTPESSTTeAretein terrtenokshe,PRDceteghrentcalty,»
patient was begun at that ihe
on treatment with keflin and gentamicin.
He was placed
on isolation. : DurBERSHey,HS chaipadiitlGeb?aFEDPINROatidTHAARAALs were made to
transfer him here.
-h . | 30 Qustn
PAST HISTORY: -—
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CLUVICAL RECORD
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On September 30, the patient had an asymptomatic temperature
ical
ion
aveated sli
ection of the pha