Rongelap 8 HOSPITAL OF THE MEDICAL RESEARCH CENTER, BROOKHAVEN NATIONAL LABORATORY UPTON, NEW YORK 11973 08-42-34 R Aree Code 516 YAphank 4-6262 NAMB (UNIT NO) DISCHARGE SUMMARY HOSPITAL COURSE: ~- Her Hospital course was uneventful and no contraindications to surgery were noted, wise oe it was gratifying that tn view of the anemia noted in September, her blood picture was now within normal limits and ‘The patient was given 25 pCi 1311 prior to discharge to ensure complete removal of thyroid tissue at surgery in the eventuality of malignancy. She was discharged on 13 November 1972 and transferred co Cleveland Metropolitan General Hospital. — performed by Dr, Brown Dobyns, quite nodular with one At Cleveland Metropolitan General on 14 November 1972, surgery was Ac surgery the right lobe of the thyroid was firm black nodule about 2 cm in diameter in the superior pole, and smaller ones in the remainder of the lobe. The left lobe appeared relatively normal. Complete right lobectomy was performed and a thorough search revealed no lymph nodes in the vicinity of che thyroid gland on either side. Microscopic examination of the excised tissues revealed small area of papillary carcinoma™, ‘The remainder of the lobe exhibited multiple benign adenomatous lesions. Recovery from surgery was uneventful with no complications. By 19 November 1972, the wound was healing nicely and the patient was discharged to return to the Marshall Islands with the interpreter and the other thyroid patient. A susmary of her Hospitalization, including surgical and pathological reports, at the Cleveland Metropolitan General Hospital is attached. ? Papillary carcinoma of the thyroid. DISCHARGE MEDICATION: The patient was placed on thyroxin medication (Synthroid) 2.1 mg weekly. Follow-up advice and treatment instructions are being forwarded to the practitioner Further pathological review of the sections is in progress. ee ehpm Robert A, Conard, M.D. ' > whe a" . _-* . foots ‘oe abe ve in charge of her case at the Majuro Hospital in the Marshall Islands, Careful follow-up exams will be carried out on this girl at the time of our annual medical exams and at six month intervals. She will also have periodic exams at a hospital for thorough thyroid studies to rule out extension of her disease. nt eee tek ‘ etn el ke Mlle gate ase!ale raatadallnlats bo FINAL DIAGNOSIS: Received: Typed: efh 12/20/72 12/21/72 Page 2 of 2 Cc. be conae D ow //73 we - 121 - ewe ee BNL 720A