- {75 « 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: -— Aree V. *381P snopayagnu Apeaenbepe = ate. Sansua.ol apru 2q pTnoys 6 I1AOJ Je Tepoeds: 8 eet oes pue:.pauses: eats Cperantons: -Subtocal_ thyroidectomy. potzed. ope aq PINdys-poos ut seprrony, REre . upATE afibaspbiorworaeiped 0 eS eae = iamp ESRB ERRfet ERE PUREAY? OYfrom 1968 unet] =. Setepee 6 REE yeead art boys ast ee d.. coll -at TAS Stee Lae eS. Ss mw _ = 7 Toe asTeno aq PrROUE 331s SASS, PeseAeERTEa.rE Rongelap (54)-09-44-60 355 SE 1a a8.pte.aan.our, 7ae“>= oe 3 " . TWE CUNICAL CeTen ’ = Bsthy Slrtee tee Ry 2oe OF a - us tee CLUVICAL RECORD Th iteery end Prysice! txominetion ele ~ ceptBeenesly re E ve ciety REEC f: okoe e ei R --*o "sats.-Suyaueyd : _— Te et I 06> JO JUS UCD YBTY ATeYyR Jo asne2aq psonper A[dieys 2q prnoys sqeiz> purl Ipgwossetnded ayr °e a MI-OPP (Rew, S71) = : tte mme e + ‘ _ On September 30, the patient had an asymptomatic temperature ical ion aveated sli ection of the pha