BROOKHAVEN NATIONAL LABORATORY HOSPITAL of che MEDICAL RESEARCH CENTER UPTON, NEW YORK DISCHARGE SUMMARY SURGERY AT THE CLEVELAND METROPOLITAN GENERAL HOSPITAL, CLEVELAND OHIO: Do Not Write in Binding Margin 08-22-58R (Rongelap 18) 1 OPD Her hospital course during the preliminary examinations here at Brookhaven was uneventful. 1969. UNTT1 NO. PAVILION PRE-SURGICAL HOSPITAL COURSE: ember 10, NAME mt Dr. B. Dobbins performed thyroid surgery on Sept- A hara, white mass measuring about 8 mm, in diameter was tuund in the right upper lobe. A frozen section indicated malignancy and a complete thyroidectomy was done. In addition to the nodule just described the removed thyroid also showed a small focus of white-hard-tissue near the isthmus, and there was generalized granularity of the remainder of the gland. The patient was given 12.5 pc. of radioiodine preoperatively, and the malignant nodule was found to be nonfunctioning based on lack of radioiodine count. Lymph node involvement was not noted, POSTOPERATIVE COURSE: The patient recovered satis- factorily from her operation, A slightly positive Chvostek sign was noted for several days. The patient was returned to this Hospital on September 14, During the week here before her discharge it was found that her serum calcium level was 9,2 mg.%. A thyroid sean following 350 uc. 131° showed that the thyroidectomy had been complete except for one small questionable area 2.4 cm, to right and 3 cm, above the sternal notch, Her wound healed nicely, and she was discharged on September 22 fit for travel back to the Marshall Islands. DIAGNOSIS: 1. Follicular carcinoma of the thyroid, gland; no lymph node metastasis, Adenomatous nodules in remainder of DISCHARGE MEDICATION: The patient was advised that ic was mandatory that she continue?’ taking her thyroid and hormone medication always. The Marshallese practitioner, Dr. Riklon, who accompanied the patient here will personally supervise the continuation offhis therapy. The patient will be examined again on the forthcoming medical survey in March 1970. JLT4 Comme Robert A. Conard M. D. RAC :LR -2BNL 720A - 79 -«-