MOVED PRIVACY ACT MATERIAL RE MAYO CLINIC ROCHESTER, MINNESOTA 55001 SURGICAL BT. MARY S PATHOLODY CHAIRMAN OF ECCT-ONS HOSOPITAL METHODIST LOWARD HH. BOULE, M.D. MALCOLM 8. DOCHERTY, H.0, Y.AIDAN CARNEY, M8. September DAVID CL,OAHLIN, M0, : 26, HOSPITAL LEWIS B.WOOLNER, MO, EOOAR GO. HARRISON, MLO. 1969 DEONGE M. FARAOW, MO, LOVIB HK. WOEILARO M.D. William A. Meissner, M.D. New England Deaconess Hospital 185 Pilgrim Road Boston, Massachusetts 02215 Dear Bill: . I have examined the thyroid sections on the Marshallese and my diagnoses are listed below. I have not attempted to include accurate statements as to size or multiplicity of lesions. l. ¢ , ~ Left lobe: Infiltrative grade 1 papillary carcinoma with cervical nodal metastasis. The carcinoma is mixed papillary and follicular in structure. Remainder of thyroid: Multiple macrofollicular adenomatous nodules. 2. 3. 4, 5. ¢ ) ~ adenoma. nodules, Left lobe: Right lobe: Degenerating follicular Multiple macrofollicular adenomatous ( ) - Right lobe: Encapsulated grade 1 follicular carcinoma with capsular and minimal vascular invasion by tumor. Remainder of thyroid: Multiple fetal adenomas. ¢ ) - Occult papillary carcinoma, invasive, with predominantly follicular structure. Not remarkable. ¢ ) - Remainder of thyroid: Multiple macrofollicular adenomatous nodules some of which show a prominent papillary component. I note that I am in essential agreement with your diagnoses. Thank you for letting me see this interesting material. I am returning the slides to Dr. John Reid as you requested. Kindest regards, Lewis B. LBW: js cc.: Dr. Conard’ Dr. Dobyns Dr. Reid Woolner, M.D. “ pRIVACY ACT MATERIAL REMOVED .