Since the lymph nodes were free of neoplastic cells, only a total thyroidectomy was performed, This patient is recovering satisfactorilywith minimal signs of hypoparathyroidism, A woman, who was exposed on the Island of Utirik to an estimated 14 rads of gamma plus 15 rem of beta irradiation at the age of 22, was brought to Brookhaven with the Rongelapese when she was found to have developed a nodular enlargement of the thyroid, As the tissue appeared malignant in frozen sections, a total thyroidectomy was performed and the patient is recovering satisfactorily, This is the first case of thyroid disease to appear among those who were exposed to the lower doses on Utirik. This single case suggests that closer medical supervision be provided the Utirik people, Dr. Conard proposes visiting Utirik during his mid-winter survey of the Marshallese. The diagnoses above are subject to modification depending on histologic examination of tissue sections by pathologists, If the diagnoses are changed a further report will be made, The Public Relations Office of Brookhaven plans a public statement when the diagnoses are confirmed. John R, Totter Director Division of Biology and Medicine A bcc: GM (2 Secretariat (2) AGMRD PI Dr. Conard, BNL BMA AD (Bruner) DOE ARCHIVES