Rongelap unexposed 841 (NAME) HOSPITAL OF THE MEDICAL RESEARCH CENTER, BROOKHAVEN NATIONAL LABORATORY UPTON, NEW YORK 11973 08-50-53 RB Area Code 516 YAphank 4~-6262 UNIT NO) DISCHARGE SUMMARY CIRC 63 seems appropriate and should not preclude surgery. At the Cleveland Metropolitan General Hospital on 4 June 1974, thyroid surgery was performed by B. M. Dobyns, M.D. The gland was found to be 2-3 times normal size, soft and very vascular (presumably related to pregnancy), ‘there were 2 adenomas, one in the right lobe and one in the left; one filled with colloid and the other with necrotic Liquid, The pathological diagnoses were thyroid adenomas, one with cystic degeneration and the other "a regenerating- degenerating microadenoma. Recovery from surgery was uneventful and the wound healed nicely. There were no complications related either to hypertension or pregnancy. The patient was discharged for travel to the Marshall Islands on 9 June 1974. The hospital summary and a surgical and pathological report are being included in the chart of this hospital. DISCHARGE MEDICATION: Dr. Knudsen, the resident physician in the Marshall Islands, was advised that the obstetrician on this case suggested that if hypertension persists after pregnancy termination, some form of medical management should be instituted. It was not considered necessary to start this patient on supplementary hormone therapy. DISCHARGE DIAGNOSES: 1. 2. Benign thyroid adenomas, surgically removed, Eesential hypertension (mild). Robert A. Conard, M.D. cfh Received: Typed: 25 June 1974 27 June 1974 oo OGuhor yr Page 2 of 2 ~ 137 -