Rongelap 3 HOSPITAL OF THE MEDICAL RESEARCH CENTER, BROOKHAVEN NATIONAL LABORATORY UPTON, NEW YORK 11973 NAN 08-42-34 R Aree Code 516 YAphank 46262 (UNIT NO.) CISCHARGE SUMMARY HOSPITAL COURSE: . Her Hospital course waa uneventful and it was gratifying that in view of the anemia noted in September, her blood picture was now within normal Limits and no contraindications to surgery were noted, ‘The patient was given 25 uci 1311 prior to discharge to ensure complete removal of thyroid tissue at surgery in the eventuality of malignancy. She was discharged on 13 November 1972 and transferred to Cleveland Metropolitan General Hospital. At Cleveland Metropolitan General on 14 November 1972, surgery was performed by Dr, Brown Dobyns. At surgery the right lobe of the chyroid was quite nodular with one firm black nodule about 2 cm in diameter in the superior pola, and smaller ones in the remainder of the lobe. ‘The left lobe appeared relatively normal. Complete right lobectomy was performed and 2 thorough search revealed no lymph nodes in the vicinity of the thyroid gland on either side. Microscopic examination of tha excised tissues revealed smail area of papillary carcinoma”. The remainder of the lobe exhibited miltiple benign adenomatous lesions. Racovery from surgery was uneventful with no complicacions. By 19 November 1972, the wound was healing nicely and the patient was discharged to return to the Marshall Islands with the interpreter and the other thyroid parcienct. A summary of her Hospitalization, including surgical and pathological reports, at the Cleveland Metropolitan General Hospital is attached, FINAL DIAGNOSIS: ? Papillary carcinoma of the thyrotd. DISCHARGE MEDICATION: The patient was placed on thyroxin medica- tion (Synthroid) 2.1 mg weekly. Follow-up advice and treatment instructions are being forwarded to the practitioner in charge of her case at the Majuro Hospital in the Marshall Islands, Careful. follow-up exams will be carried out on this girl at the time of our annual medical exams and at 3ix monch intervals. She will also have periodic exams at a hospital for chorough thyroid studies to rule out extension of her disease, * Further pathological review of the sections is in progress. WfchaFeo Cpu Robert A, Conard, MD. Received: Typed: efh 12/20/72 12/21/72 Page 2 of 2 Ce. DF. Gomaed ow //73 ma, 7208 - 121 - 9066 2 ,