PRIVACY ACT MATERIAL REMOVED MAYO CLINIC ROCHESTER, MINNESOTA 5800! SURGICAL ST, MARY'S MOSPITAL PATHOLODY CHAIRMAN OF SCE TIONS COWARD HH. BOULE, MO. METHOOIST MALCOLM B.OOCKEATY, 4.0, DAVID C,OANMLIN, M0. JL AIOAN CARNEY, MB, September 26, HOSPITAL LEWtS B.WOOLNEC A, M.D. ENDOAR DO. HARRISON, M.0. 1969 OLORGE mw. ranancw, M.D, LOUIS H.WEILAND,4.0. 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 I have not attempted to include accurate diagnoses are listed below. statements as to size or multiplicity of lesions. 1. 2. 3. 4. 5. ($69-2471) - 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. (S69-2436) - Right lobe: adenoma. nodules. Left lobe: Degenerating follicular Multiple macrofollicular adenomatous $69-2456) - Right lobe: Encapsulated grade 1 follicular carcinoma with capsular and minimal vascular invasion by tumor. Remainder of thyroid: Multiple fetal adenomas. '$69-2495) - Occult papillary carcinoma, invasive, with predominantly follicular structure. Not remarkable. Remainder of thyroid: “$69-2464) - Multiple macrofollicular adenomatous rodules 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, Woolner, M.D. LBW: js cc.: Dr. ConardY Dr. Dobyns Dr. Reid PRIVACY ACT MATERIAL RE MOVE”