Rongelap 83
HOMITAL OF THE
MOOCHAVIN
UHIOM
area Code
MEDICAG RESEARCH CENTER
HallOnaAL LabOaaloar
NEW YORK 1197)
$i6 VAphenh 4-4262
amd)
08-50-54
paral MO)
OISCHARGE SUMMARY
ADMITTED:
27 May
R
CIRC 63
1974
DISCHARCED:
3 June
1974
This 20-year-old Marshallese boy was
admitted for thyroid studies and
consideration for possible surgery in Cleveland,
MEDICAL HISTORY:
In September
197},
a small
nodule wag
noted in the lefc Lobe of the thyroid,
During the recene March 1974 aurvey, an addicional slight enlargement of the
right lobe was palpaced, He has always appeared euchyroid and the T4 levels
have been wichin normal Limits,
This boy was one of 4 Rongeiap children
exposed in utero,
We was exposed near the end of the second Crimester to 175
rade whole body gamm radiacfion from accidental fallouc, and the thyrold also
received an indeterminate dose from radiciodines which had been absorbed by
the mother, hen first seen, 3 months after birth, the only possible indication
of radiation exposure was a Cransicory depression of his blood platelecs, He
has been examined regularly by our medical team and no serious findings have
He has had the usual childnood infecttons, and on one occasion
been noted,
he bad a brief hospitalization for acute URI, His growth and development have
been normal,
PHYSICAL EXAM ON ADMISSTON:
This Marshallese boy is well-developed
and well-nourished,
He appears
euthyroid.
Phystcal exam is generally negative except for the thyroid findings,
A small, 2 mm, freely moveable nodule was noted in the left lobe and a bumpy
irregularity in che upper right lobe, No tenderness of the gland or Iymphadenopathy was noced,
LABORATORY & X-RAY PATA:
Thyrotd scans showed a discrete area
of decreased radioactivity in the
middle portion of the lefr lobe,
T uptake was 24.6%, TS level vas 6.7 uy
da March, The hemogram and blood chemistry data were within normal limits,
123
HOSPITAL COURSE:
The hospital course was uneventful,
He ace and slepc well and was completely asymptomatic, The patient was given 20 uci 13ly juse before discharge
to Cleveland for autoradlographic analysis of excised lesions,
Ac the Cleveland Metropoiltan General
Hospital on 4 June 1974, thyrold
surgery was performed by 38, M. Dobyns, M.D, There was a 3+4 mm miss in the
lefe lobe near the isthmus, a t cm soft mass in the superior pole and the
Fight lobe contained a 1 cm soft masa, These were removed and the histological
diagnoses were benign adenomas, one of which was trabecular in pattern,
His
recovery from surgery was uneventful with no complications.
By 9 June the
wound was healing nicely and the patlent was discharged for travel back to the
Marshall
Ialands,
<A suamary of his hospitalization
-)-
lia -
including surgica)]
and