Rongelap unexposed 841 MOVIAL OF Ted miDICaAl RESEARCH CENTER MOOSHAVIN NaliOual (ABOeaTORT yan) WON, Miw road 187) 08-50-53 RK tea Code $16 TAphens 4-62: Beat MO) DISCHARGE SUMMALY CIRC 63 seems appropriate and should not preclude surgery. At the Cleveland Metropolf{tan General Hospital on & June $974, thyroid surgery was performed by B. M. Dobyns, M.D. The gland was found to be 2-3 times nornal size, soft and very vascular (presumably related to pregnancy). There were 2 adenomas, one in the right lobe and one in the tefc; 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 pattent was discharged for travel to the Marshall Islands on 9 June 1974, The hospital summary and a surgical and pathological reporc are being Included in the chart of this hospital, DISCHARGE MEDICATION: advised that Dr. the obstetrician on this case Knudsen, the resident physician fn the Marshall Islands, was suggested that if hypertension persists after pregnancy termination, some form of medical management should be instituted, It was not considered necessary to start this pactent on supplementary hormone therapy, DISCHARGE DIAGNOSES: 1, Benign thyroid adenomas, surgically removed, 2. Essential hypertension (mitd), SRiked 6 bere eC Robert A, eth Received: Typed: 25 June 1976 27 June £976 CG be Cmnnd Ve Page 2 of 2 - 137 - Conard, M.D.