Rongelap 8 WOSFITAL OF Tet AAMDICAL RESEARCH CENTER, BROCKHAVIN NATIONAL (AsOdATORT Pind 08-42-34 & UPTON, Mow YORK 1197) Aree Code 516 TAphanh 4-6262 OISCHARGE SUMMAAT HOSPITALCOURSE: Her Hospital course wae 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, Tha patiant was given 25 pCi 13ly prior to discharge cto 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 Genera] Hospital, At Cleveland Metropolitan General on 14 Nowember 1972, surgery was performed by Dr, Brown Dobyns, Ac surgery the right lobe of the thyroid was quite nodular with one firm black nodule about 2 cm in dlamecer in the superior pole, and smaller ones in the remainder of the lobe, The lefc lobe eppeared Felatively normal, Complete right lobectomy wae performed and « thorough search revealed no lymph nodes in the vicinity of the thyroid gland on either side. Microscopic examination of the excised tissues revealed small area of papillary carcinoma”, The remainder of the lobe exhibited multiple benign adenomatous lasions, Recovery from surgery vas uneventful with no complications. By 19 November 1972, the wound was healing nicely and the patient was discharged co return to the Marshall lalands with the interpreter and the other thyroid patient, <A summary of her Hospitalizacfon, including surgical and pathological reports, at the Cleveland Metropolitan Ceneral Hospital FINAL DIAGNOSIS: is attached, 7 Papillary carcinoma of the thyroid, DISCHARGE MEDICATION: The patient was placed on thyroxin medication (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 che Marshall Islands, Careful follow-up exams will be carried ouc on this girl ac che cime of ovr annual medical exams and at six month intervals, She will also have periodic exams ac a hospital for thorough thyroid studies to rule out extension of her disease, * Furcher pathological review of the sections is in progress, PhaTee Comm Robert A, Received: Typed: cfh 12/26/72 12/21/72 Ce. BS towaed ow ffs ot 7200 Page 2 of 2 Conard, M.D,