.. .. . ,. .. . . .-, .. . . -. . ....-... ... .-. ”. -.,’ti -.—. -. -. ...= . ...: --, -. ,, ..” .-. ,... . .. . .: . .. ..,. .. out both by palpation of the glands of some of these people, and also their dose of t]iyroid replace ir, ent d~tigs. Since some ‘i<hohad run out of thyroid replacer,ent medication clinically appeared thryroprivic therefore I feel usually ‘&e entire thyroid was r~moved, a type of surgery commonly performed for thyroid cancer and not a simple benign a,denoma. However I understand from several sources that the Brookhaven Institute under the name of Dr. Conard and his associates reports that in the Marshall Islanders “there are only very few cancers of the thyroid found, but that almost all of the lesions of the thyroid were benign adenoAnas. This creates a conflict in my mind, since of the patients, perhaps eighteen to twenty, who had demonstrated to me thyroid scars, one of them was identified histologically as a paDillary adenocarcinoma of the thyroid, (in Guam) and this in a relatively young man; and in case of Cement John, he presented an uGduly hard nodule in the lo~<er portion of one of the thyroid lobes, -- so hard, and so well set apart from the thyroid tissue itself, that I fear this also might be a carcinoma. That rad~ation would produce so many benign a.denomas and so relatively few carcinomas as I a.m led indirectly to believe is difficult for mle to accept. I should, were I involved in further study, like to see sections of all the thyroids removed. G~e should know that the~-e readily arises an . honest difference of opinion that occurs between pathologists as to what constitutes malignancy in thyroid tumors and micxcscopic re-evaluation will be useful. A second opinion based on microscopic re-eve+lua,tionof the tissue is justified