Mr. Edward J, Bauser 4. - 2 - Development during the past year of nodules in the thyrcid requiring definitive diagnosis and surgery. . 3 (16%) . Two young adults had the primary benign The third Rongelapese, a girl now 21-22 years of age, was found to have a papillary adenoma with invasion by neoplastic cells of the lymph nodes of the left side of the neck. Since the frozen sections and invasiveness. suggested a serious degree of malignancy, a radical dissection of the left side of the neck plus complete thyroidectomy ‘were carried out. The patient is recovering with a minor degree of hypoperathyroidism, ore’ ¢ a fet - : ‘ oa mt we ce tame the. wh, onl oe ete “at > Ob . - adenomatous goiter essentially identical with those in I,3. above. They were treated by subtotal thyroidectomy and are recovering satisfactorily. at aon ' 8 . , (None of six Ailinginae children exposed to an estimated external dose of 70 rads have shown thyroid dysfunction.) Pi, we! II, . Surviving adult Rongelapese exposed to fallout. (Estimated dose: 175 reds external plus 160 rem internal irradiation.) Total ~ 34 coe. a Tee ° 1. - ~ ote . . Pepillary carcinoma removed surgically at age 41. No recurrence, Taking oral thyroid . hormone therapy. d ~ 2. Small nodule at ege 40 which diseppeered under oral thyroid hormone therapy. 1 3. This patient was exposed as an adult at the ege of 22, The rovgh mass in one lobe of the thyroid found on physical examination proved to be an invasive adenoma involving the cepsule of the thyroid, Since the lymph nodes were free of neoplastic cells only a subtotal thyroidectomy was performed. The patient is recovering satisfactorily with minimal Signs of hypoparathyroidism, 1 ee DOE ARCHIVES ey