a E pROOKHAVEN NATIONAL LABORATORY [NAME UNIT NO. CENTER p HOSPITAL of the MEDICAL RESEARCH 08-2260R 8 UPTON, NEW YORK DISCHARGE SUMMARY PAVILION PREOPERATIVE HOSPITAL COURSE: pecite and appeared to be completely euthyroid, ferred to the Cleveland Metropolitan Hospital. 1 OPD The patient was completely asymptomatic with good apOn September 7 he was trans- On September 8, the thyroid was explored by Dr. B. M. Dobbins, There was a discrete mass in the lower pole on the right measuring 2.5 cm, in diameter, Beneath this nodule there was a second mass measuring about 1.5 cm, in diameter, The left lobe contained a cluster of nodules. Both lobes were subtotally resected to remove the nodular areas with a pad of normal tissue around them. It was believed that the tissue left behind was "reasonably normal.” It was noted that there were many fine vessels over the surface of the thyroid very much like one sees in a gland that has been therapeutically irradiated with radioiodine. POS. SURGICAL HOSPITAL COURSE: The patient's recovery DIAGNOSIS: 1, Adenomatous nodules of both Lobes of the thyroid gland. Degenerating follicular adenoma. from surgery was rapid and uneventful, He was transferred back to this Hospital on September 10. He remained completely asymptomatic and his wound healed nicely without complications, The repeat thyroid scan showed’.pos€ operative absence of the inferior portions of the right and left lobes of the thyroid gland, The patient was discharged on September 22 to travel back to the Marshall Islands. DISCHARGE MEDICATION: It was impressed upon the patient that it was inmperative that he continue taking his thyroid-hormone medication from now on, He will be under the supervision of the local Marshallese practitioner in the Islands. The patient will be seen again on the forthcoming survey in March 1970. fir7 Cnrmrel Robert A. Conard M, D, RC:LR 81 - WOE ee ae cr tad t C+ Ch c*> - vitae tn 20, Ree ‘ONL 720A CF) Go Not Wree ia hhading Marga SURGERY CLEVELAND METROPOLITAN HOSPITAL: