BROOKHAVEN NATIONAL LABORATORY
HOSPITAL of che MEDICAL RESEARCH CENTER
UPTON,
NEW
YORK
DISCHARGE SUMMARY
SURGERY AT THE CLEVELAND METROPOLITAN GENERAL
HOSPITAL, CLEVELAND OHIO:
Do Not Write in Binding Margin
08-22-58R
(Rongelap 18)
1
OPD
Her hospital course during the
preliminary examinations here
at Brookhaven was uneventful.
1969.
UNTT1 NO.
PAVILION
PRE-SURGICAL HOSPITAL COURSE:
ember 10,
NAME
mt
Dr. B. Dobbins performed
thyroid surgery on Sept-
A hara, white mass measuring about 8 mm,
in diameter was
tuund in the right upper lobe. A frozen section indicated malignancy and a complete thyroidectomy was done. In addition to the nodule just described the
removed thyroid also showed a small focus of white-hard-tissue near the isthmus,
and there was generalized granularity of the remainder of the gland. The patient
was given 12.5 pc. of radioiodine preoperatively, and the malignant nodule was
found to be nonfunctioning based on lack of radioiodine count. Lymph node
involvement was not noted,
POSTOPERATIVE COURSE:
The patient recovered satis-
factorily from her operation,
A slightly positive Chvostek sign was noted for several days. The patient was
returned to this Hospital on September 14, During the week here before her
discharge it was found that her serum calcium level was 9,2 mg.%. A thyroid
sean following 350 uc. 131°
showed that the thyroidectomy had been complete except
for one small questionable area 2.4 cm, to right and 3 cm, above the sternal
notch, Her wound healed nicely, and she was discharged on September 22 fit for
travel back to the Marshall Islands.
DIAGNOSIS:
1. Follicular carcinoma of the thyroid,
gland; no lymph node metastasis,
Adenomatous nodules in remainder of
DISCHARGE MEDICATION:
The patient was advised that
ic was mandatory that she
continue?’ taking her thyroid and hormone medication always. The Marshallese
practitioner, Dr. Riklon, who accompanied the patient here will personally supervise the continuation offhis therapy. The patient will be examined again on
the forthcoming medical survey in March 1970.
JLT4 Comme
Robert A. Conard M. D.
RAC :LR
-2BNL 720A
-
79
-«-