Rongelap 8
HOSPITAL OF THE MEDICAL RESEARCH CENTER,
BROOKHAVEN NATIONAL LABORATORY
UPTON, NEW YORK 11973
08-42-34 R
Area Code 516 YAphank 4-6262
Nan
(UNIT NO]
DISCHARGE SUMMARY
HOSPITAL COURSE:
Her Hospital course was uneventful and
it was gratifying that in view of
the anemia noted in September, her blood picture was now within normal limita and
no contraindications to surgery were noted,
‘The patient was given 25 pci 1311
prior to discharge to ensure complete removai of thyroid tissue at surgery in the
eventuality of malignancy.
‘She was discharged on 13 November 1972 and transferred
to Cleveland Metropolitan General Hospital.
At Cleveland Metropolitan General
on 14 November 1972, surgery was
performed by Dr. Brown Dobyns,
At surgery the right lobe of the thyroid was
quite nodular with one
firm black nodule about 2 cm in diameter in the superior
pole, and smaller ones in the remainder of the lobe.
The left lobe appeared
relatively normal.
Complete right lobectomy was performed and a 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
carcinome™,
‘The remainder of the lobe exhibited miltiple benign adenomatous lesions.
Recovery from surgery was uneventful with no complications. By 19 November 1972, the
wound was healing nicely and the patient was discharged to return to the Marshall
Islands with the interpreter and the other thyroid patient,
A summary of her
Hospitalization, including surgical and pathological reports, at the Cleveland
Metropolitan General Hospital ie attached,
FINAL DIAGNOSIS:
DISCHARGE MEDICATION:
? Papillary carcinoma of the thyroid.
The patient was placed on thyroxin medica-
tion (Synthroid) 2.1 mg weekly.
Follow-up advice and treatment instructions are being forwarded to the practitioner
in charge of her case at che Majuro Hospital in the Marshall Islands, Careful
follow-up exams will be carried out on this girl at the time of our annual
medical exams and at six month intervals.
She will also have periodic exams
at a hospital for thorough thyroid studies co rule out extension of her disease.
*
Purther pathological review of the sections is in progress.
-
Received:
Typed:
cfh
12/20/72
12/21/72
Robert A, Conard, M.D.
Page 2 of 2
CC. DP ConarP on hdr
ONL 720A
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