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Machine-read from the scan, so expect some errors. Lines that couldn’t be read are left out.
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NEW ENGLAND DEACONESS HOSPITAL LABORATORY OF PATHOLOGY Brookhaven National Laboratory I am writing to confirm our telephone conversation regarding the - diagnosis on the recent t~oid specimens from the Marshallese. I am in agreement with th~ diagnoses of Dr; Warren and Dr. Reid. 1. Nerje Tomao (#s69-2471) - Mixed papillary and follicular carcinom (left lobe) with lymph node metastasis. Adeno5. Betty Billiet (ik69-2464) - Adenomatous goiter. I am forwarding the slides as well as the copies of the histories and operative notes to Dr. Lou Woolner at the Mayo ,Clinic,as you sug-
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ROCHESTER, MI NNPZS OTA MET HO OtST HOSPITAL LOUIS ti. WE ILAND. M.0. New England Deaconess Hospital I have examined the thyroid sections on the Marshallese and my diagnoses are listed below. I have not attempted to include accurate statements as to size or multiplicity of Ie:;ionso .. 1. Tamao (S69-2471) - Left lobe: Infiltrative grade 1 papillary carcinoma with cervical nodal metastasis. The carcinoma is mixed papillary and follicular in structure. Remainder of thyroid: Multiple macrofollicular adenomatous nodules. 2. Anjain (S69-2436) - Right lobe: Degenerating follicular adenoma. Left lobe: Multiple macrofollicular adenomatous 3. Ablos (S69-2456) - Right lobe:. Encapsulated grade 1 follicalar carcinoma with capsular and minimal vascular invasion by tumor. Remainder of thyroid: Multiple fetal adenonas. 4. Boas (S69-2495) - Occult papillary carcinoma, invasive, with predominantly follicular structure. Remainder of thyroid: 5. Billiet (S69-2464) - Multiple macrofollicular adenomatous nodules some of which show a prominent papillary component. I note that I am in essential agreement with your diagnoses. Thank you for letting me see this interesting ~aterial. I am returning the slides to Dr. John Reid as you requested.
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CANCER RESEARCH INSTITUTE NEW ENGLAND DEACONESS HOSPITAlBrookhaven National Laboratory In confirmation of our telephone arrived at the following diagnoses on conversation this morning, I have ihe slides from the Jkmshallese. Utirik who received only 36 R, s69-2k56, shows a well-developed follicular carcinoma with capsule i?ava~ionsuggesting:” origin from a preexisting adenoma. In some foci there is tumor in the th’~oid tissue without any evidence of a preexisting capsule. There $s also evidence of blood vessel invasion. Anjain, 22-year-old male from Rongelap, S69-2h63, shows a mild adenomatous Boas, s~-year-old female from Rongelap, S@-2&9~, shows nild adenomatous goiter with one sclerosing focus that I have been unwilling to call carcinomacous buz should be studied further. It may ultimately prove to he carcinoma. carcinoma with r,e’tastasesto lymph node. Tne nonneoylastic portion of the thyroid shows evidence of mild adenomatous goiter. ‘There=e metastasis to lymph nodesfrom the left lower pole of the thyroid, the left upper pole and upper cervical.lymph nQdes and cervic~ lymph nodes at midportion of radical
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NEW ENGLAND DEACONESS HOSPITAL On tlmther study of the slides from Boas, s69-2495, I have come to the conclusion that thi~ is indee’da carcinoma. This provides a startlingly high incidence of carcino~ in this group of cases recently operated upon. In view of the relatively high incidence of thyroid cancer known to exist in Japan and the rece~~ly reported high iacidence in Hawaii, additiomi. studies of controle are essential. ., Dr. Meiszner and Dr. Gates have looked at these cases individually and agree as to final diagnoses.