Appendix 4
Serum tedine Levele in Marshallese, 1958-1974
Key:

Subject
No. & sex

Age at
exposure

Plain numbere are T, values; arrow indicates change in Ta with TSH;

TSH = thyroid stimulating hormone; aumbers in pacencheses are PBI values;
S indicates surgery; TR indicates begianiag of hormone treatment.

TR

Diagnosis

1958-61

1962

1963

1964

1965

1966

1967

1968

1969

1970

1971

1972

1973

1974

Rongelap Exposed With Thyroid Lasions
a3

M

Ig ycero

{2nd tri}

Benign

(8.1)

(7.4)

(8.8)

(7.2)

(1.9)

(1.4)
1.3

(3.2)
1.6

5.9

2.0

3.3

(0.6)
3.

(4.6)

(2.5)

(2.5)
(1.9)

(3.1)
(2.1)

1.8

1.6

1.6

(0.8)
3.3

€7.0)

(6.2)
(5.6) §

10.3

9.3

adenomas

(6.6)

3

1

Myxedema

5

*

1

Myxedens

33,—=OF

1

Benign
adenomas

(7.1)
(7.8)

54

OM

1

Senign
adenowas

65

=F

1

Benign

(7.1)

{6.7}

(8.3)

(8.8)

(7.0)

,

adenomas

3.1+7.6

2

M

2

Benign

1?

=F

3

Benign
adesomas

19

3

Benign
sdencuas§

(6.4)
(4.1)

2l1.s6F

3

Benign
adenoesas

(7.4)

42.

=F

3

Benign
adenomas

23.

=

4

Benign
adenomas

69

adencess

(8.0)

(10.2)

(7.1)

6.2) §
|

(6.8) J

(2.9

(5.6)
(7.7)
(8.8)

(9.6)

(7.9)

(8.1)

(0.7)

s

(9.0)

(8.7)

2.9

7.3,5.01

(5.0)
7,0

7.8

(3.1)

3.7

(10.2)

(7.1)

7.5
(8.7)

(5.1) §

6.6

7.8

4.2

2.3

(7.7)
3

5.4

(1.3)
<9.8

2.6

3.7

3.7
TSH 6.8

10.1
TSH 32.0

(6.1)

9.6

(7.9)

16.9

6.5
TSH 8.2
Died Now 72
1.8

1.0

1.7

TSH 215

TSH 243

TSH 118

9.0

15.1

13.8
TSH<1

10.1

{4.2)
6.1

9.1

13.4
TsH 3.4

3.6
TSa 32

6.9
TSA<1

1.3

8.$

(8.2)
15.93

16.9

12,6°14.3
TSH 1.3

19.9
11.9

12.8
TSH 1.1

9.8

(14.1)
11.9

11.4

15.8
TSH<2.5

10.1

17.4
TSH<1

7.3

6

Carcinoma

(8.2)

(5.3)

4.9

6.0

15

F

7

Benign
adenomas

(12.8)

.
(6.4)

6.3

10.7

270

06M

7

Benign
adenomas

(7.0)

(5.5)

36

«6M

?

(10.6)

(2.7)

6.1

=F

‘
&

Benign
adencess
Benign
adenones

(11.4)

(11.5)

75

Ff

12

Benign
adenceas

(4.7)

67

F

lé

Nedule

(6.6)

(10.7)

5.7

2.3

.

(5.7)
oe

6.5

10.3
(7.3)
s

(0.6)
3.3

(9.8)
6.3 §

7.9)
7.7

8.0
4.2

4.2

4.2

8

3.9
1.6
TSH 36.0

20.3

1.3,0.3
0.2
TSH-200
8.6

TSH<2.5

15.3

2.8
$.1
TSE 41.0 TSH 62

7.8
TS& 16

9.8
TSA<2.5

it.1
TSA 10

7.7
TSH 9.2

6.6
oO
tsa 49
.
11.3

it. lobe
Carcinoma

2k

(11.7)

7.0
TSH 2.7

13.9

4.6
(3.8)

4.9.4.7
5.0
TSH 24
16.0

10.0
TSH<2.5

2.5
TSH 59

1.3
TSH 15

12.4

4.1

4.6
TSH 2.8

22.90
23.3

23.0
TSH 5.6

(11.6)
6.2

(3.9)
6.3

(8.1)

(10.0)

18.9

(6.8)

(9.1)

11.9

40

29

Seniga
adenoases

64

F

30

Carcinoma

(10.7)

$6

«OF

66

Benign

Died 62

(7.0)

6.3
10.2 §

(10.3)
(12.0)

(16.0)
(7.5) 3

3.3

5.5

adenomas

~ lll -

3.3

9.8
TSH<1

14.0

$
6.5

9.6

TsH 1.35

«OF

<0.4
«(TSH 126

(2.8)

0.5 cn,

16

14.9

7.4

23.2
TSH 2.0

72,~—O#F

(6.4)

22.3

TSH 163

6.3

(12.2)

:

3.6
TSA 1.7?

7.8

Beoign
edenceas

(4.2)
(4.2)
7.0
(8.3)
(7.5) §
7.3,8.0
(4.5)

1.3
1.64

2.7
TSH 12.5

TSH 7,05

9.6

4.2

4

(7.2)
(6.1) 3
6.8
(4.1)

TSH 81

8.9

12.0

=F

x

6.7
TSa<2.5

6.2+8.6

10.5

4,2

{1.8)
<0.8

5.9,4.1
12.5

6.7

2.5
o
TSH 79.0 TSH 376

5.

(5.2)

¢€5.0)
(6.5) 5
7.8,7.3

(10.3)
(7.8)

7.5

15.5
(10.7)

9.0

13.0

8.0

2.9

(10.3)
6.8

(7.0)
12.4

$9.9

0.4
TsR 110

12.7

7.2
TSH<2.5

8.6

7.6
TSH>60;

172

8.9
TSE<1

7.4
TSH 2.7

17.8
7.0
9.6S
10.6

10.9
TSH<1
7.3
TSR 2.6
9.07.5
TSH 1.2

Select target paragraph3