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