63 Table 35 Cancer Cases Among Marshallese up to 20 Years Post Exposure Case No. Age and Sex Type Year of death Exposed Rongelap (82 people) 62 60 F Ovarian 30 60 F Cervix* 13 68 at 18 6+ 72 7iF 64M 18M 35 F 41 F 22 F Uterus* Stomach Leukemia Thyroid Thyroid Thyroid Unexposed Rongelap (~ 190 people) 861 68 F Exposed Utirik (157 people) 2122 2229 87M 37 F 1959 1962 1956 — 1974 1972 Cervix* 1960 Rectum * 1959 Thyroid *Diagnosis not confirmed by autopsy. other forms of malignancy are beginning to show correlations,1*7 The cases of malignancy recorded among the various Marshallese populations under study during the past 20 years are listed in Table 35. In these people, thyroid malignancies (discussed above) showa correlation with radiation exposure; other types cannot beascribed definitely to radia- Figure 49. Subject No. 54 at age 1 year, a monthafter exposure to fallout, when he had spotty epilation and scattered beta burn lesions on the scalp, neck, arms,legs, and anal region. tion exposure. A.A CASE OF ACUTE MYELOGENOUS LEUKEMIA In 1972 an exposed Rongelap male (subject No. 54) died of leukemia at age 19.146 He had been exposed to 175 rads of gamma radiation on Ron- gelap at age 1 year, and had experienced early transient symptoms, nausea and vomiting and itching and burningofthe skin. He showed moderate depression of lymphocytes, platelets, and neutrophils, his WBC dropping to 3900 by 6 weeks and his platelets to 140,000 by 4 weeks. He developed beta burnsofthe skin, particularly over the neck, arms, and legs, and someepilation of the scalp (Figure 49). These lesions healed uneventfully. His blood elements showed slow recovery toward normallevels by 1 year. He remained generally healthy, with usual childhood infections, until age 13, when nodules developed in the thyroid and he was taken to the U.S. for study (Fig- Figure 50. Subject No. 54 being examined at age 13. ure 50). The nodules removed at surgery (including a Hiirthle cell adenoma) were benign. He was placed on continuous thyroid hormonetreatment and remained euthyroid, with normal growth and development. (His mother, father, and two broth- ers also had thyroid lesions surgically removed.) PRIVACY ACT MATERIAL REMOVED