PRIVACY ACT MATERIAL REMOVED 63 Table 35 Cancer Cases Among Marshallese up to 20 Years Post Exposure Case No. Age and Sex Type Exposed Rongelap (82 people) 62 60 F Ovarian 30 60 F Cervix* 13 71F Uterus* 68 64M Stomach 54 18M Leukemia 18 35 F Thyroid 6+ 41 F Thyroid 72 22F Thyroid Unexposed Rongelap (~ 190 people) 861 68 F Cervix® Exposed Uurik (157 people) 2122 2229 87M 37 F Rectum* Thvroid Year of death 1959 1962 1956 1974 1972 1960 1959 “Diagnosis not confirmed by autopsy. other forms of malignancy are beginning to show correlations.177 The cases of malignancy recorded amongthe various Marshallese populations under study during the past 20 years are listed itn Table 35. In these people, thyroid malignancies (discussed Figure 49. Subject No. 54 at age I year, a monthafter exposure to fallout, when he had spotty epilation and scattered beta burn lesions on the scalp, neck, arms,legs, and anairegion. above) show a correlation with radiation exposure; other types cannotbe ascribed definitely to radiation 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 gammaradiation on Rongelap at age | vear, and had experienced early transient symptoms, nausea and vomiting and itching and burning of the skin. He showed moderate depression of lymphocytes, platelets, and neutrophils, his WBC dropping to 3900 by 6 weeks andhis platelets to 140,000 by 4 weeks. He devel- oped beta burnsof the skin, particularly over the neck, arms, and legs, and some epilation of the scalp (Figure 49). These lesions healed uneventfully. His blood elements showed slow recovery toward normallevels by | 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 brothers also had thyroid lesions surgically removed.)