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 71iF Uterus* 68 64M Stomach a4 18M Leukemia 18 35 F Thyroid 64 72 +1F 22 F 68 F 1959 1962 1956 1974 1972 Thyroid Thyroid Unexposed Rongelap (~ 190 people) 861 Yearof death Cervix* Exposed Utirik (157 people) 2122 87M Rectum* 2229 37 F Thyroid 1960 1959 *Diagnosis not confirmed by autopsy. other forms of malignancy are beginning to show correlations.!77 The cases of malignancy recorded among the various Marshallese populations under study dur- Figure 49. Subject No. 54 at age 1 year, a month after exposure to fallout, when he had spotty epilation and scattered beta burn lesions on the scalp, neck, arms,legs, and analregion. ing the past 20 years are listed in Table 35. In these people, thyroid malignancies (discussed above) showa 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 1 vear, and had experienced early transient symptoms, nausea and vomiting and itching and burning ofthe skin. He showed moderate depression of lymphocytes, platelets, and neutrophils, his WBC droppingto 3900 by 6 weeks and his platelets to 140,000 by 4 weeks. He devel- oped beta burns of the skin, particularly over the Figure 50. Subject No. 54 being examined at age 13. 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 hewas taken to the US. for study (Fig- ure 50). The nodules removedat surgery (including a Hiirthle cell adenoma) were benign. He was placed on continuous thyroid hormonetreatment and remained euthyroid, with normal growth and neck, arms, and legs, and some epilation ofthe development. (His mother, father, and two broth- ers also had thyroid lesions surgically removed. }