_ CONTENTS PREFACE... 2.00 eee be tee te FRONTISPIECE 200... 00 cee ce ees ve ee cee . ill Lone ce x beetntee ee eee I. BACKGROUND 2.0000 cece ect ee een ee bee ee beeen ee A. The Accident. 0.0... 0.0... tee ee be tees bene pe ete B. Annual Examinations... 0.0.00... 000... tenes I i re Lceeetete cntee te ates tee ee eee C. 1970-1974 Surveys... ee eee bey teeeeatateneeenseedlaggeseceseeneeceseee . B. Acute Effects... .. Bee bo eb beck ee be be ee egnetntte ete te veees se cena tens tee teeeees am OO @ > HII. Finpincs on Fottow-up ExaMINATIONS (LATE EFFECTS). General Medical Findings. 1 4 5 Il. Inrrtat FInpInes. . .. 0. ee ee A. Dose Assessment.......... t 2 0... wo... fe secueseecevetduagatenseeescsecs 5 . 10 oo... cescceccccesstcseatecsesceesseeeeesees 14 cee cee ee ceeeeeevetnesseeetseneetsesee teeneeae. Vital Statistics: Fertility and Mortality 00000000 ccc cc cccccscssssenuecsesestecesegppemmeseteeeee Hematological Findings... 0.006000 ec ee es ceeeangggeeeee . Subsequent Course of Skin Lesions... 00.00.0000. ciscccieteneinquenaateaetesmeststeccneetees «94 AT WBF DE Ophthalmological Findings... ccc. Cie cette cee ceteraeee cesses - 23 Q . Degenerative Diseases... ie cients cites tcerseecracsnsenaeneneenien nenetsacesess =. BREOttromosome and Genetic Studies. 00.0000 ccccsccssscnsesesanteneeie“eeneatecnee Be tneeeanesees= IV. ‘Prvrow Fivrteyg... beeeteeeee teesy seeeees am OO fw > a» : sone ‘Early Findings...0......0000-cceesee Ec cece cece cceete ces tesecaceeenesenneeeeseeeperce Tear: Development of Thyroid Nodules .0...0. 00. 0c cee ceesteeeteeeneeesSeg 42 Surgical Exploration....0.00.0.000cc: 0 ec ttre cote . Hormone Treatment...uc-ceccc bo cesettte teteatessseaesecaggpesendte nae Studies of Thyroid Function... 00000. ccc ccc etetee ene teteteneeteseeeee cesneeataes betes 30 Todoprotein Studies... oo. etc eee ecne cee crneen eens cere ree rites neneetcesneeeneetnieeneees 36 G. Correlation of Thyroid Abnormalities With Radiation Exposure.........0...0.00 20.0.0... 37 V. NEOPLASIA... 0.0. cscs ccc c cece eee cece nee cesses eseceies ten centnavecentesusetieceateessietnintesnaeints cn cr seeeeress oe 63 _B. Other Malliggtancies....:..<.....ailieeeceeeeeteea eter ereeteneners pec ceeecestateecsetes catteesetiseceeeseaeeensaeas 66 ae = 62 A. A Case of Acute Myelogenous Leukemia... 0.0 eect cet cent centres ce ~ “ae se os Sa > — Fe “~*~ x a? oa vill 4 *