63 Table 35 Cancer Cases Among Marshallese up to 20 Years Post Exposure Case No. Age and Sex Type Year ofdeath Exposed Rongelap (82 people) 62 30 60 F Ovarian 1959 TLE Uterus*® 1956 60 F 13 68 34 18 64 72 64M -- 18M ' 35F 41F 22 F Cervix* 1962 Stomach Leukemia Thyroid Thyroid Thyroid Unexposed Ronge'p (~~ 190 people) 861 68 F Cervix* Exposed Utirik ( 7people) 2122 2229 37 P 1974 1972 1960 Rectum * 1959 Thyroid *Diagnosis not confirmed by autopsy. other forms of malignancy are beginning to show correlations. 177 The cases of malignancy recorded among the various Marshallese populations under study during the past 20 years are listed in Tabie 35. In these people, thyroid malignancies (discussed above) show a correlation with radiation exposure; other types cannotbe ascribed definitely to radia- Figure 49, Subject No. 54 at age | year, a month afer exposure to fallout, when he had sporty epilation and scattered beta burn lesions on the scalp, neck, arms,legs, and anai region. tion exposure. A. A CASE OF ACUTE MYELOGENOUS LEUKEMIA In 1972 an exposed Rongelap male (subject No. 54) died of leukemia at age 19.448 He had been exposed to 175 rads of gammaradiation on Rongelap at age | year, 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 4weeks. He developed beta burns of 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 normal levels by 1 year. He remained generally healthy, with usual childhood infections, until age 13, when nodules developed in the thy- © roid =“ taken to the U.S. for study (Fig- IOCb 160 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.) PRIVACY ACT MATERIAL REMOVED