UNITED STATES

ATOMIC ENERGY COMIMIESSION
WALHINGTON, OC.
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Chairman. Seaborg
Commissioner Ramey
Commissioner Johnson
Commissioner Thompson
Commissioner Larson

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THRU: 4*General Manager
CURRENT MEDICAL FINDINGS ON MARSHALLESE BROUGHT TO BROOKHAVEN

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This is a follow-up of our memorandum of May 28, 1969, concerning

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the medical status of the Marshallese exposed to fallout on

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Rongelap following the March 1, 1954, shot at Bikini Atoll.

The four Rongelapese referred to in that memorandum received their
pre-operative observation at the Medical Center of Brookhaven
National Laboratory week before last and then transferred to the
Cleveland Metropolitan General Hospital for surgery by Dr. Brown Dobyns,
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Two of the three Rongelapese, who were less than ten years of age at
the time of exposure to an estimated 175 rads of gemma and 600 to
1400 rem of internal beta radiation, were found to have the primary
benign edénomatous goiter like that seen in most Rongelépese of this
group,
They were treated by subtotal thyroidectomy and ere recovering
satisfactorily.

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The third Rongelap native, a girl now 21-22 years of age, was found to
have 2 pepillary adenoma with invasion of the lynph nodes of the left
side of the neck by neoplastic cells,
Since the frozen sections and
invasivcumess suggested a serious degree of malignancy - rzedcical

dissection of the ieft side of the neck plus complete thyroicectomy
were carried out, The patient is recovering with a minor degree of
hypoparathyroicism,
The fourth Rongelapese who wes exposed at the age of 22 years and
hence is estimeted to have received only 160 rem of internal beta
plus 175 rads of gamma radiation, was found to have an invasive
adenoma which had involved the capsule of the thyroid gland,

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