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Further Development of Thyroid Nodules

A detailed presentation of the thyroid lesions in the Marshallese
is being published separately, (14) and only a brief review of the data is
presented here.

Table IV A

below summarizes the thyroid lesions in the exposed

itinieRendtinentn tedienoranherdl

Rongelap people.

In Table [¥ 86

the incidence of such lesions in the

more heavily exposed group (55 living of 64) as a function of age is

presented.
table,)

(The one case in the Ailingnae group is not included in the

The first three cases (

.

, and

) (Table IV) in teenage

girls who were operated on in Guam in 1964 have been described (10,11),
In the March 1965 survey, three additional cases of. thyroid nodules, two
in exposed boys (
discovered,

and —

In addition,

J, and one in an exposed woman ( _) were
two boys (

and |

thyroid with PBI's less than 2 pgm.

) were found to be hypo-

|

The three nodule cases were brought to Brookhaven National Laboratory
in June 1965 for study (see Fig. 1), and surgery was later performed at the
New England Baptist Hospital by Dr. Bentley P. Colcock.

The two boys

had partial thyroidectomies, and the nodules were diagnosed as benign
adenomatoid goiters (as in the first three cases).

The woman had a subtotal

thyroidectomy, and she was found to have mixed papillary and follicular

carcinoma with localized metastasis.
the thyroid gland with radioiodine.

She later. had complete ablation of
Figs. 2 and 3 show the gross and

histological appearance of these lesions.
In September another thyroid survey was conducted at Rongelap and
Ebeye by two of us (

and —

y.

This survey turned up five

other cases with nodules greater than 1 mm. in size, and also five other

590142 3

3

PRIVACY ACT MATERIAL REMOVED

i

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