"Minimal hypofunction of the gland may have been missed in the past,
since the apparently normal PBI (Protein-Bound Iodine) levels may have
been spuriously high, the true thyroxine level being masked by the.

elevated iodoprotein component charactersitic of the Marshallese."
(p. 42)

[emphasis added]

While it cannot be stated with any certainty that no new thyroid nodules
will be found (two new possible cases were found during the 1972 survey)

it is

most likely that if they are found, they will be in persons who were less than
ten years of age when exposed,

(including one on Utirik)
older than 10 years

although so far there have been three cases

in persons older than 20 years and one case in persons

(12 years old,

exposed on Ailinginae).

This has been borne

out in the case of the Lucky Dragon fishermen who have not developed such
nodules.

This may be due to their generally older age (18-39) and possibly due

to the fact

that much of their drinking water,

unlike that of the Marshallese,

may have come from water tanks not affected by fallout.
At present,

as for the most part in the past,

the United States by experts in the field,

surgery is carried out

such as Dr.

in

Brown Dobyns at the

Cleveland Metropolitan Memorial Hospital, and Dr. Bentley Colcock of the Lahey
Clinic.

The Committee,

of one case,

no.

however,

in reviewing the reports,

who was operated on at

21,

during August of 1964.

the U.S.

takes special note

Naval Hospital in Guam

In Appendix 6, Hospital Summaries of Thyroid Surgical

Cases, eleven and twelve year report, page 96, the summary indicates that "One
parathyroid gland was

identified after its pedicle was divided

was implanted in the belly of the right sternomastoid gland.
thyroids were seen,

pathologist.’

and none were subsequently found

.

.

and

this

No other para-

in the specimen by the

Later reactions of the patient indicated that the parathyroid

thy

Lore 122

.

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