te ee ee 23 MEDIAN WEIGHTS 1958-963 - T_T 17 aors 1 | +t 71 FT 20) 40- a EXPOSED ~~ m= ~o CONTROL “| CHILDREN OF EXPOSED PARENTS me _ 5 6 t AGE (YRS! b \ a “ae * : b CHILDREN OF UNEXPOSED — PARENTS ; 20r{ ous 4 ? 6 a 8 dd 0 12 AGE (YEARS) a ié 16 Figure 16. e 3. thought to be malignant. Sections of the tissues were reviewed by a number of pathologists, all of whom agreed that the nodules were not malig- nant and resembied in many respects adenomatoid goiters seen with iodine deficiency, with its characteristic regenerative rather than neoplastic proliferation. However. in the Marshall Islands, where fish and sea food are mainstays of the diet, iodine deficiencyis not likely and goiters are rare. Figure 10 shows a picture of the gross appearance of the nodules and Figure 11 shows a microphotograph of one of the glands. The likelihood of these nodules being radiauion induced is discussed in the Summarizing Discussion. The two girls who had complete thyroidectomies developed signs of hypoparathyroidism which responded to treatment. STATURES (938-1963 CRN 4SFTER Fac.ouT “RILOREN OF EXPOSED “ARENTS [HILDREN OF UNEXPOSED RENTS a ~ ee 3 6 ? AL AGE (YRS) gure 15. TT o—— £ xPOsEo GIA S TT o@ —-© CONTROL -_ — Parathyroid function returned in No. 17, but No. 21 sull requires therapy including thyroid extract. In the third case (No. 69) oniy a partial thyroidectomy was done, and she requires no therapy. Note: During the | !th-year survey now in pro- gress (March 1965) 3 new cases of thyroid nodules in the exposed group have been detected. Two *Secuons of nasuc were newewed and reported on by Drs. S. Warren, New Engiand Deaconess Hospual: GH. Klink, Armed Forces Insotute of Pathotogy. C J. Saahl, U.S. Naval Hospatal a Guam. H 4. Jotnson, Brookhaven Navionai La'-oratory, and 8. Landsav, Univernry of Califorma Medical School. ‘iabeoed eee WEIGHT | POUNDS) SS NX 8 8 TOT TT a Ld STATURES 1958-18630 MEDIAN WEIGHTS (958-1963 TOT /ge 8 WEIGHT (POUNDS) 1204 BORN AFTER FALLOUT eT AGE (YE aa$) Figure 17. were in boys 12 and [7 years of age and one in an adult woman 41 years of age. The nodules appeared grossly similar to those described in the teen-age girls in this report, and these cases will receive study and treatment. Greuth end Development Studies. Analysis of the statural data from the 1963 survey indicated the persistence of the trends previously reported. As shown in Figures 12 and 13, no difference was apparent in median statures between the exposed and control groups amonggirls and between giris born to exposed and girls born to nonexposed parents.* Among the boys, however, retardation in statural growth of the exposed group between the ages of 5 and 12 years as compared with that of the control group was again noted (Figure 14). The difference in median statures between boys born to exposed parents and those with nonexposed parents was also evident in 1963 (Fig- ure 15). This difference has been attnbuted to the fact that the boys in the group with exposed paren were, on the average, 4 months younger than the bovs in the group with nonexposed parents. Nostatistically significant differences were noted in body weight curves between exposed and con- trol children ¢ Figures 16 and 17}, In skeletal maturation, the trends reported in the previous studies *Dr. K.M. Gnéith of the M.D. Anderson Hospetal did the sausucal analyers.