22 Table 13 Thyroid Abnormalitites in Exposed Rongelap People, 1969 (Arranged in order of appearance of abnormality } Timeof Subject No. and sex Present age, yr Age at development exposure Year Age see “ Findings, present status (1969} 3 M 16 I 1965 12 5 M 16 1 1965 12. Hypothyroid, PBI <2yg% March 1965; retardation of growth preceded these findings by a numberof years. Growth spurt and improved appearance on thyroxine. 17 F 18 3 1963 12. Adenomatous goiter; total thyroidectomy, 1964. No recurrence, euthyroid on thyroxine. 21. s*F 18 3. «1964 13. 69 F 19 4 1964 14 Adenomatousgoiter; partial thyroidectomy, 1964. Slight roughening right lobe persists (1968). Euthyroid on thyroxine. 16 i 1965 12. Adenomatous goiter, partial thyroidectomy, 1965. Slight roughening of right lobe and isthmus (1968). Euthyroid on thyroxine. Adenomatous goiter, partial thyroidectomy, 1965. No recurrence. Euthyroid on thyroxine. 2M 20 M 22 7 1965 18 64 F 45 30 1965 41 Hypothyroid, PBI <2pg% March 1965; retardation of growth pre- ceded these findings by a number of years. Growth spurt and improved appearance on thyroxine. Adenomatousgoiter; total thyroidectomy, parathyroidectomy, 1964. No recurrence, euthyroid on thyroxine. ‘ Mixed papillary and follicular carcinoma with localized metastasis. Total thyroidectomy (surgical and radioiodine) 1965. No recurrence. Euthyroid on thyroxine. 72 =*#F 2i 6 1965 17. 3-mm noduleleft lobe. Nodule not palpable 9/66. Recurrence 1969, increased size. Mixedfollicular and papillary carcinoma. Lymph node F 18 3 1965 14 61 F 23 8 1965 19 6to8-mm smooth noduleleft lower pole. 3/66 1-cm noduleleft lobe. 7/66 subtotal thyroidectory: adenomatous goiter. No recurrence. Euthyroid on thyroxine. 40 M 44 29 1965 .40 2-mm nodule right lower pole. 3/66 no nodules detected (reduced on 59 F * 44 1965 55 5-mm nodule midline. 3/66 same. 7/66 subtotal thyroidectomy: adenomatous goiter. 54 M 16 1 1966 13. mal) entire gland; firm 5-mm nodule right lobe. 7/66 subotal thyroidectomy: adenomatous goiter. No recurrence. Euthyroid on thyroxine. hormone treatment?). 1969 suspicion ofslight recurrence. Nodular enlargement (~ 1% < normal) left lobe and isthmus with 2- mimfirm nodule. 1968 nodule left lobe 2 cm, thyroidectomy. No recurrence. Euthyroid on thyroxine. 19 M 18 5 1966 15 36 M Multinodular soft enlargement entire gland (~1% normal). 1l-cm nodule right lower pole. 1968 new 1-cm nodule left lobe. Thyroidectomy 1968. No recurrence. Euthyroid on thyroxine. 22 7 1966 19 Slight nodular enlargement, entire gland. 1-cm nodule, not clearly demarcated,at left lower pole. Manytiny nodules oversurface ofgland. 2066279 pos 2-mm nodule right lower lobe. 3/66 nodular enlargement ( ~ 1% X nor- Nodules enlarged 1969. 9/69 partial thyroidectomy: adenomatous goiter, degenerating follicular adenoma. wale 42 ‘“ eeee cece ee ee eeee ie ee em meee metastasis. Adenomatous nodules were also present. Complete thyroidectomy. iS