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American Journal of Epidemiology Vol. 89, No. 1: 4-14
Copyright © 1969 by The Johns Hopkins University School of Hygiene and Public Health

research-article

THYROID CARCINOMA IN ATOMIC BOMB SURVIVORS HIROSHIMA AND NAGASAKI

JAMES W. WOOD1 5, HIDEYA TAMAGAKI1, SHOTARO NERIISHI1, TATSUO SATO2,4, WARNER F. SHELDON2 7, PHILIP G. ARCHER3, HOWARD B. HAMILTON4 and KENNETH G. JOHNSON1,8

Dept. of Public Health, Cornell Univ. Medical College, 1300 York Ave. New York, N. Y. 10021
1Departments of Medicine, Atomic Bomb Casualty Commision Hiroshims and Nagasaki, Japan
2Departments of Pathology, Atomic Bomb Casualty Commision Hiroshims and Nagasaki, Japan
3Departments of Statistics, Atomic Bomb Casualty Commision Hiroshims and Nagasaki, Japan
4Departments of Clinical Laboratories, Atomic Bomb Casualty Commision Hiroshims and Nagasaki, Japan

8Address reprint requests to Dr. Kenneth G. Johnson, Director of Division of Epidemiologic Research, Department of Public Health, Cornell University Medical College, 1300 York Avenue, New York, New York 10021.

Between December 1,1963 and December 31,1965, 39 cases of thyroid cancer were found by systematic, clinical examination of members of the Adult Health Study sample of the Atomic Bomb Casualty Commission of Hiroshima and Nagasaki. Twelve additional cases were identified in members of the sample who were not examined during the time period. The occurrence of thyroid cancer was higher in women than in men, and showed a significant increase with the proximity of atomic bomb exposure and increase in estimated radiation dose received. However, when the subjects were less than 20 years of age at exposure the rates were the same for both sexes. Thyroid cancer in this sample did not pursue an aggressively malignant course. Sixteen persons died with thyroid cancer but in no instance could death be attributed to thyroid cancer, despite the unequivocal histologic findings of malignancy.

atomic bomb; ionizing radiation; pathologic examination; thyroid cancer

5Present address, Department of Medicine, Yale-New Haven Community Hospital, New Haven, Conn.

6Present address, Chief, Laboratory Service Veterans Administration Center, Wadsworth, Kansas.

7Present address, Department of Pathology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.


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