Tangled roots, the passed-over prince, aging them bones, lack of control, and Kate Phizackerley’s Quest for Accuracy.

Mark Rose, the online editor for the Archaeological Institute of America and co-writer (with Heather Pringle) of Archaeology Magazine’s blog, Beyond Stone and Bone, was one of the first to look a bit askance at the media coverage of the new analysis of Tutankhamun.  “I suspect they are overdoing it a bit,” he said with regard to their characterization of the Boy King as a frail young man (“Tut: Disease and DNA News”).

Mark was also fast out of the gate to call attention to the age problem with the mummified skeleton from KV55 that was identified by the JAMA article as Akhenaten.  Initial analysis of the mummy based on dental and skeletal analysis suggested a time-of-death in the early 20’s, whereas Akhenaten is believed to have lived into his 30’s. 

In making the attribution of Akhenaten to KV55, the JAMA report simply says:

The mummy in KV55 was previously thought to be in his 20s when he died.  However, our new computed tomography investigation revealed that he lived to be much older.  (JAMA, Table 1, footnote b, p. 640).

In “Time for the Great Pyramid”, Mr. Rose states that he is working on a piece about the results of the JAMA study, set to run in the May/June issue of Archaeology Magazine.  He hopes to get some answers regarding questions he (and we) has about the DNA analysis and CT scan/tomography.

Mark was also kind enough to offer in the Comments section to take his readers’ questions to Dr. Carsten Pusch when he interviews him.  In particular, he stated that he has been following Kate Phizackerley’s articles (below) very closely and will present some of her questions to Pusch. 

Incidentally, I have passed on some of your questions, Gentle Readers, as well as a few of my own.  Mark’s offer in effect places us just one handshake away from one of the primaries of the JAMA article.  Behold the power of the Internet!

Kate Phizackerley, of News from the Valley of the Kings, began her own contribution practically before the ink on the JAMA report was dry.  Beginning with the question of how accurately geneticists can generalize from the data, given the incest issue, Kate went on to pen the first published scholarly critique of the study’s conclusions.

Kate’s work has become the nerve center of the critical analysis of the JAMA study on the Egyptological blogosphere.  Much of it has already been linked from Em Hotep, but for the sake of this compendium I have assembled all of her relevant articles to date:

• The Consanguinity Problem, February 24, 2010
• An example of my consanguinity concerns, February 28, 2010
• DNA Shows that KV55 Mummy Probably Not Akhenaten, March 02, 2010—Kate’s opus magnum detailing her doubts regarding the identification of KV55 as Akhenaten
• Genetic Sudoko, March 3, 2010
• Questions Roundup and a Combative Zahi, March 7, 2010
• Akhenaten Museum Planned, March 11, 2010
• I’ll do a larger DNA table when I get chance – implications for Egyptological, March 13, 2010
• More on Tutankhamun Family DNA, March 26, 2010

Mummies expert Dylan Bickerstaffe has also referenced Kate’s work on the blog section of his website, Exploring Ancient Lands.  In “HAVE THE DNA TESTS PROVED AKHENATEN WAS TUTANKHAMUN’S FATHER? Or have they told us something else?” Dylan raises a brow over the methodology of the study as it was detailed in JAMA.  He is especially concerned over why the study was not conducted blind, as is typically done to prevent the researchers’ expectations from biasing their conclusions. 

Dylan also questions why the control group was so small, and why mummies from other periods were not included to help monitor accuracy.  As he puts it, “Thus if Tutankhamun turns out to be descended from a Ptolemaic mummy, you know you have a problem!”  And then there is the matter of why KV21A and KV21B were in the study rather than the control group.

Speaking of inclusions and exclusions, Tim Reid of The Egyptians wonders why the mummy of a young boy from KV35 was not included in the study at all.  In “The Forgotten Boy,” Tim points out that there are good reasons to suspect that the mummy could be that of Prince Webensenu, a son of Amenhotep II.  The article details some of the adventures and misadventures of the occupants of KV35, and includes some informed speculation about the identity of Smenkhkare, a name that continues to haunt the JAMA study in various and sundry ways.

And while not a blog, Egyptian Dreams is an Egyptology forum with very knowledgeable moderators and participants.  For a number of excellent threads on the JAMA study check out the Evidence from Amarna section.  Some of the threads you will want to explore include:

• Implications of DNA results + KV55=Akhenaten
• Reconsideration of the Chronology of the Eighteenth Dynasty
• Tutankhamen’s family
• Amarna family tree
• KV 21 and mummies KV21A and B

Copyright by Keith Payne, 2010.  All rights reserved.

In The Mummies Gallery we will take a look at each of the mummies in both the study and control groups and pull together the familial and pathological data for easy referencing.

Before we meet the mummies, I should point out that the purpose of this article is only toprovide an easily readable summary of the data in the Journal of the American Medical Association report (“Ancestry and Pathology in King Tutankhamun’s Family.” Hawass, Zahi, Yehia Z. Gad, Somaia Ismail, et al, JAMA. 2010;303(7):638-647).  In this article I will not be critiquing or challenging the work, but neither do I wish to communicate that I am in 100% agreement.  For the current article, I am but the humble messenger.

The JAMA report is understandably heavy with medical jargon which I have attempted to present in non-technical terms.  However, I am not a physician, so when in doubt, double check my work.  If you find mistakes, please by all means report them in the Comments section!  You will be doing us all a favor!

As stated above, I will not be taking positions in this article on the data presented, but that does not mean I will not do so in future articles.  You, however, are encouraged to provide as much exegesis as you feel compelled to share.  Where you disagree with the data, speak your mind.  The whole purpose of The Mummies Gallery is to promote intelligent discussion by putting the JAMA report into layperson’s terms as much as possible.

I should also point out that I will not be delving too deeply into the genetic analyses in this current work.  Again, I reserve the right to do so in the coming weeks, but there is enough data to wade through by just sticking to the JAMA report’s conclusions.  Methodology shall be taken up, if at all, elsewhere.

Finally, I want to point out that there is a lot of repetition because I wanted each mummy to serve as a stand-alone entry.  In other words, I want the reader to be able to zip straight to a specific mummy and take in all the data in a glance without having to search through the full article to find the definition of a particular term.  However, even in the repetition there are subtle differences from mummy to mummy, so just because a paragraph starts off the same way it did for the last mummy, don’t assume the entire paragraph was cut-and-pasted!

So, without further adieu, I present the who’s-who of the chosen few of the Eighteenth Dynasty!

Tutankhamun (Study Group)

Identification and Kinship

Tutankhamun’s identity was known prior to the study.

Genetic fingerprinting on Tutankhamun was analyzed by a software package called GenoProof which calculates the likelihood of paternity and/or kinship.  A probability of more than 99.73% is regarded as “practically proven.” 

The GenoProof analysis of Tutankhamun’s genetic fingerprints showed: 

• KV55 (Akhenaten) is 99.99999981% likely to be Tutankhamun’s father.
• KV35YL is 99.99999997% likely to be Tutankhamun’s mother.
• Tutankhamun is 99.97992885% likely to be the father of Fetus 1
• Tutankhamun is 99.99999299% likely to be the father of Fetus 2

Cells in human males have one Y chromosome and one X chromosome.  The Y chromosome, present only in men, is passed from father to son and is used to trace paternal genetic lines.  The Y chromosomal DNA from Tutankhamun was used to identify the mummy from KV55 (Akhenaten) as his father, and Amenhotep III as his paternal grandfather.

Tutankhamun’s mother, KV35YL, is possibly either Nebetah or Beketaten, two of Amenhotep III’s daughters not known to have married their father, making them possible wives of Akhenaten.  Nefertiti and Kiya have been excluded as candidates for Tutankhamun’s mother.  Whoever KV35YL proves to be, the JAMA report states that she is a full sister of Akhenaten, making her a daughter of Amenhotep III.  Neither Nefertiti nor Kiya are believed to be daughters of Amenhotep III.

Blood type is a categorization of blood based on the structure of red blood cells.  Blood tests have been conducted on both Tutankhamun and KV55 (Akhenaten) and it was determined that both were in the A2 human blood group.  Blood categorization is further subdivided by analysis of a pair of genetic markers called antigens.  There are 46 different antigens, and both Tutankhamun and Akhenaten had the M and N antigens.  Thus, sharing the A2 blood type with the MN antigen pair suggests a close familial relationship between KV55 and Tutankhamun.  (See Nunn, John F. Ancient Egyptian Medicine. London: Red River Books, 2002.  P. 84.)

Congenital Disorders

• Cleft and highly arched palate, mild left clubfoot, crowded teeth, recessed (short) lower jaw, mild scoliosis, slightly hunched back.
• Tut’s flat-shaped skull (brachycephalism) is attributed to a family trait rather than defect or disease.
• Missing bone segments in left foot.
• A diagnosis of gynecomastia—female-like breasts—or Marfan syndrome, a genetic condition which can also manifest in enlarged breasts, was not possible due to the condition of Tutankhamun’s mummy, which lacks the frontal part of the chest.  However, the normal development of Tutankhamun’s penis tends to cast doubt on any condition that would elevate estrogen (female hormones) or lessen testosterone (male hormones).

Acquired Disorders

• Freiberg-Kohler’s disease in the left foot, resulting in bone deterioration and collapse at the ends of the metatarsals—the long bones of the foot.   This would have been a painful condition which would have probably required the young pharaoh to use a cane.  Although the condition results in bone death, it is aseptic, which means it would not normally result in an infection. 
• The combination of club footedness, missing bone segments, and Freiberg-Kohler’s disease in the left foot, along with flat-footedness in the right foot, would have resulted in serious mobility issues for Tutankhamun.
• Malaria tropica, multiple infections.  The presence of multiple strains of malaria tropica in Tutankhamun is open to interpretation.  He may have survived one or more full-blown infections, or it may have never progressed to a symptomatic stage.  It may have played a role in his death, or he may have never even known he was infected.
• Compound fracture to the left thigh.  Of all the probable causes of Tutankhamun’s death, this seems the most likely.  It occurred shortly before his death, as evidenced by the lack of healing, and was probably not postmortem due to the presence of embalming fluids in the fracture.  It would have resulted in the bone tearing through the muscle and skin, and would have caused a severe infection.

Yuya (Study Group)

Identification and Kinship

Yuya’s identity was known prior to the study.

Genetic fingerprinting on Yuya was analyzed by a software package called GenoProof which calculates the likelihood of paternity and/or kinship.  A probability of more than 99.73% is regarded as “practically proven.” 

The GenoProof analysis of both Yuya’s and Thuya’s genetic fingerprints showed they are 99.99999929% likely to be the parents of KV35EL (Tiye)

Congenital Disorders

• Yuya’s head is slightly longer than normal (Dolichocephaly), which is attributed to a family trait rather than defect or disease. 
• Yuya has fingers which are long and slender in relation to the width of his palm (Arachnodactyly), which may be a result of the embalming process or a natural variant rather than a disorder.

Acquired Disorders

• Non-infective dental abscesses.
• Like Tutankhamun, Yuya shows evidence of multiple infections with malaria tropica which may or may not have ever developed into full-blown malaria.  The fact that Yuya lived to an advanced age suggests that he either acquired the disease late in life, survived an earlier bout/bouts, or may have developed partial immunity from environmental exposure (see JAMA, p. 646).
• Incisional hernia.  As the name suggests, this is a hernia where the tissues of the abdomen, and sometimes even abdominal organs, push through the muscle layer where an incision has occurred.  The result is a painful bulge at the spot under the skin where the tissue breaks through.  An incisional hernia is usually a postoperative complication resulting from abdominal surgery.  While it is not outside the realm of possibility that Yuya had undergone some form of medical procedure, the presence of incisional hernias in seven of the sixteen mummies in the study seems suspicious.  It is possible that what is being called an incisional hernia is a postmortem result of the embalming process.

Thuya (Study Group)

Identification and Kinship

Thuya’s identity was known prior to the study.

Genetic fingerprinting on Thuya was analyzed by a software package called GenoProof which calculates the likelihood of paternity and/or kinship.  A probability of more than 99.73% is regarded as “practically proven.” 

The GenoProof analysis of both Thuya’s and Yuya’s genetic fingerprints showed they are 99.99999929% likely to be the parents of KV35EL (Tiye)

Congenital Disorders

• Severe scoliosis with hunched back, recessed (short) lower jaw.

Acquired Disorders

• Non-infective dental abscesses, hardening of the arteries.
• Thuya has fingers which are long and slender in relation to the width of her palm (Arachnodactyly), which may be a result of the embalming process or a natural variant rather than a disorder.
• Malaria tropica infection which may or may not have ever developed into full-blown malaria.  The fact that Thuya lived to an advanced age suggests that she either acquired the disease late in life, survived an earlier bout, or may have developed partial immunity from environmental exposure (see JAMA, p. 646).
• Incisional hernia.  As the name suggests, this is a hernia where the tissues of the abdomen, and sometimes even abdominal organs, push through the muscle layer where an incision has occurred.  The result is a painful bulge at the spot under the skin where the tissue breaks through.  An incisional hernia is usually a postoperative complication resulting from abdominal surgery.  While it is not outside the realm of possibility that Thuya had undergone some form of medical procedure, the presence of incisional hernias in seven of the sixteen mummies in the study seems suspicious.  It is possible that what is being called an incisional hernia is a postmortem result of the embalming process.

KV55—Akhenaten (Study Group)

Identification and Kinship

The idenification of Akhenaten was a key element of the Family of Tutankhamun Project because he ties the two previous generations to the two following generations.

Genetic fingerprinting on KV55 was analyzed by a software package called GenoProof which calculates the likelihood of paternity and/or kinship.  A probability of more than 99.73% is regarded as “practically proven.” 

The GenoProof analysis of KV55’s genetic fingerprints showed:

• KV55 is 99.99999981% likely to be the father of Tutankhamun.
• Amenhotep III is 99.99999999% likely to be KV55’s father.
• Amenhotep III and KV35EL (Tiye) are 99.99999964% to be KV55’s parents.

Cells in human males have one Y chromosome and one X chromosome.  The Y chromosome, present only in men, is passed from father to son and is used to trace paternal genetic lines.  The Y chromosomal DNA from the KV55 mummy was used to identify it as the son of Amenhotep III and the father of Tutankhamun.

Blood type is a categorization of blood based on the structure of red blood cells.  Blood tests have been conducted on both KV55 (Akhenaten) and Tutankhamun and it was determined that both were in the A2 human blood group.  Blood categorization is further subdivided by analysis of a pair of genetic markers called antigens.  There are 46 different antigens, and both Tutankhamun and Akhenaten had the M and N antigens.  Thus, sharing the A2 blood type with the MN antigen pair suggests a close familial relationship between KV55 and Tutankhamun.  (See Nunn, John F. Ancient Egyptian Medicine. London: Red River Books, 2002.  P. 84.)

Congenital Disorders

• Cleft and highly arched palate, scoliosis, recessed (short) lower jaw, crowded teeth, facial asymmetry.
• No proof was found of gynecomastia, Marfan syndrome, or any other congenital disorder which would have resulted in Akhenaten having a feminine body type as depicted in Amarna-style reliefs and statuary.  These depictions seem to be defined by artistic, religious, and political conventions rather than Akhenaten’s actual appearance.
• A diagnosis of gynecomastia—female-like breasts—was not possible due to lack of observable tissue.  Akhenaten’s mummy is actually a mummified skeleton.

Acquired Disorders

• Abnormal bone growth in the sinus cavity, degenerative bone loss and abnormal bone growth in the femurs.

Amenhotep III (Study Group)

Identification and Kinship

Amenhotep III’s identity was known prior to the study.

Genetic fingerprinting on Amenhotep III was analyzed by a software package called GenoProof which calculates the likelihood of paternity and/or kinship.  A probability of more than 99.73% is regarded as “practically proven.”  The GenoProof analysis of Amenhotep III’s genetic fingerprints showed:

• Amenhotep III is 99.99999999% likely to be KV55’s (Akhenaten’s) father.
• Amenhotep III and KV35EL (Tiye) are 99.99999964% to be KV55’s (Akhenaten’s) parents.
• KV55 (Akhenaten) is 99.99999981% likely to be Tutankhamun’s father, making Tutankhamun Amenhotep III’s grandson.

Cells in human males have one Y chromosome and one X chromosome.  The Y chromosome, present only in men, is passed from father to son and is used to trace paternal genetic lines.  The Y chromosomal DNA from Amenhotep III was used to identify the mummy from KV55 (Akhenaten) as his son, and Tutankhamun as his grandson.

Congenital Disorders

• Recessed (short) lower jaw, highly arched palate, clubfoot.

Acquired Disorders

• Non-infective dental abscesses, progressive bone degeneration, erosions in the inner structure of the right side of the skull, degeneration of spinal disks.

KV35YL (Study Group)

Identification and Kinship

Genetic fingerprinting on KV35YL was analyzed by a software package called GenoProof which calculates the likelihood of paternity and/or kinship.  A probability of more than 99.73% is regarded as “practically proven.” 

The GenoProof analysis of KV35YL’s genetic fingerprints showed KV35YL is 99.99999997% likely to be Tutankhamun’s mother

KV35YL is not considered to be Nefertiti because the genetic fingerprinting shows that she is a full sister of Akhenaten (KV55), making her a daughter of Amenhotep III.  Since Nefertiti is not listed anywhere as a daughter of Amenhotep III, this seems to rule out KV35YL being Nefertiti.  Likewise, Kiya is not attested as a daughter of Amenhotep III, so she can be marked off the list.  Of Amenhotep III’s daughters, neither Nebetah nor Beketaten are known to have married their father, making them possible wives of Akhenaten, and thus, viable candidates for KV35YL.

It should be noted, however, that GenoProof data supporting the likelihood that KV35YL and KV55 were full siblings was not provided in the JAMA report.  It is not clear if this is a limitation of the test itself, or if the case for siblinghood between KV35YL and KV55 (Akhenaten) is not as strong as other relationships proposed in the JAMA article.  If the latter, then there may be room for some doubt about the positions in the above paragraph, and KV35YL may yet be identified as Nefertiti.

Congenital Disorders

• Scoliosis, recessed (short) lower jaw, crowded teeth, facial asymmetry.

Acquired Disorders

• Trauma (likely fatal) to the face and cranium.

KV35EL—Tiye (Study Group)

Identification and Kinship

The identification of Queen Tiye was one of the major accomplishments of the project.

Genetic fingerprinting on KV35EL was analyzed by a software package called GenoProof which calculates the likelihood of paternity and/or kinship.  A probability of more than 99.73% is regarded as “practically proven.” 

The GenoProof analysis of KV35EL’s genetic fingerprints showed:

• Yuya and Thuya are 99.99999929% likely to be the parents of KV35EL (Tiye)
• Amenhotep III and KV35EL (Tiye) are 99.99999964% to be KV55’s (Akhenaten’s) parents.

Congenital Disorders

• Mild scoliosis, misshapen ears.
• Tiye has fingers which are long and slender in relation to the width of her palm (Arachnodactyly), which may be a result of the embalming process or a natural variant rather than a disorder.

Acquired Disorders

• Thyroid dysfunction\goiter.
• Incisional hernia.  As the name suggests, this is a hernia where the tissues of the abdomen, and sometimes even abdominal organs, push through the muscle layer where an incision has occurred.  The result is a painful bulge at the spot under the skin where the tissue breaks through.  An incisional hernia is usually a postoperative complication resulting from abdominal surgery.  While it is not outside the realm of possibility that Tiye had undergone some form of medical procedure, the presence of incisional hernias in seven of the sixteen mummies in the study seems suspicious.  It is possible that what is being called an incisional hernia is a postmortem result of the embalming process.

Fetus 1 (Study Group)

Identification and Kinship

Genetic fingerprinting on Fetus 1 was analyzed by a software package called GenoProof which calculates the likelihood of paternity and/or kinship.  A probability of more than 99.73% is regarded as “practically proven.” 

The GenoProof analysis of Fetus 1’s genetic fingerprints showed Tutankhamun is 99.97992885% likely to be the father of Fetus 1

Complete genetic data sets for Fetus 1 could not be obtained after repeated attempts.  Part of the ongoing work of the project involves more rigorous examination of mitochondrial (maternal) DNA, which could provide more data about Fetus 1.

Congenital Disorders

• No detectable congenital disorders.

Acquired Disorders

• Stillbirth.

Fetus 2 (Study Group)

Identification and Kinship

Genetic fingerprinting on Fetus 2 was analyzed by a software package called GenoProof which calculates the likelihood of paternity and/or kinship.  A probability of more than 99.73% is regarded as “practically proven.” 

The GenoProof analysis of Fetus 2’s genetic fingerprints showed Tutankhamun is 99.99999299% likely to be the father of Fetus 2

Complete genetic data sets for Fetus 2 could not be obtained after repeated attempts.  Part of the ongoing work of the project involves more rigorous examination of mitochondrial (maternal) DNA, which could provide more data about Fetus 2.

Congenital Disorders

• Mild scoliosis

Acquired Disorders

• Stillbirth.

KV21A (Study Group)

Identification and Kinship

Complete genetic data sets for KV21A could not be obtained after repeated attempts.  Part of the ongoing work of the project involves more rigorous examination of mitochondrial (maternal) DNA, which could provide more data about KV21A.

KV21A could possibly be Ankhesenamun, but will require further analysis to be sure.  The possibility that she is Ankhesenamun was certainly not ruled out.

Congenital Disorders

• Scoliosis, clubfeet.

Acquired Disorders

• None diagnosed.

KV21B (Study Group)

Identification and Kinship

Complete genetic data sets for KV21B could not be obtained after repeated attempts.  Part of the ongoing work of the project involves more rigorous examination of mitochondrial (maternal) DNA, which could provide more data about KV21B.

Congenital Disorders

• Scoliosis, clubfeet.

Acquired Disorders

• None diagnosed.

CCG61065 (Control Group)

Identification and Kinship

Identifying the mummies of the control group was not a stated goal of the current phase of the study, and genetic information on the control group was not provided in the JAMA article.  Mummy CCG61065, previously thought to be that of Thutmose I, remains unidentified.

Congenital Disorders

• Scoliosis, hunched back, misaligned pelvis.
• CCG61065’s head is slightly longer than normal (Dolichocephaly), which is attributed to a family trait rather than defect or disease. 

Acquired Disorders

• Malaria tropica.  It seems unlikely that CCG61065 was suffering from full-blown malaria at the time of his death, as he died of an arrow wound, a fairly good sign that he died in battle.  Someone suffering from malaria tropica, the most severe form of malaria, is not going to have much fight in him.
• Incisional hernia.  As the name suggests, this is a hernia where the tissues of the abdomen, and sometimes even abdominal organs, push through the muscle layer where an incision has occurred.  The result is a painful bulge at the spot under the skin where the tissue breaks through.  An incisional hernia is usually a postoperative complication resulting from abdominal surgery.  While it is not outside the realm of possibility that CCG61065 had undergone some form of medical procedure, the presence of incisional hernias in seven of the sixteen mummies in the study seems suspicious.  It is possible that what is being called an incisional hernia is a postmortem result of the embalming process.
• Traumatic arrow wound, presumed to be fatal, to the chest.

Thutmose II (Control Group)

Identification and Kinship

Thutmose II’s identity was known prior to the study.

Although in the control group, Thutmose II was not included in the genetic control group.

Congenital Disorders

• Scoliosis, hunched back, hollow feet (high arches), recessed (short) lower jaw, crowded teeth, misshapen ears.
• Thutmose II’s head is slightly longer than normal (Dolichocephaly), which is attributed to a family trait rather than defect or disease. 

Acquired Disorders

• Calcified heart valves
• Incisional hernia.  As the name suggests, this is a hernia where the tissues of the abdomen, and sometimes even abdominal organs, push through the muscle layer where an incision has occurred.  The result is a painful bulge at the spot under the skin where the tissue breaks through.  An incisional hernia is usually a postoperative complication resulting from abdominal surgery.  While it is not outside the realm of possibility that Thutmose II had undergone some form of medical procedure, the presence of incisional hernias in seven of the sixteen mummies in the study seems suspicious.  It is possible that what is being called an incisional hernia is a postmortem result of the embalming process.

Ahmose-Nefertari (Control Group)

Identification and Kinship

Ahmose-Nefertari’s identity was known prior to the study.

Although in the control group, Ahmose-Nefertari was not included in the morphological control group

Congenital Disorders

• None reported in the JAMA article.

Acquired Disorders

• None reported in the JAMA article.

Hatshepsut (Control Group)

Identification and Kinship

Hatshepsut’s identity was known prior to the study.

Congenital Disorders

• Recessed (short) lower jaw

Acquired Disorders

• Slipped disk (L5-S1).
• Infective dental abscesses.  Hatshepsut’s abscesses were serious enough to have caused fatal blood poisoning (septicemia).  This may have caused or contributed to her death.  In the very least, her final days were not pleasant. 
• Probable metastatic bone cancer of the left hip/pelvis.  As with her dental abscesses, Hatshepsut’s cancer was serious enough to have caused or contributed to her death.

Sitra-In (Control Group)

Identification and Kinship

Sitra-In’s identity was known prior to the study.

Congenital Disorders

• Scoliosis, hunched back, misshapen ears.

Acquired Disorders

• Incisional hernia.  As the name suggests, this is a hernia where the tissues of the abdomen, and sometimes even abdominal organs, push through the muscle layer where an incision has occurred.  The result is a painful bulge at the spot under the skin where the tissue breaks through.  An incisional hernia is usually a postoperative complication resulting from abdominal surgery.  While it is not outside the realm of possibility that Sitra-In had undergone some form of medical procedure, the presence of incisional hernias in seven of the sixteen mummies in the study seems suspicious.  It is possible that what is being called an incisional hernia is a postmortem result of the embalming process.

See Also 

• Families and Frailties of the Eighteenth Dynasty
• King Tut’s Feet Fatale: Did Frail Feet Fell the Famous Pharaoh?
• Your Mummy and Your Health: The Swiss Mummy Project Unravels Ancient Illnesses
• The Swiss Mummy Project Wraps Up Current Experiment 

Copyright by Keith Payne, 2010.  All rights reserved.

Photos “Tutankhamun” from The Griffith Institute (Howard Carter Archive), “tuyu2” from Davis, Theodore M., Maspero Gaston, and Carter Howard. The Tomb of Iouiya and Touiyou. London: Archibald Constable and Co., 1907, pl III, “TutChildMummy1” and “TutChildMummy2” from Reeves, Nicholas. The Complete Tutankhamun: The King, the Tomb, the Royal Treasure. London: Thames and Hudson, 1990, “Yuyacolor”, and “Hatshepsut7” courtesy of The Theban Mummy Project.  Photos “Amenhotep iii”, “amenhotep iv akhanaten”, “KV35YL”, “kv35el”, “ccg61065 thutmose I”, “thutmoses ii”, and  “Ahmose-Nefertari” courtesy of the University of Chicago’s Electronic Open Stacks copy of Catalogue General Antiquites Egyptiennes du Musee du Caire: The Royal Mummies, by G. Elliot Smith (Cairo, 1912).  Photos “41_tut”, “Mummy mask of Yuya”, “32_tuya”, “34_akhenaten_small”, and “amenhotep III” by Jon Bodsworth are copyright free.  Photos “QueenTiy01-AltesMuseum-Berlin” by Keith Schengili-Roberts and “Hatshepsut_1” by Postdlf are used in accordance with the GNU Free Documentation License.  Photo “Ahmesz_Nefertari2005” courtesy of Leoboudv and is used in accordance with the Creative Commons Attribution-Share Alike 2.5 Generic license.