Endocrine and metabolic disorders in young adult survivors of childhood acute lymphoblastic leukaemia (ALL) or non-Hodgkin lymphoma (NHL)

Summary Background  Treatments of acute lymphoblastic leukaemia (ALL) and non‐Hodgkin lymphoma (NHL), involving various combinations of chemotherapy (chemo), cranial irradiation (CI) and/or bone marrow transplantation after total body irradiation (BMT/TBI), are often successful but may have several...

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Veröffentlicht in:Clinical endocrinology (Oxford) 2008-11, Vol.69 (5), p.819-827
Hauptverfasser: Steffens, M., Beauloye, V., Brichard, B., Robert, A., Alexopoulou, O., Vermylen, Ch, Maiter, D.
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Sprache:eng
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Zusammenfassung:Summary Background  Treatments of acute lymphoblastic leukaemia (ALL) and non‐Hodgkin lymphoma (NHL), involving various combinations of chemotherapy (chemo), cranial irradiation (CI) and/or bone marrow transplantation after total body irradiation (BMT/TBI), are often successful but may have several long‐term harmful effects. Objective  To evaluate late endocrine and metabolic complications in adult survivors of childhood ALL and NHL, in relation with the different therapeutic schemes received. Design  Endocrine and metabolic parameters were determined in 94 patients (48 men, mean age: 24 ± 5 years) with a former childhood ALL (n = 78) or NHL (n = 16) and subgrouped according to their previous treatment: chemo only (group I; n = 44), chemo + CI (group II; n = 32) and chemo + BMT/TBI (group III; n = 18). Results  Severe GH deficiency (peak
ISSN:0300-0664
1365-2265
DOI:10.1111/j.1365-2265.2008.03283.x