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Contents
Endocrine complications after hematopoietic stem cell transplantation during childhood and adolescence / Min Ho Jung ; Kyoung Soon Cho ; Jae Wook Lee ; Nak Gyun Chung ; Bin Cho ; Byung Kyu Suh ; Hack Ki Kim ; Byung Churl Lee 1
[요약] 1
Introduction 1
Materials and methods 1
Study populations 1
Height measurement and assessment of pubertal status 2
Endocrine function tests 2
Statistical analysis 2
Results 3
Growth impairment and final height 3
Thyroid dysfunction 3
Gonadal dysfunction 4
Obesity and body mass index 4
Discussion 4
Refernces 6
초록보기
Long-term survivors of hematopoietic stem cell transplantation (HSCT) during childhood
and adolescence are at risk of developing endocrine complications. The purpose
of this study was to evaluate the long-term endocrine complications and their
associated risk factors among such patients. We reviewed the data from 111 patients
(59 males and 52 females) who underwent HSCT at the mean age of 8.3?.1 yr.
Thirty patients (27.0%) had growth impairment, and seven (21.2%) out of 33 patients
who attained final height reached final height below 2 standard deviation (SD). The
final height SD score of the patients conditioned with total body irradiation (TBI) was
significantly lower than that of the patients conditioned without TBI (-1.18?.14 vs.
-0.19?.78, P=0.011). Thirteen patients (11.7%) developed hypothyroidism (11
subclinical, 2 central) 3.8?.8 (range 1.6-6.2) yr after HSCT. Nineteen (65.5%) out
of 29 females had evidence of gonadal dysfunction, and 18 (64.3%) out of 28 males
had evidence of gonadal dysfunction. The risk for gonadal dysfunction was significantly
higher in females conditioned with busulfan/cyclophosphamide (P=0.003).
These results suggest that the majority of patients treated with HSCT during childhood
and adolescence have one or more endocrine complications. Therefore, multiple
endocrine functions should be monitored periodically after HSCT until they reach
adult age.권호기사
참고문헌 (30건) : 자료제공( 네이버학술정보 )
| 번호 | 참고문헌 | 국회도서관 소장유무 |
|---|---|---|
| 1 | Thomas ED. History of haemopoietic cell transplantation. Br J Haematol 1999; 105: 330-9. | 미소장 |
| 2 | Allogeneic and autologous transplantation for haematological diseases, solid tumours and immune disorders: current practice in Europe in 1998  |
미소장 |
| 3 | Comparison of long-term outcomes after allogeneic hematopoietic stem cell transplantation from matched sibling and unrelated donors. |
미소장 |
| 4 | Longitudinal gonadal function after bone marrow transplantation for acute lymphoblastic leukemia during childhood |
미소장 |
| 5 | Moon JS, Lee SY, Nam CM, Choi JM, Choe BK, Seo JW, Oh K, Jang MJ, Hwang SS, Yoo MH, Kim YT, Lee CG. 2007 Korean National Growth Charts: review of developmental process and outlook. Korean J Pediatr 2008; 51: 1-25. | 미소장 |
| 6 | Tanner JM, Whitehouse RH. Clinical longitudinal standards for Ht, weight, Ht velocity, and stages of puberty. Arch Dis Child 1976; 51: 170-9. | 미소장 |
| 7 | Greulich WW, Pyle SI. Radiograhic atlas of skeletal development of the hand and wrist. 2nd ed. Stanford: Stanford University Press, 1959. | 미소장 |
| 8 | Endocrine dysfunction and parameters of the metabolic syndrome after bone marrow transplantation during childhood and adolescence. |
미소장 |
| 9 | Late thyroid toxicity in 153 long-term survivors of allogeneic bone marrow transplantation for acute lymphoblastic leukaemia. |
미소장 |
| 10 | Diagnosis and Management of the Metabolic Syndrome |
미소장 |
| 11 | Longitudinal gonadal function after bone marrow transplantation for acute lymphoblastic leukemia during childhood |
미소장 |
| 12 | Endocrine complications of hematopoietic stem cell transplantation. |
미소장 |
| 13 | Final height of patients who underwent bone marrow transplantation for hematological disorders during childhood: a study by the Working Party for Late Effects-EBMT. |
미소장 |
| 14 | Final height and hormonal function after bone marrow transplantation in children |
미소장 |
| 15 | Endocrine late effects after bone marrow transplant |
미소장 |
| 16 | Final height in pediatric patients after hyperfractionated total body irradiation and stem cell transplantation. |
미소장 |
| 17 | Bakker B, Oostdijk W, Geskus RB, Stokvis-Brantsma WH, Vossen JM, Wit JM. Patterns of growth and body proportion after total body irradiation and hematopoietic stem cell transplantation during childhood. Pediatr Res 2006; 59: 259-64. | 미소장 |
| 18 | Final adult height of patients who received hematopoietic cell transplantation in childhood. |
미소장 |
| 19 | Holm K, Nysom K, Rasmussen MH, Hertz H, Jacobsen N, Skakkebaek NE, Krabbe S, Musller J. Growth, growth hormone and final height after BMT. Possible recovery of irradiation-induced growth hormone insufficiency. Bone Marrow Transplant 1996; 18: 163-70. | 미소장 |
| 20 | Endocrine deficit after fractionated total body irradiation. |
미소장 |
| 21 | Couto-Silva AC, Trivin C, Esperou H, Michon J, Fischer A, Brauner R. Changes in height, weight and plasma leptin after bone marrow transplantation. Bone Marrow Transplant 2000; 26: 1205-10. | 미소장 |
| 22 | Alterations in serum thyrotropin (TSH) and thyroid function following radiotherapy in patients with malignant lymphoma. |
미소장 |
| 23 | Abnormalities of the thyroid in survivors of Hodgkin's disease: data from the Childhood Cancer Survivor Study. |
미소장 |
| 24 | Thyroid dysfunction following bone marrow transplantation using hyperfractionated radiation. |
미소장 |
| 25 | Short‐ and long‐term follow‐up of thyroid dysfunction after allogeneic bone marrow transplantation without the use of preparative total body irradiation |
미소장 |
| 26 | Thyroid dysfunction after bone marrow transplantation for primary immunodeficiency without the use of total body irradiation in conditioning. |
미소장 |
| 27 | Gonadal function after bone marrow transplantation for acute leukemia during childhood |
미소장 |
| 28 | Ovarian function after bone marrow transplantation performed before menarche. |
미소장 |
| 29 | Late Effects of Allogeneic Bone Marrow Transplantation for Children With Acute Myeloblastic Leukemia in First Complete Remission: The Impact of Conditioning Regimen Without Total-Body Irradiation - A Report From the Socite Francaise de Greffe de Moelle |
미소장 |
| 30 | Pregnancies following high-dose cyclophosphamide with or without high-dose busulfan or total-body irradiation and bone marrow transplantation. |
미소장 |
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