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DIAGNOSIS OF ENDOCRINE DISEASE: Endocrine late-effects of childhood cancer and its treatments
Abstract
Endocrine complications are frequently observed in childhood cancer survivors (CCS). One of two CCS will experience at least one endocrine complication during the course of his/her lifespan, most commonly as a late-effect of cancer treatments, especially radiotherapy and alkylating agent chemotherapy. Endocrine late-effects include impairments of the hypothalamus/pituitary, thyroid and gonads, as well as decreased bone mineral density and metabolic derangements leading to obesity and/or diabetes mellitus. A systematic approach where CCS are screened for endocrine late-effects based on their cancer history and treatment exposures may improve health outcomes by allowing the early diagnosis and treatment of these complications.
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“Additional risk factors include HP tumor involvement, young age at diagnosis, and use of tyrosine kinase inhibitors or anti-CTLA4 monoclonal antibodies (5,25).”
From Diagnosis of GH Deficiency as a Late Effect of Radiotherapy in Survivors of Childhood Cancers (2018) · cites this paper as [5]
In the citing paper
“GHD is also radiation dose-dependent, with the highest risk after HP radiation with $30 Gy; however, risks also occur after 18 to 30 Gy, after TBI with $10 Gy in one fraction, and after TBI with $12 Gy in multiple fractions.”
From Diagnosis of GH Deficiency as a Late Effect of Radiotherapy in Survivors of Childhood Cancers (2018) · cites this paper as [5]
In the citing paper
“The risk of GHD increases in a time-dependent fashion in relation to radiotherapy, and its prevalence thus increases with longer follow-up durations.”
From Diagnosis of GH Deficiency as a Late Effect of Radiotherapy in Survivors of Childhood Cancers (2018) · cites this paper as [5]
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Hormonal Replacement in Hypopituitarism in Adults: An Endocrine Society Clinical Practice Guideline
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Hypothalamic-pituitary dysfunction after radiation for brain tumors
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Diagnosis of Hidden Central Hypothyroidism in Survivors of Childhood Cancer1
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Thyroid Dysfunction as an Unintended Side Effect of Anticancer Drugs
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Cited by
Mild Hypothyroidism in Childhood: Who, When, and How Should Be Treated?
Vigone, M. C., Capalbo, D., Weber, G., & Salerno, M. (2018) · Journal of the Endocrine Society · doi:10.1210/js.2017-00471 · Cited by 51
Diagnosis of GH Deficiency as a Late Effect of Radiotherapy in Survivors of Childhood Cancers
Sfeir, J. G., Kittah, N. E. N., Tamhane, S. U., Jasim, S., Chemaitilly, W., Cohen, L. E., & Murad, M. H. (2018) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2018-01204 · Cited by 35
Self-citation
Metadata
- Authors
- Chemaitilly, W., & Cohen, L. E.
- Affiliations
- 1Departments of Pediatric Medicine-Division of Endocrinology
- 2Departments of Epidemiology and Cancer ControlSt Jude Children’s Research Hospital, Memphis, Tennessee, USA
- Venue
- European Journal of Endocrinology
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-04
- Volume
- 176
- Issue
- 4
- Pages
- R183-R203
- ISSN
- 0804-4643
- 1479-683X
- Cited by
- 71
- References
- 11
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.