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儿童癌症幸存者的内分泌健康。

Endocrine Health in Childhood Cancer Survivors.

机构信息

Department of Pediatric Endocrinology, Wilhelmina Children's Hospital, UMCU, PO Box 85090, Utrecht 3505 AB, the Netherlands; Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.

Division of Endocrinology, St. Jude Children's Research Hospital, Memphis, TN, USA.

出版信息

Pediatr Clin North Am. 2020 Dec;67(6):1171-1186. doi: 10.1016/j.pcl.2020.08.002.

Abstract

Endocrine late effects, including reproductive disorders and secondary thyroid cancer, have been reported in up to 50 %childhood cancer survivors (CCS) more than 5 years after treatment. Most endocrine disorders are amenable to treatment; awareness of symptoms is therefore of great importance. Recognition of these symptoms may be delayed however because many are nonspecific. Timely treatment of endocrine disorders improves quality of life in CCS and prevents possible consequences, such as short stature, bone and cardiovascular disorders, and depression. At-risk CCS must therefore be regularly and systematically monitored. This article provides a summary of the most commonly reported endocrine late effects in CCS.

摘要

多达 50%的儿童癌症幸存者(CCS)在治疗后 5 年以上会出现内分泌迟发效应,包括生殖障碍和继发甲状腺癌。大多数内分泌疾病都可以通过治疗得到改善,因此了解相关症状非常重要。然而,这些症状可能会被延迟识别,因为它们大多是非特异性的。及时治疗内分泌疾病可以提高 CCS 的生活质量,并预防可能的后果,如身材矮小、骨骼和心血管疾病以及抑郁。因此,高危 CCS 必须定期进行系统监测。本文总结了 CCS 中最常见的内分泌迟发效应。

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