Growth hormone deficiency following radiotherapy for orbital and parameningeal sarcomas.

Abstract:

:Growth hormone deficiency (GHD) is a recognized late effect of successful treatment of tumors requiring cranial irradiation. Growth after treatment was assessed in 16 patients with sarcomas of the orbital and parameningeal regions. Median age at diagnosis was 6.35 years and median follow-up was 7.2 years. Treatment consisted of combination chemotherapy and radical radiotherapy, conventionally fractionated with a median dose 4500 cGy; the hypothalamic/pituitary region received a median dose of 4163 cGy. Height was measured every 6 months and 13/16 patients underwent tests of GH function. At GH testing median height standard deviation score (SDS) was -0.7, a median decrease of -0.55 since tumor diagnosis. Seven patients were treated with human GH (hGH) at a median of 3.7 years from tumor diagnosis and followed for a median of 2.7 years. Treatment with hGH resulted in a median increase in height SDS of 0.9. Careful surveillance with timely introduction of GH replacement is required for treatment of GHD following treatment of orbital and parameningeal sarcomas.

journal_name

Pediatr Hematol Oncol

authors

Goddard AG,Harris SJ,Plowman PN,Savage MO,Kingston JE

doi

10.1080/088800199277560

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

23-33

issue

1

eissn

0888-0018

issn

1521-0669

journal_volume

16

pub_type

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