Late effects after stem cell transplantation (SCT) in children - growth and hormones

被引:19
作者
Ranke, MB [1 ]
Schwarze, CP [1 ]
Dopfer, R [1 ]
Klingebiel, T [1 ]
Scheel-Walter, HG [1 ]
Lang, P [1 ]
Niethammer, D [1 ]
机构
[1] Univ Tubingen, Dept Paediat, Tubingen, Germany
关键词
SCT; late effects; growth; thyroid; puberty;
D O I
10.1038/sj.bmt.1704853
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
Stem cell transplantation (SCT) has established itself as a very successful therapy in often otherwise unbeatable disorders. In a subset of children and adolescents there are, how ever, late effects, often as a combination of the underlying disorder, its primary treatment and subsequent SCT. In children and adolescents, disorders of growth and the endocrine system have been observed to occur frequently. The assurance of normal growth, puberty, fertility and thyroid function - including the prevention of secondary malignancies - is of utmost importance for the overall success of treatment and the maintenance of quality of life. This, how ever, requires a systematic and structured follow-up programme for patients after SCT. Patients and their families need to be made familar with this concept early and physicians need to understand that such a system must be implemented as part of a comprehensive care.
引用
收藏
页码:S77 / S81
页数:5
相关论文
共 27 条
[1]   Pubertal development and growth after total-body irradiation and bone marrow transplantation for haematological malignancies [J].
Bakker, B ;
Massa, GG ;
Oostdijk, W ;
Van Weel-Sipman, MH ;
Vossen, JM ;
Wit, JM .
EUROPEAN JOURNAL OF PEDIATRICS, 2000, 159 (1-2) :31-37
[2]   Bone marrow transplantation for paediatric AML in first remission: a systematic review and meta-analysis [J].
Bleakley, M ;
Lau, L ;
Shaw, PJ ;
Kaufman, A .
BONE MARROW TRANSPLANTATION, 2002, 29 (10) :843-+
[3]  
ClementDeBoers A, 1996, J PEDIATR-US, V129, P544
[4]  
Cohen A, 1999, BLOOD, V93, P4109
[5]   Growth and puberty and its management in thalassaemia [J].
De Sanctis, V .
HORMONE RESEARCH, 2002, 58 :72-79
[6]   Final height of thalassemic patients who underwent bone marrow transplantation during childhood [J].
De Simone, M ;
Verrotti, A ;
Iughetti, L ;
Palumbo, M ;
Di Bartolomeo, P ;
Olioso, P ;
Rosato, T .
BONE MARROW TRANSPLANTATION, 2001, 28 (02) :201-205
[7]  
DOPFER R, 1994, BETREUUNG KINDERN JU
[8]   EFFECTS OF CHEMOTHERAPY AND IRRADIATION ON THE GONADS [J].
GOLDMAN, S ;
JOHNSON, FL .
ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA, 1993, 22 (03) :617-629
[9]  
GOTZE CB, 1978, PATHOL BIOL PARIS, V26, P44
[10]   Return of fertility after autologous stem cell transplantation [J].
Hershlag, A ;
Schuster, MW .
FERTILITY AND STERILITY, 2002, 77 (02) :419-421