[The influence of chemotherapy on testicular function of boys with acute lymphoblastic leukemia]

In order to investigate gonadal development of boys after chemotherapy, testicular biopsy specimens, which were obtained from 16 boys within 6 months after completion of the therapy for acute lymphoblastic leukemia, were assessed and their gonadal function was examined. More than half of them showed a decrease of Mean Tubular Diameter and Johnsen's Score Count, but no specimen showed a decrease of Tubular Fertility Index. Seventeen healed patients consisting of 12 biopsied and 5 non-biopsied cases were examined as to the volume of testis, development of the genital organ, skeletal age, plasma LH, FSH, testosterone, LH-RH test and HCG test. The period of follow-up after completion of chemotherapy varied from 1 month to 5 years. All patients showed testis volume, development of external genitalia and skeletal age suitable for their age. Some patients who were examined within 2 years after completion of chemotherapy, showed abnormal endocrine functions, but other patients examined after more than two years showed normal endocrine functions except a case who received testicular irradiation. Semen analysis in one case revealed density and motility within normal range. These data indicate that chemotherapy of acute lymphoblastic leukemia in boys damages testicular function, but more than 2 years later the spermatogenesis as well as endocrine function is expected to recover gradually.