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Thyroid hypofunction in aging testicular cancer survivors
Ragnhild V Nome1,2, Milada Cvancarova Småstuen3, Sophie D Fosså2,4
1Department of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.
Acta Oncologica (Stockholm, Sweden)
|August 5, 2021
Summary
Testicular cancer survivors have a nearly doubled risk of thyroid hypofunction compared to the general population, even decades after treatment. Regular thyroid hormone monitoring is recommended for these survivors.
Area of Science:
- Endocrinology
- Oncology
- Public Health
Background:
- Thyroid hypofunction is a known late effect in cancer survivors.
- Previous research has not deeply evaluated this in testicular cancer survivors (TCSs).
Purpose of the Study:
- To investigate the prevalence of thyroid hypofunction in long-term TCSs.
- To compare these findings with a general population control group.
Main Methods:
- A cohort of 1,436 Norwegian TCSs diagnosed between 1980-1994 was studied.
- Thyroid hypofunction was defined by serum thyrotropin levels and levothyroxine prescription.
- Data were compared with the HUNT3 Survey general population health data.
Main Results:
- Three decades post-diagnosis, 11% of TCSs exhibited thyroid hypofunction.
- TCSs showed a 1.9-fold increased prevalence of thyroid hypofunction compared to controls.
- Treatment modality did not significantly impact the risk of thyroid hypofunction.
Conclusions:
- TCSs demonstrate a higher prevalence of thyroid hypofunction than the general population.
- Hypothyroidism in TCSs may exacerbate risks of hypogonadism and cardiovascular disease.
- Routine thyroid hormone monitoring is advisable for testicular cancer survivors.
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