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[Long term results of treatment with cytostatic drugs on respiratory function tests in children]
M Koehler1, P Brewczyński, H Bubała
1Kliniki Pediatrii i Hematologii Slaskiej AM, Zabrzu.
Insights
Long-term survivors of childhood acute lymphoblastic leukemia (ALL) may experience reduced lung function. Studies show restrictive changes and lower airway obturation, indicating a risk for chronic lung disease.
Area of Science:
- Pediatric Oncology
- Pulmonology
- Respiratory Medicine
Context:
- Assessing long-term effects of acute lymphoblastic leukemia (ALL) treatment in children.
- Evaluating respiratory function in survivors after achieving 5-year remission.
Purpose:
- To investigate the prevalence of respiratory abnormalities in children in remission from ALL.
- To identify potential risks for developing chronic lung conditions in this population.
Summary:
- Respiratory function was assessed in 47 children with a 5-year remission of treated ALL.
- 11 children showed decreased vital capacity (VC), and 12 exhibited signs of lower airway obturation.
- Findings suggest restrictive lung changes consistent with interstitial lung disease.
Impact:
- Highlights the risk of chronic pneumopathy in ALL survivors.
- Emphasizes the need for ongoing respiratory monitoring in pediatric cancer survivors.
- Informs clinical practice regarding potential long-term pulmonary complications of ALL treatment.
Abstract:
In 47 children after a 5 year remission of treated acute lymphoblastic leukemia respiratory function was assessed. In 11 a decrease of VC was found, while in 12 signs of obturation of lower airways were present. These results imply the presence of restrictive changes suggesting an interstitial lung disease. These children are at risk of developing a chronic pneumopathy.
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