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Related Experiment Videos

Intellectual functions in childhood malignant disorders

B Bhattacharya1, R K Marwaha, S Malhotra

  • 1Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh.

Indian Pediatrics
|August 1, 1995
PubMed
Summary

Children with lymphoreticular malignancies receiving CNS-directed therapy showed slightly lower intellectual function, particularly in specific cognitive areas. Age at diagnosis significantly impacted IQ scores, but treatment type had minimal long-term effects.

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Area of Science:

  • Pediatric Oncology
  • Neuropsychology
  • Childhood Cancer Research

Background:

  • Central nervous system (CNS) directed therapy is crucial for treating certain childhood cancers but may impact cognitive development.
  • Understanding the long-term intellectual effects of different cancer treatments in children is essential for comprehensive care.

Purpose of the Study:

  • To compare intellectual functions in children with lymphoreticular malignancies (ALL or NHL) treated with CNS-directed therapy versus those with solid tumors treated with chemotherapy alone.
  • To identify factors influencing intellectual outcomes in pediatric cancer patients.

Main Methods:

  • Intellectual assessment using Malin's modification of the Wechsler's intelligence scale for Indian children.
  • Comparison of verbal IQ, performance IQ, and full scale IQ between two groups: Group A (lymphoreticular malignancies with CNS therapy) and Group B (solid tumors).

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  • Analysis of subscale scores and influence of age at diagnosis, sex, duration since diagnosis, disease-free survival, and treatment variables.
  • Main Results:

    • Mean verbal IQ, performance IQ, and full scale IQ were comparable between the two groups, with no statistically significant differences.
    • Greater dispersion of IQ scores and a higher number of subjects with scores below 80 were observed in Group A.
    • Lower scores in arithmetic, digit-span, picture completion, and block design subscales were noted in Group A.
    • Children over 10 years at diagnosis exhibited significantly lower mean IQ scores.
    • Sex, duration since diagnosis, disease-free survival, and treatment variables did not significantly affect IQ scores.

    Conclusions:

    • Cross-sectional evaluation reveals minimal intellectual differences between children treated with chemotherapy and CNS-directed therapy versus chemotherapy alone.
    • While overall IQ scores are comparable, specific cognitive deficits and a wider range of scores may be associated with CNS-directed therapy.
    • Age at diagnosis is a significant factor influencing intellectual outcomes in pediatric cancer patients, underscoring the need for age-specific monitoring and support.