在儿童和青少年血造干细胞移植后的长期内分泌后果
Soojin Hwang1, Yena Lee2, Ji-Hee Yoon1
1Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea.
Annals of pediatric endocrinology & metabolism
|January 25, 2024
概括
在儿童中,造血干细胞移植 (HSCT) 经常导致内分泌并发症. 在HSCT时的年龄显著影响风险,青春期的年龄增加了对诸如阴性腺和骨质疏松症等问题的易感性.
科学领域:
- 儿科瘤学 儿科瘤学
- 内分泌学 在内分泌学.
- 血液学 血液学 血液学
背景情况:
- 儿童癌症的生存率有所提高,导致人们越来越关注长期健康后果.
- 内分泌并发症是儿童癌症幸存者日益关注的问题,特别是在像HSCT这样的密集治疗后.
研究的目的:
- 确定HSCT后小儿癌症幸存者的内分泌序列的频率和风险因素.
- 在HSCT分析年龄对内分泌并发症发展的影响.
主要方法:
- 从200名接受HSCT的儿科患者的临床和内分泌学数据的回顾性分析.
- 在HSCT后的中位数随访时间为14年.
主要成果:
- 在67.5%的患者中观察到内分泌并发症.
- 在HSCT时的青春期 (79%) 风险高于青春期前的年龄 (56%).
- 常见的并发症包括阴性腺体缺血 (40%),脂质失调 (22%),矮身,糖尿病和骨质疏松症. 女性性别,HSCT时的青春期年龄,葡萄糖皮质激素的使用和辐射暴露被确定为危险因素.
结论:
- 长期内分泌并发症在儿科HSCT后非常普遍.
- 在HSCT发生时的年龄是内分泌序列的关键决定因素.
- 对内分泌并发症的监测方案应根据患者在HSCT期间的年龄量身定制.
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