Disproportionate short stature after cranial irradiation and combination chemotherapy for leukaemia.

2.50
Hdl Handle:
http://hdl.handle.net/10541/97062
Title:
Disproportionate short stature after cranial irradiation and combination chemotherapy for leukaemia.
Authors:
Davies, H A; Didcock, E; Didi, Mohammed; Ogilvy-Stuart, Amanda L; Wales, J K; Shalet, Stephen M
Abstract:
The effect of combination chemotherapy and cranial irradiation on final height and body proportions was retrospectively examined in a cohort of 142 children treated for acute lymphoblastic leukaemia (ALL). Eighty four children (48 girls, 36 boys) received 24 Gy cranial irradiation and 58 (35 girls, 23 boys) 18 Gy. None had received testicular or spinal irradiation. A significant reduction in standing height SD score from diagnosis to final height was seen in all groups. Of the 109 children in whom sitting height measurements were available, 88 (81%) had relatively shorter backs than legs and in 25 (23%) this disproportion was of a marked degree. After mathematical correction for sitting height loss there was no longer a significant reduction in standing height SD score at final height in all except the 24 Gy group of girls. These data suggest that disproportion is a common finding after treatment for ALL and that, at least in some children, much if not all of the height loss seen is due to a reduction in sitting height. Possible explanations for this disproportion include a disturbance of puberty or an effect of chemotherapy on spinal growth, or both.
Affiliation:
University Department of Paediatrics, Children's Hospital, Sheffield.
Citation:
Disproportionate short stature after cranial irradiation and combination chemotherapy for leukaemia. 1994, 70 (6):472-5 Arch. Dis. Child.
Journal:
Archives of Disease in Childhood
Issue Date:
Jun-1994
URI:
http://hdl.handle.net/10541/97062
DOI:
10.1136/adc.70.6.472
PubMed ID:
8048814
Type:
Article
Language:
en
ISSN:
1468-2044
Appears in Collections:
All Paterson Institute for Cancer Research

Full metadata record

DC FieldValue Language
dc.contributor.authorDavies, H Aen
dc.contributor.authorDidcock, Een
dc.contributor.authorDidi, Mohammeden
dc.contributor.authorOgilvy-Stuart, Amanda Len
dc.contributor.authorWales, J Ken
dc.contributor.authorShalet, Stephen Men
dc.date.accessioned2010-04-21T14:05:19Z-
dc.date.available2010-04-21T14:05:19Z-
dc.date.issued1994-06-
dc.identifier.citationDisproportionate short stature after cranial irradiation and combination chemotherapy for leukaemia. 1994, 70 (6):472-5 Arch. Dis. Child.en
dc.identifier.issn1468-2044-
dc.identifier.pmid8048814-
dc.identifier.doi10.1136/adc.70.6.472-
dc.identifier.urihttp://hdl.handle.net/10541/97062-
dc.description.abstractThe effect of combination chemotherapy and cranial irradiation on final height and body proportions was retrospectively examined in a cohort of 142 children treated for acute lymphoblastic leukaemia (ALL). Eighty four children (48 girls, 36 boys) received 24 Gy cranial irradiation and 58 (35 girls, 23 boys) 18 Gy. None had received testicular or spinal irradiation. A significant reduction in standing height SD score from diagnosis to final height was seen in all groups. Of the 109 children in whom sitting height measurements were available, 88 (81%) had relatively shorter backs than legs and in 25 (23%) this disproportion was of a marked degree. After mathematical correction for sitting height loss there was no longer a significant reduction in standing height SD score at final height in all except the 24 Gy group of girls. These data suggest that disproportion is a common finding after treatment for ALL and that, at least in some children, much if not all of the height loss seen is due to a reduction in sitting height. Possible explanations for this disproportion include a disturbance of puberty or an effect of chemotherapy on spinal growth, or both.en
dc.language.isoenen
dc.subjectPrecursor Cell Lymphoblastic Leukaemia-Lymphomaen
dc.subject.meshAdolescent-
dc.subject.meshAge of Onset-
dc.subject.meshAntineoplastic Combined Chemotherapy Protocols-
dc.subject.meshBody Height-
dc.subject.meshChild-
dc.subject.meshChild, Preschool-
dc.subject.meshCombined Modality Therapy-
dc.subject.meshCranial Irradiation-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshInfant-
dc.subject.meshMale-
dc.subject.meshPrecursor Cell Lymphoblastic Leukemia-Lymphoma-
dc.subject.meshRadiotherapy Dosage-
dc.subject.meshRetrospective Studies-
dc.subject.meshSex Factors-
dc.titleDisproportionate short stature after cranial irradiation and combination chemotherapy for leukaemia.en
dc.typeArticleen
dc.contributor.departmentUniversity Department of Paediatrics, Children's Hospital, Sheffield.en
dc.identifier.journalArchives of Disease in Childhooden

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