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

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    Authors
    Davies, H A
    Didcock, E
    Didi, Mohammed
    Ogilvy-Stuart, Amanda L
    Wales, J K
    Shalet, Stephen M
    Affiliation
    University Department of Paediatrics, Children's Hospital, Sheffield.
    Issue Date
    1994-06
    
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    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.
    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
    URI
    http://hdl.handle.net/10541/97062
    DOI
    10.1136/adc.70.6.472
    PubMed ID
    8048814
    Type
    Article
    Language
    en
    ISSN
    1468-2044
    ae974a485f413a2113503eed53cd6c53
    10.1136/adc.70.6.472
    Scopus Count
    Collections
    All Paterson Institute for Cancer Research

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