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Division of Cardiovascular and Diabetes Research, Leeds Institute of Cardiovascular and Metabolic Medicine (LICAMM), University of Leeds, Leeds, UK
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, radiotherapy (RT), chemotherapy, and immunotherapy. Although potentially lifesaving, these interventions often come with their own adverse sequelae that occur both acutely and after a variable duration of time, in some cases decades, following completion of
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Radiotherapy Related Research, The Christie NHS Foundation Trust, Manchester, UK
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Radiotherapy Related Research, The Christie NHS Foundation Trust, Manchester, UK
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proton-beam RT. Table 2 Recent publications on the effects of radiotherapy on the HP axis in paediatric patients. Study Measured outcome Population n Age at treatment RT treatment Radiation dose Follow-up period
Princess Máxima Center for Pediatric Oncology, AB Utrecht, The Netherlands
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Princess Máxima Center for Pediatric Oncology, AB Utrecht, The Netherlands
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Princess Máxima Center for Pediatric Oncology, AB Utrecht, The Netherlands
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. Safety of growth hormone replacement GH deficiency is among the most frequently reported endocrine complications in children treated for brain tumors and CCS with a history of tumor, surgery, or radiotherapy involving the hypothalamic–pituitary region
Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark
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last 5 decades ( 3 , 4 ), due to treatment improvements with targeted cranial radiotherapy (CR) in combination with chemotherapy and improved surgery techniques ( 5 ). The overall 5-year survival rate is now approaching 83% in the Nordic countries ( 6
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(GH)-secreting pituitary tumor that increases GH and insulin-like growth factor 1 (IGF-1) secretion ( 2 ). The primary aim of the treatment – through neurosurgery, radiotherapy or pharmacological therapy – is to achieve disease control by normalizing
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response to chemotherapy or radiotherapy; (ii) the pre-treatment brain images indicating a sellar lesion; and (iii) the completion of the multidisciplinary treatment for iGCT. The exclusion criteria were (i) a history of chromosomal abnormalities or other
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treated with conventional fractionated radiotherapy because of contraindications to surgery. The six other patients elected to remain under surveillance because the growth was moderate (mean of 4 mm during the follow-up period) and did not provoke any new
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without achieving biochemical control. Table 1 Patient demographics at baseline. Patient number Age at diagnosis, years Gender Diabetic at baseline a Prior surgery Prior radiotherapy Treatment prior to pasireotide IGF1 prior
Department of Pediatric Endocrinology, Wilhelmina Children’s Hospital, University Medical Center, Lundlaan, EA Utrecht, The Netherlands
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Department of Pediatric Endocrinology, Wilhelmina Children’s Hospital, University Medical Center, Lundlaan, EA Utrecht, The Netherlands
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Department of Pediatric Endocrinology, Wilhelmina Children’s Hospital, University Medical Center, Lundlaan, EA Utrecht, The Netherlands
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Wilhelmina Children’s Hospital, University Medical Center, Lundlaan, EA Utrecht, The Netherlands
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Department of Radiology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands
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Department of Pediatric Endocrinology, Wilhelmina Children’s Hospital, University Medical Center, Lundlaan, EA Utrecht, The Netherlands
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Effects of Childhood Cancer Guideline Harmonization Group (IGHG) recommends screening of bone problems in all CCS treated with cranial radiotherapy ( 2 ). For children with LGG, rarely treated with radiotherapy, there is no surveillance protocol for bone
National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
Department of Pathology, Huashan Hospital, Shanghai Medical School, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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PPTs were submitted to postoperative radiation ( 8 ). Some patients showed a stable response, whereas others had progression of tumor size after radiotherapy. In our series, only one patient was exposed to radiotherapy due to an enlarged tumor during