Osteonecrosis in Children Treated for Lymphoma or Solid Tumors
| Autor: | Merja Möttönen, Riitta Niinimäki, Eija Pääkkö, Marjatta Lanning, Arja Harila-Saari, Pekka Riikonen, Raija M. Seuri, Airi Jartti |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Oncology medicine.medical_specialty Adolescent Childhood cancer MEDLINE Dexamethasone Risk Factors Neoplasms Internal medicine Antineoplastic Combined Chemotherapy Protocols Humans Medicine Child medicine.diagnostic_test business.industry Incidence Lymphoma Non-Hodgkin Incidence (epidemiology) Osteonecrosis Magnetic resonance imaging Hematology medicine.disease Hodgkin Disease Magnetic Resonance Imaging Lymphoma Child Preschool Pediatrics Perinatology and Child Health Female business Clinical risk factor |
| Zdroj: | Journal of Pediatric Hematology/Oncology. 30:798-802 |
| ISSN: | 1077-4114 |
| DOI: | 10.1097/mph.0b013e31818ab29d |
| Popis: | The purpose of this study was to find out the incidence of and clinical risk factors for magnetic resonance imaging (MRI)-detected osteonecrosis (ON) in children treated for lymphoma or solid tumors.The development of ON was studied in 32 childhood cancer patients who underwent MRI scanning of the lower extremities at the end of their treatment. The underlying malignancy was Wilms tumor in 8 patients, non-Hodgkin lymphoma (NHL) in 8, Hodgkin disease (HD) in 7, rhabdomyosarcoma in 6, and other occasional solid tumors in 3 patients.Six of the 32 patients (19%) had ON. The mean age of the patients with ON at diagnosis was 12.7 years compared with 5.8 years for the patients without ON (P0.001). All the patients with ON had either HD (4 patients) or NHL (2 patients). Two (33%) of the patients with ON were symptomatic.ON in MRI was found to be a common complication in children after treatment for HD or NHL. The risk for ON seems to be very low in patients with other solid tumors even when they receive high cumulative doses of dexamethasone. |
| Databáze: | OpenAIRE |
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