Immune checkpoint inhibitors and radiosurgery for newly diagnosed melanoma brain metastases |
| |
Authors: | Tyler P. Robin Robert E. Breeze Derek E. Smith Chad G. Rusthoven Karl D. Lewis Rene Gonzalez Amanda Brill Robin Saiki Kelly Stuhr Laurie E. Gaspar Sana D. Karam David Raben Brian D. Kavanagh Sameer K. Nath Arthur K. Liu |
| |
Affiliation: | 1.Department of Pediatrics, Asan Medical Center Children’s Hospital,University of Ulsan College of Medicine,Songpa-Gu,South Korea;2.Department of Neurosurgery, Asan Medical Center Children’s Hospital,University of Ulsan College of Medicine,Songpa-Gu,South Korea |
| |
Abstract: | ![]() As survival rates have improved owing to advances in management strategies for pediatric brain tumors, long-term complications such as endocrine dysfunction, have emerged as a major issue. This study investigated the long-term endocrine effects of childhood-onset brain tumors in a large number of patients. This study included 151 patients with brain tumors diagnosed between January 1995 and December 2016. The following data were retrospectively reviewed: tumor location, tumor histology, endocrine abnormalities, hypothalamic involvement on brain imaging, treatment modalities, and trends in body mass index. The mean age at diagnosis of patients with sellar/suprasellar (SE/SUP-SE) tumors and supra/infratentorial (ST/IT) tumors was 9.9?±?4.5 and 6.5?±?4.2 years, respectively. In patient with prepubertal age at diagnosis, height standard deviation score was lower in patients with SE/SUP-SE tumors at diagnosis (P?=?0.031), which was lower in patients with ST/IT tumors at the final visit (P?0.001). The prevalence of combined pituitary hormone deficiencies was higher among patients with SE/SUP-SE tumors than in those with ST/IT tumors (81.7 vs. 36.1%, P?0.001). Among 98 non-obese patients with SE/SUP-SE tumors, 36.7% developed obesity. The prevalence of combined pituitary hormone deficiencies and obesity was higher in patients with SE/SUP-SE tumors than in those with tumors in other locations; growth impairment was more severe in patients with ST/IT tumors. |
| |
Keywords: | |
本文献已被 SpringerLink 等数据库收录! |
|