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Pubertal maturation in girls treated for childhood acute leukaemia
Authors:F Maneschi  M G Fugardi  G Corsello  M LoCurto
Institution:(1) First Department of Obstetrics and Gynaecology, University of Palermo, Via A. Giordano 3, I-90126 Palermo, Italy;(2) First Department of Paediatrics, University of Palermo, Via A. Giordano 3, I-90126 Palermo, Italy;(3) Department of Neonatal Pathology, University of Palermo, Via A. Giordano 3, I-90126 Palermo, Italy
Abstract:Eleven girlds treated during childhood for acute leukaemia were followed up during their pubertal development. At each examination weight, height, pubertal stage, FSH, LH, oestradiol, testosterone, androstenedione and dehydroepiandrosterone sulphate levels were evaluated. Clinical and endocrinological studies were performed according to age and pubertal stage and compared to those of healthy girls matched for age and pubertal stage. Results showed that pubertal maturation and gonadal function were not affected by oncotherapy; however menarche was attained earlier. Early menarche was explained by the overweight of treated girls during early puberty. No evidence of early hypothalamic activation was found, but endocrine patterns showed a faster hypothalamopituitary-ovarian axis maturation in patients than controls. Cranial irradiation showed no correlation with pubertal onset and age at which menarche was attained. Adolescent menstrual and endocrine patterns were normal.
Keywords:Leukaemia  Puberty  Chemotherapy  Menarche
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