Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Departments of Oncology, Epidemiology and Cancer Control, and Psychology, St Jude Children's Research Hospital, Memphis, TN, USA.
Lancet Diabetes Endocrinol. 2015 Jul;3(7):545-55. doi: 10.1016/S2213-8587(15)00038-8. Epub 2015 Apr 12.
5 year survival for childhood and adolescent cancer in developed countries is now in excess of 80% and the number of survivors of cancer continues to increase worldwide. After completion of therapy, many of these survivors will face a lifelong risk of endocrine late effects. We summarise the available evidence related to the prevalence and risk factors for endocrine late effects among adult survivors of childhood and adolescent cancer. Present screening, surveillance, and treatment recommendations differ by country and region, so we also highlight the continued effort to harmonise the international guidelines for this population.
在发达国家,儿童和青少年癌症的 5 年生存率现已超过 80%,且全世界癌症幸存者的人数还在不断增加。在完成治疗后,这些幸存者中的许多人将面临终生内分泌迟发性并发症的风险。我们总结了有关儿童和青少年癌症成年幸存者内分泌迟发性并发症的患病率和危险因素的现有证据。目前的筛查、监测和治疗建议因国家和地区而异,因此我们还强调了为该人群协调国际指南所做的持续努力。