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Frequent & Frequently Overlooked:Trtm-Induced Endocrine Dysf in Adult Long-Term Survivors of Primary Brain Tumors
Neurol 49:498-506, Arlt,W.,et al, 1997
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Article Abstract
Sixteen patients(52%)reported two or more symptoms suggestive of hypothyroidism;eight patients(26%)showed evidence of hypothalamic hypothyroidism.Patients had significantly lower serum baseline concentrations of cortisol and dehydroepiandrosterone sulfate than controls,but no manifest hypoadrenalism was noticed except in one patient with panhypopituitarism.Forty-seven percent of the male patients,but only six percent of the controls,suffered from erectile dysfunction;42%of the male patients(29%)presented with hyperprolactinemia and four women concurrently suffered from oligo-amenorrhea.In adult patients treated for primary brain tumors,endocrine dysfunction due to radiation-induced hypothalamic damage is common and has a significant impact on well being. Endocrinologic evaluation should be performed periodically in these patients.
 
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chemotherapy,CNS treatment and complications with
hypothalamus,damage to
hypothyroidism
neoplasm,primary intracerebral
neoplasm,primary of CNS
neoplasm,primary of CNS-treatment of
neuroendocrinology
prognosis
quality of life
radiation therapy,CNS treatment and complications with
treatment of neurologic disorder

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