Endocrine function after bone marrow transplantation without the use of preparative total body irradiation

Bone Marrow Transplant. 1988 Jul;3(4):291-6.

Abstract

Ten children who underwent allogeneic (n = 5) or autologous (n = 5) bone marrow transplantation (BMT) for chronic myelogenous leukaemia (n = 2), acute lymphoblastic leukaemia (n = 1), acute myelogenous leukaemia (n = 2), severe aplastic anaemia (n = 2), malignant histiocytosis (n = 1), neuroblastoma (n = 1) and teratoma (n = 1) were assessed for endocrinological function. Transplant preparative regimens consisted of high-dose cyclophosphamide, high-dose cyclophosphamide in combination with high-dose busulphan, high-dose melphalan as well as BACT (BCNU, cytarabine, cyclophosphamide and 6-thioguanine) chemotherapy. None of the patients received total body irradiation (TBI). Median survival following BMT was 37 months (range 7-115). Growth hormone deficiency was present in only one patient; none of the patients had abnormal thyroid or adrenocortical function. This is in contrast to previous reports in which growth hormone deficiency and abnormal thyroid and adrenocortical function occurred in a much higher percentage of patients after BMT conditioned with TBI.

MeSH terms

  • Adolescent
  • Adrenal Cortex Function Tests
  • Adult
  • Bone Marrow Transplantation*
  • Child
  • Child, Preschool
  • Endocrine Glands / physiology*
  • Female
  • Growth Hormone / blood
  • Humans
  • Male
  • Ovarian Function Tests
  • Puberty
  • Testis / physiology
  • Thyroid Function Tests
  • Whole-Body Irradiation*

Substances

  • Growth Hormone