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Long-term effects of external radiation on the pituitary and thyroid glands

Conference · · Cancer, Suppl., v. 37, no. 2, pp. 1152-1161
OSTI ID:4021724
Chronic damage following external irradiation of the normal pituitary and thyroid glands, delivered incidentally during radiotherapy of neoplasms of the head and neck may be more common than has been appreciated in the past. A case of a child who developed pituitary dwarfism 5$sup 1$$/$$sub 2$ years after radiation therapy had been delivered for an embryonal rhabdomyosarcoma of the nasopharynx is described. A review of similar cases from the literature is presented. Likewise, external irradiation of the normal thyroid gland produces a spectrum of radiation-induced syndromes. Clinical damage to the pituitary and thyroid glands is usually manifested months to years after treatment and is preceded by a long subclinical phase. A careful exclusion of these glands from radiation treatment fields is recommended whenever possible. An early detection of endocrine function abnormalities in patients receiving radiation to these glands is desirable, since appropriate treatment may prevent the late deleterious effects of external irradiation of the pituitary and thyroid glands. (auth)
Research Organization:
Stanford Univ. School of Medicine, CA
NSA Number:
NSA-33-026253
OSTI ID:
4021724
Conference Information:
Journal Name: Cancer, Suppl., v. 37, no. 2, pp. 1152-1161
Country of Publication:
United States
Language:
English