Radiotherapy in Childhood: Normal Tissue Injuries and Carcinogenesis

  • Chapter
Radiopathology of Organs and Tissues

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

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Abstract

Radiotherapeutic treatment contributes to longterm survival after cancer in childhood, especially in cases of Hodgkin’s disease, acute lymphocytic leukemia (ALL), Wilms’ tumor, and soft tissue and Ewing’s sarcoma (Perez and Brady 1987; Havers 1987). Like other treatment modalities, irradiation induces early and late side-effects. In general, the early effects are reversible and the related symptoms can be treated effectively. Moreover, children often tolerate the acute local side-effects of radiotherapy better than do adults (Pizzo et al. 1985). The persistent late effects are more critical; their clinical significance is variable.

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References

  • Abayomi OK, Sadeghi-Nejad A (1986) The incidence of late endocrine dysfunction following irradiation for childhood medulloblastoma. Int J Radiat Oncol Biol Phys 12: 945–948

    PubMed  CAS  Google Scholar 

  • Ahmed MM (1967) Age and sex differences in the structure of the tunica media of the human aorta. Acta Anat (Basel) 66: 45–58

    CAS  Google Scholar 

  • Ahmed SR, Shalet SM, Campbell RH, Deakin DP (1983) Primary gonadal damage following treatment of brain tumors in childhood. J Pediatr 103: 562–565

    PubMed  CAS  Google Scholar 

  • Ahmed SR, Shalet SM, Beardwell CG (1986) The effects of cranial irradiation on growth hormone secretion. Acta Paediatr Scand 75: 255–260

    PubMed  CAS  Google Scholar 

  • Baker TG (1971) Radiosensitivity of mammalian oocytes with reference to the human female. Am J Obstet Gynecol 110: 746–761

    PubMed  CAS  Google Scholar 

  • Bamberg M (1987) Nervensystem. In: Scherer E (ed) Strahlentherapie, Radiologische Onkologie. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Bamford FN, Jones PM, Pearson D et al. (1976) Residual disabilities in children treated for intracranial space- occupying lesions. Cancer 37: 1149–1151

    PubMed  CAS  Google Scholar 

  • Benoist MR, Lemerle J, Jean R, Rufin P, Scheinmann P, Panpe J (1982) Effects on pulmonary function of whole lung irradiation for Wilm’s tumour children. Thorax 37: 175–180

    PubMed  CAS  Google Scholar 

  • Blatt J, Poplack DG, Shering, RJ (1981) Testicular func- tion in boys after chemotherapy for acute lymphoblastic leukaemia. N Engl J Med 304: 1121–1124

    PubMed  CAS  Google Scholar 

  • Bleyer WA, Griffin TW (1980) White matter necrosis, mineralizing microangiopathy, and intellectual abilities in survivors of childhood leukaemia; association with central nervous system irradiation and methotrexate therapy. In: Gilbert HA, Kagan AR (eds) Radiation damage to the nervous system. Raven, New York, pp 155–174

    Google Scholar 

  • Bloom HJG (1982) Intracranial tumors: response and re- sistance to therapeutic endeavors, 1970–1980. Int J Radiat Biol Phys 8: 1083–1113

    CAS  Google Scholar 

  • Bloom HJG, Wallace ENK, Henk JM (1969) The treat- ment and prognosis of medulloblastoma in children. AJR 105: 43–62

    CAS  Google Scholar 

  • Bouchard J, Peirce CB (1960) Radiation therapy in the management of neoplasms of the central nervous system with special note in regard to children: Twenty years’ex- perience, 1939–1958. AJR 84: 610–628

    Google Scholar 

  • Brasel JA, Gruen RK (1978) Cellular growth: Brain, liver, muscle and lung. In: Falkner, Tanner (eds) Human growth, vol 2. Potential growth. Plenum, New York, pp 3–19

    Google Scholar 

  • Brämswig JH, Wegele M, von Lengerke, HJ, Müller RP, Schellong G (1989) The effect of the number of fractions of cranial irradiation on growth in children with acute lymphoblastic leukaemia. Acta Paediatr Scand 78: 269–302

    Google Scholar 

  • Brauner R, Czernichow P, Cramer P et al. (1983) Leydig cell function in children after direct testicular irradiation for acute lymphoblastic leukaemia. N Engl J Med 309: 25–28

    PubMed  CAS  Google Scholar 

  • Brecher ML, Freeman AI, Glicksman AS et al. (1983) Long-term toxicity of central nervous system prophylaxis in acute lymphoblastic leukaemia. In: Freeman AI, Pochely C (eds) Controversies in pediatric and adoles- cent haematology/oncology. Massen,

    Google Scholar 

  • Breur K, Cohen P, Schweisguth O, Hart AMM (1978) Irradiation of the lungs as an adjuvant therapy in the treatment of osteosarcoma of the limbs. Eur J Cancer 14: 461–471

    PubMed  CAS  Google Scholar 

  • Brown H, Lee TJ, Eden OB, Bullimore JA, Savage DCL (1983) Growth and endocrine function after treatment for medulloblastoma. Arch Dis. Child 58: 722–727

    CAS  Google Scholar 

  • Casarett GW (1980) Radiation histopathology, vols I and II. CRC, Boca Raton, Fl.

    Google Scholar 

  • Chessells M (1985) Cranial irradiation in childhood lymphoblastic leukaemia: time for reappraisal? Br Med J 291: 686–687

    CAS  Google Scholar 

  • Cicognani A, Cacciari E, Vecci V, Cau M, Balsamo A, Pirazzoli P, Tosi MT, Rosito P, Paolucci G (1988) Differential effects of 18- and 24-Gy cranial irradiation on growth rate and growth hormone release in children with prolonged survival after acute lymphocytic leukemia. A.J. Dis. Child. 142: 1199–1202

    CAS  Google Scholar 

  • Constine LS, Donaldson SS, McDougall R, Cox RS, Link MP, Kaplan HS (1984) Thyroid dysfunction after radiotherapy in children with Hodgkin’s disease. Cancer 53: 878–883

    PubMed  CAS  Google Scholar 

  • Constine LS, Konski A, Ekholm S, McDonald S, Rubin P (1988) Adverse effects of brain irradiation correlated with MR and CT imaging. Int J Radiat Biol Phys 15: 319–330

    CAS  Google Scholar 

  • Cumberlin RL, Luk KH, Wara WM, Sheline EG, Wilson CB (1979) Medulloblastoma: treatment results and effects on normal tissues. Cancer 43: 1014–1020

    PubMed  CAS  Google Scholar 

  • Cushing H (1930) Experience with cerebellar medulloblas- toma: Critical review. Acta Pathol Microbiol Scand 7: 1–86

    Google Scholar 

  • Dacou-Voutetakis C, Haidas S, Zannos-Mariolea L (1975) Radiation and pituitary function in children. Lancet II: 1206–1207

    Google Scholar 

  • Danoff BF, Cowchock FS, Marquette C et al. (1982) Assessment of the long-term effects of primary radiation therapy for brain tumors in children. Cancer 49: 1580–1586

    PubMed  CAS  Google Scholar 

  • Darmady EM, Maclver AG (1980) Renal pathology. Butterworths, London, Boston, p 43

    Google Scholar 

  • Dawson WB (1968) Growth impairment following radiotherapy in childhood. Clin Radiol 19: 241–256

    PubMed  CAS  Google Scholar 

  • Devney RB, Sklar CA, Nesbit ME, Kim TH, Williamson JF, Robison LL, Ramsay NK (1984) Serial thyroid function measurements in children with Hodgkin’s dis- ease. J Pediatr 105: 223–227

    PubMed  CAS  Google Scholar 

  • Dickinson WP, Berry DH, Dickinson L et al. (1978) Differential effects of cranial radiation on growth hor- mone response to arginine and insulin infusion. J Pediatr 92: 754–757

    PubMed  CAS  Google Scholar 

  • Dobbing J, Sands J (1973) The quantitative growth and development of the human brain. Arch Dis Child 48: 757–767

    PubMed  CAS  Google Scholar 

  • Donaldson SS, Kaplan SS (1982) Complications of treat- ment of Hodgkin’s disease in children. Cancer Treat Rep 66: 977–989

    PubMed  CAS  Google Scholar 

  • Duffner PK, Cohen ME, Anderson SW et al. (1983) Long-term effects of treatment on endocrine function in children with brain tumors. Ann Neurol 14: 528–532

    PubMed  CAS  Google Scholar 

  • Duffner PK, Cohen ME, Voorhess ML (1985) Long-term effects of cranial irradiation on endocrine function in children with brain tumors. Cancer 56: 2189–2193

    PubMed  CAS  Google Scholar 

  • Eiser C (1978) Intellectual abilities among survivors of childhood leukaemia as a function of CNS irradiation. Arch Dis Child 53: 391–395

    PubMed  CAS  Google Scholar 

  • Eiser C (1980) Effect of chronic illness on intellectual development. Arch Dis Child 55: 766–770

    PubMed  CAS  Google Scholar 

  • Eiser C, Lansdown R (1977) Retrospective study of intel- lectual development in children treated for acute lym- phoblastic leukaemia. Arch Dis Child 52: 525–529

    PubMed  CAS  Google Scholar 

  • Enesco M, Leblond CP (1962) Increase in cell number as a factor in the growth of the organs and tissues in the young male rat. J Embryol Exp Morphol 10: 530 ff.

    Google Scholar 

  • Esseltine DW, Freeman CR, Chevalier R et al. (1981) Computed tomography brain scans in long-term survi- vors of childhood acute lymphoblastic leukaemia. Med Pediatr Oncol 9: 429–438

    PubMed  CAS  Google Scholar 

  • Fajardo LF (1977) Radiation induced coronary artery dis- ease. Chest 71: 563–564

    PubMed  CAS  Google Scholar 

  • Finch SC (1984) Leukemia and lymphomas in atomic bomb survivors. In: Boice JD, Fraumeni JF (eds) Radiation carcinogenesis: epidemiology and biological significance. Raven, New York, pp 37–44

    Google Scholar 

  • Fisher DA (1982) Thyroid physiology and function tests in infancy and childhood, In: The thyroid, a fundamental clinical text, Harper and Row, Hagerstown, pp 375–383

    Google Scholar 

  • Fisher JN, Rhomes JA (1982) Endocrine assessment in childhood acute lymphocytic leukemia. Cancer 49: 145–151

    Google Scholar 

  • Fuks Z, Glatstein E, Marsa GW, Bagshaw MA, Kaplan HS (1975) Long-term effects of external radiation on the pituitary and thyroid glands. Cancer 37: 1152–1161

    Google Scholar 

  • Glatstein E, McHardy-Young S, Brast N, Eltringham JR, Kriss JP (1970) Alterations in serum thyrotropin (TSH) and thyroid function following radiotherapy in patients with malignant lymphoma. J Clin Endocrinol 32: 833–841

    Google Scholar 

  • Gonzales D, Breur K (1983) Clinical data from irradiated growing long bones in children. Int J Radiat Oncol Biol Phys 9: 841–846

    Google Scholar 

  • Green EM, Grecher ML, Yakar D et al. (1980) Thyroid function in pediatric patients after neck irradiation for Hodgkin’s disease. Med Pediatr Oncol 8: 127 ff.

    PubMed  CAS  Google Scholar 

  • Greiner R (1982) Die Erholung der Spermatogenese nach fraktionierter, niedrig dosierter Bestrahlung der män- nlichen Gonaden. Strahlentherapie 158: 342–355

    PubMed  CAS  Google Scholar 

  • Gutjahr P (1987) Krebs bei Kindern und Jugendlichen. Deutscher Ärzte-Verlag, Köln

    Google Scholar 

  • Harris AMP, Nortje CJ, Luchhesi MV (1986) Some effects of radiation therapy during early childhood on facial growth and tooth development. J Dent Assoc South Africa 41: 681–686

    CAS  Google Scholar 

  • Hart RW, Setlow RB (1976) DNA repair in late-passage human cells. Mech Ageing Dev 15: 67–77

    Google Scholar 

  • Havers W (1987) Maligne Erkrankungen im Kindesalter. In: Scherer E (ed) Strahlentherapie, Radiologische Onkologie. Springer, Berlin Heidelberg New York, pp 1333–1354

    Google Scholar 

  • Hirsch JF, Renier D, Czernichow P et al. (1979) Medullob- lastoma in childhood. Survival and functional results. Acta Neurochir (Wien) 48: 1–15

    CAS  Google Scholar 

  • Hodson W (1977) Development of the lung. Dekker, New York

    Google Scholar 

  • Holmes GE, Holmes FF (1978) Pregnancy outcome of patients treated for Hodgkin’s disease: a controlled study. Cancer 41: 1317–1322

    PubMed  CAS  Google Scholar 

  • Horning SJ, Hoppe RT, Kaplan HS, Rosenberg SA (1981) Female reproductive potential after treatment for Hodg- kin’s disease. N Engl J Med 304: 1377–1382

    PubMed  CAS  Google Scholar 

  • Jannoun L (1983) Are cognitive and eductional develop- ment affected by age at which prophylactic therapy is given in acute lymphoblastic leukaemia? Arch Dis Child 58: 953–958

    PubMed  CAS  Google Scholar 

  • Kaatsch P, Michaelis J (1985). Jahresbericht 1984 über die kooperative Dokumentation von Malignomen im Kindes- alter. Institut für medizinische Statistik und Doku- mentation, Universität Mainz

    Google Scholar 

  • Kaplan MM, Garnick MB, Gelber R et al. (1983) Risk factors for thyroid abnormalities after neck irradiation for childhood cancer. Am J Med 74: 272–280

    PubMed  CAS  Google Scholar 

  • Kerr JB, De Kretser DM (1981) The cytology of human testis. In: Burger H, De Kretser DM (eds) The testis, vol 4. Raven, New York, pp 141–169

    Google Scholar 

  • Kolar J, Vrabec R, Bek V (1957) Entwicklungsstörungen der weiblichen Brust nach Röntgenbestrahlung im Kin- desalter. Strahlentherapie 104: 596–599

    PubMed  CAS  Google Scholar 

  • Kolar J, Bek V, Vrabec R (1967) Hypoplasia of the growing breast. Arch Dermatol 96: 427–432

    PubMed  CAS  Google Scholar 

  • Kun LE, Mulhern RK, Crisco JJ (1983) Quality of life in children treated for brain tumors. J Neurosurg 58: 1–6

    PubMed  CAS  Google Scholar 

  • Kveton JF, Sotelo-Avila C (1986) Osteoradionecrosis of the ossicular chain. Am J Otol 7: 446–448

    PubMed  CAS  Google Scholar 

  • Ladavas E, Missiroli G, Rosito P, Serra L, Vecchi V (1985) Intellectual function in long-term survivors of childhood acute lymphoblastic leukaemia. Int J Neurol Sci 6: 451–455

    CAS  Google Scholar 

  • Lannering B, Albertsson-Wikland K (1987) Growth hor- mone release in children after cranial irradiation. Horm Res 27: 13–22

    PubMed  CAS  Google Scholar 

  • Leiper AD, Grant DB, Chessels JM (1983) The effect of testicular irradiation on Leydig cell function in prepuber- tal boys with acute lymphoblastic leukaemia. Arch Dis Child 58: 906–910

    PubMed  CAS  Google Scholar 

  • Leiper AD, Grant DB, Chessels JM (1986) Gonadal function after testicular irradiation for acute lymphoblas- tic leukaemia. Arch Dis Child 61: 53–56

    PubMed  CAS  Google Scholar 

  • Leonhardt H (1977) Histologie, Zytologie und Mikroana- tomie des Menschen. Thieme, Stuttgart

    Google Scholar 

  • Li, F.P., Winston, K.R., Gimbrere, K. (1984) Follow up of children with brain tumors. Cancer 54, 135–138

    PubMed  CAS  Google Scholar 

  • Libshitz HI, Edeiken BS (1981) Radiotherapy changes of the pediatric hip. AJR 137: 585–588

    PubMed  CAS  Google Scholar 

  • Littman P, Meadows AT, Polgar G, Borns PF, Rubin E (1976) Pulmonary function in survivors of Wilm’s tumor. Cancer 37: 2773–2776

    PubMed  CAS  Google Scholar 

  • McIntosh S, Klatskin EH, O’Brien RT (1976) Chronic neurologic disturbance in childhood leukaemia. Cancer 37: 853–857

    PubMed  CAS  Google Scholar 

  • McKeen EA, Mulvihill JJ, Rosner F, Zarrabi MH (1979) Pregnancy outcome in Hodgkin’s disease. Lancet II: 590

    Google Scholar 

  • Meadows AT, Massari DJ, Ferguson J et al. (1981) Declines in IQ scores and cognitive dysfunctions in children with acute lymphocytic leukaemia treated with cranial irradiation. Lancet II: 1015–1018

    Google Scholar 

  • Mike V, Meadows AT, D’Angio GJ (1982) Incidence of second malignant neoplasms in children: results of an international study. Lancet II: 1326–1331

    Google Scholar 

  • Mitus A, Tefft M, Fellers FX (1969) Long-term follow-up of renal functions of 108 children who underwent nephrectomy for malignant disease. Pediatrics 44: 912–921

    PubMed  CAS  Google Scholar 

  • Molls M, Streffer C, van Beuningen D, Zamboglou N (1982) x-irradiation in G2 Phase of two-cell mouse embryos in vitro: cleavage, blastulation, cell kinetics and fetal development. Radiat Res 91: 219–234

    PubMed  CAS  Google Scholar 

  • Molls M, Budach V, Bamberg M (1986) Total body irradiation: the lung as critical organ. Strahlenther Onkol 162: 226–232

    PubMed  CAS  Google Scholar 

  • Moss HA, Nannis ED, Poplack DG (1981) The effects of prophylactic treatment of the central nervous system on the intellectual functioning of children with acute lym- phoblastic leukaemia. Am J Med 71: 47–52

    PubMed  CAS  Google Scholar 

  • Nelson DF, Reddy KV, O’Mara RE, Rubin P (1978) Thyroid abnormalities following neck irradiation for Hodgkin’s disease. Cancer 42: 2553–2562

    PubMed  CAS  Google Scholar 

  • Neuhauser EBD, Wittenborg MH, Berman CZ, Cohen J (1952) Irradiation effects of roentgen therapy on the growing spine. Radiology 59: 637–650

    PubMed  CAS  Google Scholar 

  • Ochs JJ, Parvey LS, Whitaker JN et al. (1983) Serial cranial computed tomography scans in children with leukaemia given two different forms of central nervous therapy. J Clin Oncol 1: 793–798

    PubMed  CAS  Google Scholar 

  • Onoyama Y, Abe M, Takahashi M et al. (1975) Radiation therapy of brain tumors in children. Radiology 115: 687–693

    PubMed  CAS  Google Scholar 

  • Perez CA, Brady CW (eds) (1987) Principles and practice of radiation oncology. JB Lippincott, Philadelphia

    Google Scholar 

  • Philips TL, Margolis L (1972) Radiation pathology and the clinical response of lung and esophagus. Front Radiat Ther Oncol 16: 254–273

    Google Scholar 

  • Pizzo PA, Miser JS, Cassady JR, Filler RM (1985) Solid tumors of childhood. In: De Vita VT Jr, Heilman S, Rosenberg SA (eds) Cancer principles and practice of oncology. JB Lippincott, Philadelphia pp 1511–1589

    Google Scholar 

  • Price RA, Jamieson PA (1975) The central nervous system in childhood leukaemia II. Subacute leukencephalo- pathy. Cancer 35: 306–318

    PubMed  CAS  Google Scholar 

  • Probert JC, Parker BR (1975) The effects of radiation therapy on bone growth. Radiology 114: 155–162

    PubMed  CAS  Google Scholar 

  • Probert JC, Parker BR, Kaplan HS (1973) Growth retardation in children after megavoltage irradiation of the spine. Cancer 32: 634–639

    PubMed  CAS  Google Scholar 

  • Purdy JA, Lightfoot DA, Glasgow GP (1987) Principles of radiologic physics, dosimetry and treatment planning. In: Perez CA, Brady LW (eds) Principles and practice of radiation oncology. JB Lippincott, Philadelphia, pp 129–158

    Google Scholar 

  • Raimondi AJ, Tomita T (1979) Advantages of total resection of medulloblastoma and disadvantages of full head postoperative radiation therapy (abstr). Childs Brain 5: 550–551

    Google Scholar 

  • Rappaport R, Brauner R, Czernichow P, Thiabud E, Renier D, Zucker JM, Lemerle J (1982) Effect of hypothalamic and pituitary irradiation on pubertal de- velopment in children with cranial tumors. J Clin Endocrinol Metab 54: 1164–1168

    PubMed  CAS  Google Scholar 

  • Ray GR, Trueblood HW, Enright LP, Kaplan HS, Nelson TS (1970) Oophoropexy: a means of preserving ovarian function following pelvic megavoltage radiotherapy for Hodgkin’s disease. Radiology 96: 175–180

    PubMed  CAS  Google Scholar 

  • Richards GE, Wara WM, Grumbach MM et al. (1976) Delayed onset of hypopituitarism: sequelae of therapeu- tic irradiation of central nervous system, eye and middle eye tumors. J Pediatr 89: 553–559

    PubMed  CAS  Google Scholar 

  • Riede UN, Rohrbach R, Adler C-P, Sandritter W, Thomas C, Mittermayer C (1981) Störungen des Wachstums. In: von Sandritter W (ed) Allgemeine Pathologie. FK Schattauer, Stuttgart, p. 627

    Google Scholar 

  • Riehm H (1986) Malignant neoplasms in children and adolescence. In: Falkner F, Kretchmer N, Rossi E (eds) Monographs in paediatrics. Karger, Basel

    Google Scholar 

  • Riseborough EJ, Grabias SL, Burton RI, Jaffe N (1976) Skeletal alterations following irradiation for Wilms’ tumor. J Bone Joint Surg 58A: 526–536

    Google Scholar 

  • Ron E, Modan B, Floro S, Harkedar I, Gurewitz R (1982) Mental function following scalp irradiation during child- hood. Am J Epidemiol 116: 149–160

    PubMed  CAS  Google Scholar 

  • Rosenberg SA, Kaplan HS (1985) The evolution and summary results of the Stanford randomized clinical trials of the management of Hodgkin’s disease: 1962–1984. Int J Radiat Oncol Biol Phys 11: 5–22

    PubMed  CAS  Google Scholar 

  • Rowley ML, Leach DR, Warner GA (1974) Effect of graded doses of ionizing radiation on the human testis. Radiat Res 59: 665–678

    PubMed  CAS  Google Scholar 

  • Rubin P (1984) The Franz Buschke Lecture: late effects of chemotherapy and radiation therapy: a new hypothesis. Int J Radiat Oncol Biol Phys 10: 5–34

    PubMed  CAS  Google Scholar 

  • Rubin P, Casarett GW (1968) Clinical radiation pathology, vols I and II. WB Saunders, Philadelphia

    Google Scholar 

  • Rubin P, Casarett GW (1972) Front Radiat Ther Oncol 6: 1–16

    Google Scholar 

  • Rubin P, van Houtte P, Constine L (1982) Radiation sensitivity and organ tolerances in pediatric oncology: a new hypothesis. Front Radiat Ther Oncol 16: 62–82

    Google Scholar 

  • Sabio H, Sussmann M, Levin M (1987) Postradiation slipped capital femoral epiphyses. J Surg Oncol 36: 45–47

    PubMed  CAS  Google Scholar 

  • Schimpff SC, Diggs CH, Wiswell JG, Salvatore PC, Wiernik PH (1980) Radiation-related thyroid dysfunc- tion: implications for the treatment of Hodgkin’s disease. Ann Intern Med 92: 91–98

    PubMed  CAS  Google Scholar 

  • Shalet SM, Beardwell CG, Morris-Jones PH, Pearson D, Orrell DH (1976a) Ovarian failure following abdominal irradiation in childhood. Br J Cancer 33: 655–658

    PubMed  CAS  Google Scholar 

  • Shalet SM, Beardwell CG, Morris-Jones PH, Pearson D (1976b) Growth hormone deficiency after treatment for acute leukaemia in children. Arch Dis Child 51: 489–493

    PubMed  CAS  Google Scholar 

  • Shalet SM, Beardwell CG, Pearson D, Morris-Jones HP (1976c) The effect of varying doses of cerebral irradiation on growth hormone production in Childhood. Clin Endocrinol 5: 287–290

    CAS  Google Scholar 

  • Shalet SM, Beardwell CG, Twomey JA (1977a) Endocrine function following the treatment of acute leukemia in childhood. J Pediatr 6: 920–923

    Google Scholar 

  • Shalet SM, Rosenstock JD, Beardwell CG, Pearson D, Morris-Jones PH (1977b) Thyroid dysfunction following external irradiation to the neck for Hodgkin’s disease in childhood. Clin Radiol 28: 511–515

    PubMed  CAS  Google Scholar 

  • Shalet SM, Beardwell CG, Jacobs HS (1978) Testicular function following irradiation of the human prepubertal testis. Clin Endocrinol 9: 483–490

    CAS  Google Scholar 

  • Shalet SM, Price DA, Beardwell CG, Morris-Jones PH, Pearson D (1979) Normal growth despite abnormalities of growth hormone secretion in children treated for acute leukemia. J Pediat 94: 719–722

    PubMed  CAS  Google Scholar 

  • Shalet SM, Hann IM, Lendon M et al. (1981) Testicular function after combination chemotherapy in childhood for acute lymphoblastic leukaemia. Arch Dis Child 56: 275–278

    PubMed  CAS  Google Scholar 

  • Shalet SM, Gibson B, Swindell R, Pearson D (1987) Effect of spinal irradiation on growth. Arch Dis Child 62: 461–464

    PubMed  CAS  Google Scholar 

  • Sheline GE (1980) Irradiation injury of the human brain, a review clinical experience. In: Gilbert HA, Kagan AR (eds) Radiation damage to the nervous system. Raven, New York,

    Google Scholar 

  • Sheline GE, Wara WM, Smith V (1980) Therapeutic irradiation and brain injury. Int J Radiat Oncol Biol Phys 6: 1215–1218

    PubMed  CAS  Google Scholar 

  • Silverman CL, Thomas PRM, McAlister WH, Walker S, Whiteside LA (1981) Slipped femoral capital epiphyses in irradiated children: dose, volume and age rela- tionships. Int J Radiat Oncol Biol Phys 7: 1357–1363

    PubMed  CAS  Google Scholar 

  • Silverman CL, Plakes H, Talent B (1984) Late effects of radiotherapy on patients with cerebellar medulloblasto- ma. Cancer 54: 825–829

    PubMed  CAS  Google Scholar 

  • Simon G, Reiol L, Tanner SM, Goldstein H, Benjamin B (1972) Growth of radiobiologically determined heart diameter, lung width and lung length from 5–19 years with standard for clinical use. Arch Dis Child 47: 373–382

    PubMed  CAS  Google Scholar 

  • Simpson CL, Hempelmann LH, Fuller LM (1955) Neopla- sia in children treated with x-rays in infancy for thymic enlargement. Radiology 64: 840–845

    PubMed  CAS  Google Scholar 

  • Sinclair D (1969) Human growth after birth. Oxford University Press, London

    Google Scholar 

  • Sklar CA, Kim TH, Williamson JF, Ramsay NK (1983) Ovarian function after successful bone marrow trans- plantation in postmenarcheal females. Med Pediatr Oncol 11: 361–364

    PubMed  CAS  Google Scholar 

  • Sklar CA, Kim TH, Ramsay NK (1984) Testicular function following bone marrow transplantation performed dur- ing or after puberty. Cancer 53: 1498–1501

    PubMed  CAS  Google Scholar 

  • Smith E, Adler RA, Clark P et al. (1981) Thyroid function after mantle irradiation in Hodgkin’s disease. JAMA 245: 46–49

    PubMed  Google Scholar 

  • Soni SS, George MA, Marten W, Pitner SE, Duenas DA, Powasek M (1975) Effects of central-nervous-system irradiation on neuropsychologic functioning of children with acute lymphocytic leukemia. N Engl J Med 293: 113–118

    PubMed  CAS  Google Scholar 

  • Spunberg JJ, Chang CH, Goldman M et al. (1981) Quality of long-term survival following irradiation for intracra- nial tumors in children under the age of two. Int J Radiat Oncol Biol Phys 7: 727–736

    PubMed  CAS  Google Scholar 

  • Stewart JR, Cohn KE, Fajardo LF, Hancock EW, Kaplan HS (1967) Radiation-induced heart disease, a study of twenty-five patients. Radiology 89: 302–310

    Google Scholar 

  • Stillman RJ, Schinfeld JS, Schiff I (1981) Ovarian failure in long-term survivors of childhood malignancy. Am J Obstet Gynecol 139: 62–66

    PubMed  CAS  Google Scholar 

  • Stuschke M, Sauerwein W, Bamberg M, Havers W, Nau E (1988) Multivariante Analyse von Einflußfaktoren auf die Prognose des Medullobastoms. In: Bamberg M, Sack H (eds) Therapie primärer Hirntumoren, Zuckschwerdt, Munich, pp 406–410

    Google Scholar 

  • Stuschke M, Budach V, Budach W, Erhard J, Sack H (1989) Multicellular spheroids from human soft tissue sarcomas: radiocurability and dose fractionation effect. Int J Radiat Biol 56: 549–552

    PubMed  CAS  Google Scholar 

  • Swift PGF, Kearney PJ, Dalton RG et al. (1978) Growth and hormonal status of children treated for actue lymphoblastic leukemia. Arch Dis Child 53: 890–894

    PubMed  CAS  Google Scholar 

  • Tefft M (1977) Radiation related toxicities in national Wilms’ tumor study number 1. Int J Radiat Oncol Biol Phys 2: 455–463

    PubMed  CAS  Google Scholar 

  • Tefft M (1972) Radiation effect on growing bone and cartilage. Front Radiat Ther Oncol 6: 289–311

    Google Scholar 

  • Tefft M, Mitus A, Das L, Vawter GF, Filler RM (1970) Irradiation of the liver in children: review of experience in the acute and chronic phases, and in the intact normal and partially resected. AJR 108: 365–385

    CAS  Google Scholar 

  • Thomas PRM, Horning SJ, Le Floch O, Donaldson SS, Kaplan HS (1976) Pregnancy following oophoropexy and total nodal irradiation in women with Hodgkin’s disease. Cancer 38: 2263–2268

    Google Scholar 

  • Thurlbeck WM (1975) Postnatal growth and development of the lung. Am Rev Respir Dis 111: 803–843

    PubMed  CAS  Google Scholar 

  • Tonomura A, Kishi K, Saito F (1983) Types and frequen- cies of chromosome aberrations in peripheral lympho- cytes of general population. In: Ishihara T, Sasaki MS (eds) Radiation-induced chromosome damage in man. Alan R. Liss, New York

    Google Scholar 

  • Travis EL (1987) Relative radiosensitivity of the lung. Adv Radiat Biol 12: 205–239

    Google Scholar 

  • Tucker MA, Meadows AT, Boice JD, Hoover RN, Fraumeni JF (1984) Cancer risk following treatment of childhood cancer. In: Radiation carcinogenesis: epidemiology and biological significance. Boice JD, Fraumeni JF (eds) Raven, New York, pp 211–224

    Google Scholar 

  • Tucker MA, D’Angio GJ, Boice JD et al. (1987a) Bone sarcomas linked to radiotherapy an chemotherapy in children. N Engl J Med 317: 588–593

    PubMed  CAS  Google Scholar 

  • Tucker MA, Meadows AT, Boice JD et al. (1987b) Leukemia after therapy with alkylating agents for child- hood cancer. J Natl Cancer Inst 78: 459–464

    PubMed  CAS  Google Scholar 

  • Twaddle V, Britton PG, Craft AC et al. (1983) Intellectual function after treatment for leukaemia or solid tumours. Arch Dis Child 58: 949–952

    PubMed  CAS  Google Scholar 

  • Verozosa MS, Rhomes JA, Aur JA, Simone JV, Hustu HO, Pinkel DP (1976) Five years after central nervous system irradiation of children with leukemia. Int J Radiat Oncol Phys 1: 209–215

    Google Scholar 

  • von Mühlendahl KE, Gardner H, Riehm H, Helge H, Weber B, Müller-Hess R (1976) Endocrine function after antineoplastic therapy in 22 children with acute lymphoblastic leukemia. Helv Paediatr Acta 31: 463–471

    Google Scholar 

  • Watzka M (1964) Kurzlehrbuch der Histologie und mikro- skopischen Anatomie des Menschen. FK Schattauer, Stuttgart

    Google Scholar 

  • Weiner RS, Bortin MM, Gale RP et al. (1986) Interstitial pneumonitis after bone marrow transplantation. Ann Intern Med 104: 168–175

    PubMed  CAS  Google Scholar 

  • Wells RJ, Foster MB, D’Ercole J, Campbell W, McMillian W (1983) The impact of cranial irradiation on the growth of children with acute lymphoblastic leukemia. Am J Dis Child 137: 37–39

    PubMed  CAS  Google Scholar 

  • Winiek M, Noble A (1965) Quantitative changes in DNA, RNA and protein during prenatal and postnatal growth in the rat. Dev Biol 12: 451ff

    Google Scholar 

  • Zaharia M, Caceres E, Valdivia S, Moran M, Tejada F (1986) Postoperative whole lung irradiation with or without adriamycin in osteogenic sarcoma. Int J Radiat Oncol Biol Phys 12: 907–910

    PubMed  CAS  Google Scholar 

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Molls, M., Stuschke, M. (1991). Radiotherapy in Childhood: Normal Tissue Injuries and Carcinogenesis. In: Scherer, E., Streffer, C., Trott, KR. (eds) Radiopathology of Organs and Tissues. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83416-5_16

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  • DOI: https://doi.org/10.1007/978-3-642-83416-5_16

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