Tumours of the Endocrine Glands

  • Chapter
Cancer in Children

Abstract

The clinical presentation of a child with an endocrine tumour may be caused by the effects of a mass lesion, a hormone excess state or hormone deficiencies. Medical awareness of a hormone deficiency tends to lag behind that of a mass lesion. For example, the diagnosis of craniopharyngioma is nearly always precipitated by severe, persistent headache or visual loss, even though short stature and pituitary hormone deficiencies are frequently already present. Production of excess hormone by a tumour may interfere with growth and sexual development in a number of ways, such as precocious or delayed pubertal development, virilization, feminization, gynaecomastia, gigantism and Cushing’s syndrome. Fortunately, endocrine tumours, except for neuroblastoma, are uncommon in childhood; for example, pituitary tumours account for 1% of all intracranial tumours in children but 10%–18% of those in adults.

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References

  1. Pomarede R, Czernichow P, Finidori J, Pfister A, Roger M, Kalifa C, Zucker JM, Pierre-Kahn A, Rappaport R (1982) Endocrine aspects and tumoural markers in intracranial germinoma: an attempt to delineate the diagnostic procedure in 14 patients. J Pediatr 101: 374–378

    Article  PubMed  CAS  Google Scholar 

  2. Sklar CA, Grumbach MM, Kaplan SL, Conte FA (1981) Hormonal and metabolic abnormalities associated with central nervous system germinoma in children and adolescents and the effect of therapy: report of 10 patients. J Clin Endocrinol Metab 52: 9–16

    Article  PubMed  CAS  Google Scholar 

  3. Sung D, Marisiadis L, Chang CC (1978) Midline pineal tumours and suprasellar germinomas: highly curable by irradiation. Radiology 3: 745–751

    Google Scholar 

  4. Ahmed SR, Shalet SM, Price DA, Pearson D (1983) Human chorionic gonadotrophin secreting pineal germinoma and precocious puberty. Arch Dis Child 58: 743–745

    Article  PubMed  CAS  Google Scholar 

  5. Sklar CA, Conte FA, Kaplan SL, Grumbach MM (1981) Human chorionic gonadotrophinsecreting pineal tumour: relation to pathogenesis and sex limitation of sexual precocity. J Clin Endocrinol Metab 53: 656–660

    Article  PubMed  CAS  Google Scholar 

  6. Wass JAH, Jones AE, Rees LH, Besser GM (1982) BHCG-producing pineal chorio- carcinoma. Clin Endocrinol (Oxf) 17: 423–431

    Article  CAS  Google Scholar 

  7. Costin G (1979) Endocrine disorders associated with tumours of the pituitary and hypothalamus. Symposium on paediatric endocrinology. Pediatr Clin North Am 26: 15–31

    PubMed  CAS  Google Scholar 

  8. Drop SLS, Guyda HJ, Colle E (1980) Inappropriate growth hormone release in the dien-cephalic syndrome of childhood: case report and 4-year endocrine follow-up. Clin Endocrinol (Oxf) 13: 181–187

    Article  CAS  Google Scholar 

  9. Cacciari E, Frejaville E, Cicognani A, Pirazzoli P, Frank G, Balsamo A, Tassinari D, Zappulla F, Bergamaschi R, Cristi GF (1983) How many cases of true precocious puberty in girls are idiopathic? J Pediatr 102: 357–360

    Article  PubMed  CAS  Google Scholar 

  10. Comite F, Prescovitz OH, Rieth KG, Dwyer AJ, Hench K, McNemar A, Loriaux L, Cutler GB (1984) Luteinizing hormone releasing hormone analogue treatment of boys with hypothalamic hamartoma and true precocious puberty. J Clin Endocrinol Metab 59: 888–892

    Article  PubMed  CAS  Google Scholar 

  11. Thomsett MJ, Conte FA, Kaplan SL, Grumbach MM (1980) Endocrine and neurologic outcome in childhood craniopharingioma: review of effect of treatment in 42 patients. J Pediatr 97: 728–735

    Article  PubMed  CAS  Google Scholar 

  12. Sorva R (1988) Children with craniopharyngioma. Early growth failure and rapid post operative weight gain. Acta Paediatr Scand 77: 587–592

    Article  PubMed  CAS  Google Scholar 

  13. Bucher H, Zapf J, Torresani T, Prader A, Froesch ER, Illig R (1983) Insulin-like growth factors I and II, prolactin and insulin in 19 growth-hormone deficient children with excessive, normal or decreased longitudinal growth after operation for craniopharyngioma. N Engl J Med 309: 1142–1146

    Article  PubMed  CAS  Google Scholar 

  14. Preece MA (1982) Diagnosis and treatment of children with growth hormone deficiency. J Clin Endocrinol Metab 11: 1–24

    Article  CAS  Google Scholar 

  15. Linder BL, Esteban NV, Yergey AL, Winterer JC, Loriaux DL, Cassorla F (1990) Cortisol production rate in childhood and adolescence. J Pediatr 117: 892–896

    Article  PubMed  CAS  Google Scholar 

  16. Asa SL, Kovacs K (1983) Histological classification of pituitary disease. J Clin Endocrinol Metab 12: 567–596

    Article  CAS  Google Scholar 

  17. Whitehead EM, Shalet Si’,1, Davies D, Enoch BA, Price DA, Beardwell CG (1982) Pituitary gigantism: a disabling condition. Clin Endocrinol (Oxf) 17: 271–277

    CAS  Google Scholar 

  18. Klijn JGM, Lamberts SWJ, de Jong FH, van Dongen KJ, Birkenhager JC (1980) Interrelationships between tumour size, age, plasma growth hormone and incidence of extrasellar extension in acromegalic patients. Acta Endocrinol (Copenh) 95: 289–297

    Google Scholar 

  19. Hindmarsh PC, Pringle PJ, Brook CGD (1988) The 24-hour growth hormone secretion in a boy with giantism. Acta Endocrinol (Copenh) 117: 403–408

    CAS  Google Scholar 

  20. Plewe G, Beyer J, Krause U, Neufeld M, del Pozo E (1984) Long-acting and selective suppression of growth hormone secretion by somatostatin analogue SMS 201–995 in acromegaly. Lancet 2: 782–784

    Article  PubMed  CAS  Google Scholar 

  21. Gorden P, Comi RJ, Maton PN, Go VL (1989) Somatostatin and somatostatin analogue (SMS 201–995) in treatment of hormone secreting tumors of the pituitary and gastrointestinal tract and non-neoplastic diseases of the gut. Ann Intern Med 110: 35–50

    PubMed  CAS  Google Scholar 

  22. Howlett TA, Wass JAH, Grossman A, Plowman PN, Charlesworth M, Touzel R, Rees LH, Savage MO, Besser GM (1989) Prolactinomas presenting as primary amenorrhoea and delayed or arrested puberty: response to medical therapy. Clin Endocrinol (Oxf) 30: 131–140

    Article  CAS  Google Scholar 

  23. Thomas CG, Smith AT, Griffiths JM, Askin FB (1984) Hyperadrenalism in childhood and adolescence. Ann Surg 199: 538–548

    Article  PubMed  Google Scholar 

  24. McArthur RG, Cloutier MD, Hayles AB, Sprague RG (1972) Cushing’s disease in children; findings in 13 cases. Mayo Clin Proc 47: 318–326

    PubMed  CAS  Google Scholar 

  25. McArthur RG, Hayles AB, Salassa RM (1979) Childhood Cushing’s disease: results of bilateral adrenalectomy. J Pediatr 95: 214–219

    Article  PubMed  CAS  Google Scholar 

  26. Najjar SS, Slim MS, Kublawi IS (1964) Cushing’s syndrome due to bilateral adrenal hyperplasia in childhood: report of a case and review of the literature. J Med Liban 7: 311–326

    Google Scholar 

  27. Cummins GE, Cohen D (1974) Cushing’s syndrome secondary to ACTH-secreting Wilms’ tumour. J Pediatr Surg 9: 535–539

    Article  PubMed  CAS  Google Scholar 

  28. Kaye TB, Crapo L (1990) The Cushing syndrome: an update on diagnostic tests. Ann Intern Med 112: 434–444

    PubMed  CAS  Google Scholar 

  29. Melby JC (1988) Therapy of Cushing disease: a consensus for pituitary microsurgery. Ann Intern Med 109: 445–446

    PubMed  CAS  Google Scholar 

  30. Shalet SM (1983) Disorders of the endocrine system due to radiation and cytotoxic chemotherapy. Clin Endocrinol (Oxf) 18: 637–659

    Article  Google Scholar 

  31. Cassar J, Doyle FH, Mashiter K, Joplin GF (1979) Treatment of Cushing’s disease in juveniles with interstitial pituitary irradiation. Clin Endocrinol (Oxf) 11: 313–321

    Article  CAS  Google Scholar 

  32. Stewart DR, Morris Jones PH, Jolleys A (1974) Carcinoma of the adrenal gland in children. J Pediatr Surg 9: 59–67

    Article  PubMed  CAS  Google Scholar 

  33. Levine GW (1978) Adrenocortical carcinoma in two children with subsequent primary tumors. Am J Dis Child 132: 238–240

    PubMed  CAS  Google Scholar 

  34. Hayles AB, Hahn HB, Sprague RG, Bahn RC, Priestley JT (1966) Hormone secreting tumors of the adrenal cortex in children. Pediatrics 37: 19–25

    PubMed  CAS  Google Scholar 

  35. Bhettay E, Bonnici F (1977) Pure oestrogen-secreting feminizing adrenocortical adenoma. Arch Dis Child 52: 241–243

    Article  PubMed  CAS  Google Scholar 

  36. Kafrouni G, Oakes MD, Lurvey AN, de Quattro V (1975) Aldosteronoma in a child with localization by adrenal vein aldosterone: collective review of the literature. J Pediatr Surg 10: 917–924

    CAS  Google Scholar 

  37. Lee PDK, Winter RJ, Green OC (1985) Virilizing adrenocortical tumors in childhood: eight cases and a review of the literature. Pediatrics 76: 437–444

    PubMed  CAS  Google Scholar 

  38. Kenny FM, Hashida Y, Askari HA, Sieber WH, Fetterman GH (1968) Virilizing tumours of the adrenal cortex. Am J Dis Child 115: 445–458

    PubMed  CAS  Google Scholar 

  39. Artigas JL, Niclewicz ED, Silva APG, Ribas DB, Athayde SL (1976) Congenital adrenal cortical carcinoma. J Pediatr Surg 11: 247–252

    Article  PubMed  CAS  Google Scholar 

  40. Boven E, Vermorken JB, van Slooten H, Pinedo HM (1984) Complete response of metastasized adrenal cortical carcinoma with o’p’-DDD. Cancer 53: 26–29

    Article  PubMed  CAS  Google Scholar 

  41. Stringel G, Ein SH, Creighton R et al. (1980) Pheochromocytoma in children: an update. J Pediatr Surg 15: 496–500

    Article  PubMed  CAS  Google Scholar 

  42. Bloom DA, Fonkalsrud EW (1974) Surgical management of pheochromocytoma in children. J Pediatr Surg. 9: 179–184

    Article  PubMed  CAS  Google Scholar 

  43. Knudsen AG, Strong LG (1972) Mutation and cancer: neuroblastoma and pheochromocytoma. Am J Hum Genet 24: 514–532

    Google Scholar 

  44. Robinson MJ, Kent M, Stocks J (1973) Phaeochromocytoma in childhood. Arch Disa Child 48: 137–142

    Article  CAS  Google Scholar 

  45. Stackpole RH, Melicow MM, Uson AC (1963) Pheochromocytoma in children. J Pediatr 63: 315–330

    Article  Google Scholar 

  46. Melicow MM (1977) 100 cases of pheochromocytoma (107 tumors) at the Columbia-Presbyterian Medical Centre 1926–1976. Cancer 40: 1987–2004

    Article  PubMed  CAS  Google Scholar 

  47. Deal JE, Sever PS, Barratt TM, Dillon MJ (1990) Phaeochromocytoma-investigation and management of 10 cases. Arch Dis Child 65: 269–274

    Article  PubMed  CAS  Google Scholar 

  48. Kaufman BH, Telander RL, van Heerden JA, Zimmerman D, Sheps SG, Dawson B (1983) Phaeochromocytoma in the paediatric age group: current status. J Pediatr Surg 18: 879–883

    Article  PubMed  CAS  Google Scholar 

  49. Griffiths DFR, Williams GT, Williams ED (1983) Multiple endocrine neoplasia associated with von Recklinghausen’s disease. Br Med J 287: 1341–1343

    Article  CAS  Google Scholar 

  50. Webb TA, Sheps SG, Carney JA (1980) Differences between sporadic phaeochromocytoma and phaeochromocytoma in multiple endocrine neoplasm, type 2. Am J Surg Pathol 4: 121–126

    Article  PubMed  Google Scholar 

  51. Bravo EL, Gifford RW (1984) Pheochromocytoma: diagnosis, localization and management. N Engl J Med 311: 1298–1303

    Article  PubMed  CAS  Google Scholar 

  52. Shapiro B, Copp JE, Sisson JC, Eyre PL, Wallis J, Beierwaltes WH (1985) Iodine 131 metaiodobenyl-guanidine for the locating of suspected pheochromocytoma: experience in 400 cases J Nucl Med 26: 576–585

    CAS  Google Scholar 

  53. Winship T, Rosvoll RV (1970) Thyroid carcinoma in childhood: final report on a 20 year study. Clin Proc Child Hosp Nat Med Cent 26: 327–348

    Google Scholar 

  54. Exelby PE, Frazell EL (1969) Carcinoma of the thyroid in children. Surg Clin North Am 49: 249–259

    PubMed  CAS  Google Scholar 

  55. Hamburger J, Miller JM, Kini SR (1984) The impact of needle biopsy on the diagnosis of the thyroid nodule. In: Santen RJ, Manni A (eds) Diagnosis and management of endocrine-related tumours. Nijhoff, Boston, pp 123–149

    Chapter  Google Scholar 

  56. Beierwaltes WH (1984) Medical treatment of thyroid carcinoma. In: Santen RJ, Manni A (eds) Diagnosis and management of endocrine-related tumours. Nijhoff, Boston, pp 95–121

    Chapter  Google Scholar 

  57. Ahmed SR, Shalet SM (1985) Gonadal damage due to radioactive iodine (I-131) treatment for thyroid carcinoma. Postgrad Med 61: 361–362

    Article  CAS  Google Scholar 

  58. Wolfe HJ, Melvin KEW, Cervi-Skinner SJ, Saadi AA, Julia JF, Jackson CE, Tashjian AH (1973) C-cell hyperplasia preceding medullary thyroid carcinoma. N Engl J Med 289: 437–441

    Article  PubMed  CAS  Google Scholar 

  59. Gagel RF, Jackson CE, Block MA, Feldman ZT, Reichlin S, Hamilton BP, Tashjian AH (1982) Age-related probability of develo** hereditary medullary thyroid carcinoma. J Pediatr 101: 941–946

    Article  PubMed  CAS  Google Scholar 

  60. Sobol H, Narod SA, Nakamura Y, Boneu A, Calmettes C, Chadenas D, Charpentier G, Chatal JF, Delepine N, Delisle MJ, Dupond JL, Gardet P, Godefroy H, Guillausseau P-J, Guillausseau-Scholer C, Houdent C, Lalau JD, Mace G, Parmentier C, Soubrier F, Tourniare J, Lenoir GM (1989) Screening for multiple endocrine neoplasia type 2a with DNA-polymorphism analysis. N Engl J Med 321: 996–1001

    Article  PubMed  CAS  Google Scholar 

  61. Mathew CGP, Easton DF, Nakamura Y, Ponder BAJ (1991) Presymptomatic screening for mul-tiple endocrine neoplasia type 2A with linked DNA markers. Lancet 337: 7–11

    Google Scholar 

  62. Rougier P, Parmentier C, Laplanche A, Lefevre M, Travagli JP, Caillou B, Schlumberger M, Lacour J, Tubiana M (1983) Medullary thyroid carcinoma: prognostic factors and treatment. Int J Radiol Oncol Biol Phys 9: 161–169

    CAS  Google Scholar 

  63. Mahler C, Verhelst J, De Longueville M, Harris A (1990) Long-term treatment of metastatic medullary thyroid carcinoma with the somatostatin analogue octreotide. Clin Endocrinol (Oxf) 33: 261–269

    Article  CAS  Google Scholar 

  64. Girard RM, Belanger A, Hazel B (1982) Primary hyperparathyroidism in children. Can J Surg 25: 11–13

    PubMed  CAS  Google Scholar 

  65. Appleyard WJ, Lloyd J (1968) Pluriglandular syndrome with hyperinsulinism and cardiomegaly as a possible complication of diazoxide therapy. Proc R Soc Med 61: 1257–1258

    PubMed  CAS  Google Scholar 

  66. Underwood LE, Jacobs NM (1963) Familial endocrine adenomatosis. Am J Dis Child 106: 218–223

    PubMed  CAS  Google Scholar 

  67. Kirk JMW, Di Silvio L, Hindmarsh PC, Brook CGD (1988) Somatostatin analogue in short term management of hyperinsulinism. Arch Dis Child 63: 1493–1494

    Article  PubMed  CAS  Google Scholar 

  68. Glaser B, Landau H, Smilovici A, Nesher R (1989) Persistent hyperinsulinaemic hypoglycaemia of infancy: long term treatment with the somatostatin analogue Sandostatin. Clin Endocrinol (Oxf) 31: 71–80

    Article  CAS  Google Scholar 

  69. Brosman SA (1979) Testicular tumours in prepubertal children. Urology 13: 581–588

    Article  PubMed  CAS  Google Scholar 

  70. Coen P, Kuhn H, Ballantine T, Zaino R, Frauenhoffer E, Boal D, Inkster S, Brodie A, Santen R (1991) An aromatase-producing sex-cord tumor resulting in prepubertal gynecomastia. N Engl J Med 324: 317–322

    Article  PubMed  CAS  Google Scholar 

  71. Breen JL, Maxson WS (1977) Ovarian tumours in children and adolescents. Clin Obstet Gynecol 20: 607–623

    Article  PubMed  CAS  Google Scholar 

  72. Lack E, Perez-Atyade AR, Murthy ASK, Goldstein DP, Criger JF, Vawter GF (1981) Granulosa theca cell tumours in premenarchial girls. Cancer 48: 1846–1854

    Article  PubMed  CAS  Google Scholar 

  73. Roth LM, Anderson MC, Govan ADT, Langley FA, Gowing NFC, Woodcock AS (1981) SertoliLeydig cell tumours: a clinico-pathological study of 34 cases. Cancer 48: 187–197

    Article  PubMed  CAS  Google Scholar 

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Shalet, S.M., Ogilvy-Stuart, A.L., Ahmed, S.R. (1992). Tumours of the Endocrine Glands. In: Voûte, P.A., Barrett, A., Lemerle, J. (eds) Cancer in Children. UICC International Union Against Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84722-6_22

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  • DOI: https://doi.org/10.1007/978-3-642-84722-6_22

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