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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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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