[Examination of late pulmonary toxicity in children treated for malignancies]

Orv Hetil. 2013 Mar 3;154(9):345-50. doi: 10.1556/OH.2013.29549.
[Article in Hungarian]

Abstract

Introduction: The present investigation was based on a survey in 2005, in which the authors found pulmonary function abnormalities in survivors of childhood cancer, who were treated with anticancer therapy.

Aim: The purpose of the present study was to follow-up childhood cancer survivors and detect late pulmonary toxicity.

Patients and methods: Lung function test was performed with spirometry in 26 survivors participated in this study (10 females and 16 males; mean age, 19.4 years at the time of the second follow-up evaluation). The average time periods from treatment until the first and second follow-up evaluation were 4.5 and 10 years, respectively.

Results: The authors found 14 patients with pathological pulmonary function tests results at the time of the first follow-up evaluation, from which 7 patients had obstructive, 5 patients had mixed and 2 patients had restrictive abnormalities. However, there were only 6 patients who had abnormal pulmonary function at the time of the second follow-up evaluation (2 patients with obstructive and 4 patients with restrictive pulmonary function tests (p<0.05).

Conclusion: Restrictive pulmonary disorder was detected in only small part of the treated patients. The obstructive pulmonary abnormalities caused by the treatment showed an improving tendency over time.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / adverse effects*
  • Chemotherapy, Adjuvant / adverse effects
  • Child
  • Female
  • Humans
  • Lung / drug effects*
  • Lung / physiopathology
  • Lung / radiation effects*
  • Lung Diseases / etiology
  • Lung Diseases / physiopathology
  • Lung Volume Measurements
  • Male
  • Neoplasms / therapy*
  • Pulmonary Disease, Chronic Obstructive / etiology*
  • Pulmonary Disease, Chronic Obstructive / physiopathology*
  • Radiotherapy, Adjuvant / adverse effects
  • Severity of Illness Index
  • Spirometry
  • Survivors
  • Time Factors
  • Vital Capacity

Substances

  • Antineoplastic Agents