Leukemia and other malignancies among GH users.

S Watanabe, S Mizuno, L H Oshima, Y Tsunematsu, J Fujimoto, A Komiyama
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引用次数: 64

Abstract

The number of reported cases of leukemia developing in growth hormone (GH) users worldwide has reached 31. Twelve Japanese cases are briefly reviewed; five each of AML and ALL, and one each of CML and malignant histiocytosis. The underlying diseases of these patients consisted of 8 idiopathic disease, 3 tumors and one Fanconi's anemia. Leukemia occurred during GH treatment in 9 cases and after cessation of GH in 3. The longest interval from the cessation of GH therapy was 10 years. GH administration from a younger age tended to be linked to myeloid type. Risk factors and possible mechanisms of leukemogenesis by growth hormone are discussed, and proposals for the future have been made by the Foundation for Growth Science in Japan.
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生长激素使用者中的白血病和其他恶性肿瘤。
据报道,全球生长激素(GH)使用者中发生白血病的病例已达31例。简要回顾了12个日本病例;AML和ALL各5例,CML和恶性组织细胞增多症各1例。基础疾病为特发性疾病8例,肿瘤3例,范可尼贫血1例。白血病发生于生长激素治疗期间9例,停止生长激素治疗后3例。停止生长激素治疗的最长间隔为10年。从较年轻的年龄给药GH倾向于与骨髓型有关。日本生长科学基金会讨论了生长激素致白血病的危险因素和可能的机制,并对未来提出了建议。
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