Since the start of the protocol, we have enrolled nearly 50 survivors of childhood cancer. We continue to collect data on each patient through our secure electronic database regarding their cancer treatment record;all participants are invited to complete a child health questionnaire evaluating quality of life. Each patient undergoes an individualized screening and counseling program, with careful review of the following endocrine systems: growth, pituitary and hypothalamic function, thyroid function, ovary and testicular function, bone health, risk of obesity, insulin resistance, and metabolic syndrome. We are studying novel markers to assess ovarian function in women with a history of exposure to alkylating agents or radiation. In addition, out of this project, a number of collaborative studies have arisen related to patients with active malignancies and their endocrine abnormalities. In February 2011, in collaboration with the NHLBI, we extended the age of eligible cancer survivors and allowed participants who are survivors of hematopoietic stem cell transplants, regardless of whether they had a primary malignancy. In July of 2011, we added carotid MRI intima-media thickness measurements to screen for early evidence of athlerosclerotic plaque in HSCT survivors and survivors of pediatric malignancies.

Project Start
Project End
Budget Start
Budget End
Support Year
4
Fiscal Year
2013
Total Cost
$119,078
Indirect Cost
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State
Country
Zip Code
Lodish, Maya B (2013) Clinical review: kinase inhibitors: adverse effects related to the endocrine system. J Clin Endocrinol Metab 98:1333-42
Lodish, Maya (2013) Multiple endocrine neoplasia type 2. Front Horm Res 41:16-29
Ramnitz, Mary Scott; Lodish, Maya B (2013) Racial disparities in pubertal development. Semin Reprod Med 31:333-9