Searchable abstracts of presentations at key conferences in endocrinology
Endocrine Abstracts (2011) 26 S19.2

ECE2011 Symposia Management of endocrine disease in adolescence (3 abstracts)

The challenges of managing childhood cancer survivors during adolescence

H K Gleeson


Leicester Royal Infirmary, Leicester, UK.


In the UK 1 in 500 children will develop cancer in childhood. Survival from childhood cancer has more than doubled since the 1960s. Survivorship is increasingly on the agenda and the National Cancer Survivorship Initiative has been launched in the UK.

During adolescence the endocrinologist is faced with four challenges in managing childhood cancer survivors:-

1. Managing the immediate endocrine consequences of cancer therapy, in particular, those relating to timing of puberty and growth.

2. Recognising that these patients are young people first and childhood cancer survivors second, and the importance of addressing the wider issues of adolescence.

3. Working as part of a multidisciplinary team and considering the wider implications of cancer therapy on reproductive potential, bone and cardiovascular health, risk of second malignancies, morbidity and mortality.

4. Identifying a suitable adult endocrinologist with the expertise to provide ongoing endocrine care for childhood cancer survivors in adulthood.

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