Evaluación de la función gonadal en pacientes pospuberales sometidos a trasplante de médula ósea durante la infancia
Evaluation of gonadal function in post-pubertal patients after bone morrow transplantation during childhood
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"apellidos" => "Pérez Rodríguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Alonso Blanco" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "E." "apellidos" => "Otheo de Tejada Barasoain" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "M.S." "apellidos" => "Maldonado Regalado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "A." "apellidos" => "Muñoz Villa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "R." "apellidos" => "Barrio Castellanos" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidades de Endocrinología Pediátrica" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Trasplante de Médula Ósea. Servicio de Pediatría. Hospital Ramón y Cajal. Madrid." "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Pediatría. Hospital Ramón y Cajal. Ctra. de Colmenar, km 9,1. 28034 Madrid." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Evaluation of gonadal function in post-pubertal patients after bone morrow transplantation during childhood" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-12-31" "fechaAceptado" => "2000-06-30" "PalabrasClave" => array:1 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec186449" "palabras" => array:3 [ 0 => "Bone marrow transplantation" 1 => "Childhood" 2 => "Gonadal damage" ] ] 1 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186450" "palabras" => array:4 [ 0 => "Trasplante de médula ósea" 1 => "Niños" 2 => "Disfunción gonadal" 3 => "Desarrollo puberal" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar el impacto sobre la función gonadal del trasplante de médula ósea realizado durante la infancia.</p> <span class="elsevierStyleSectionTitle">métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudiamos la función gonadal en 19 pacientes pospuberales (13 varones y 6 mujeres) de 12,6 a 20 años de edad, 2 a 9 años después de haber sido sometidos a trasplante de médula ósea por distintas enfermedades. Quince pacientes habían recibido tratamiento quimioterápico previo y 6 pacientes radioterapia craneal; 11 pacientes recibieron radioterapia corporal total durante el acondicionamiento. Se caracterizaron los estadios de Tanner de desarrollo puberal y se midieron el volumen testicular en los varones (orquidómetro de Prader) y las concentraciones séricas de LH, FSH, testosterona y 17-beta-estradiol.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Doce pacientes presentaron disfunción gonadal primaria. Tres de ellos no habían recibido radioterapia corporal total.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los resultados obtenidos demuestran que la disfunción gonadal es una secuela frecuente en los niños sometidos a trasplante de médula ósea; el daño puede ser atribuido tanto a la quimioterapia como a la radioterapia, sin poder excluir un efecto sinérgico de ambas. El hecho de que el trasplante tuviera lugar en la etapa prepuberal no puede considerarse en nuestra serie como un factor protector frente al daño gonadal inducido por quimioterapia o radioterapia.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To evaluate the effect of bone marrow transplantation during childhood on gonadal function in postpubertal patients.</p> <span class="elsevierStyleSectionTitle">Procedure</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We studied 19 post-pubertal patients (13 males, 6 females) aged 13-20 years, 2-9 years after bone marrow transplantation for diverse diseases. Fifteen patients had received multi-agent cytotoxic treatment and 6 had received cranial irradiation prior to transplantation; eleven patients received total body irradiation. Gonadal function was assessed by typifying Tanner's stages of pubertal development and by measuring testicular volume in males (Prader's orchidometer). Serum concentrations of lutei-nizing hormone, follicle-stimulating hormone, testosterone and 17-beta-estradiol were also measured.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Twelve patients were found to have gonadal dysfunction of gonadal origin. Of these, three had not received total body irradiation.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The results obtained show that gonadal dysfunction is frequent in patients treated with bone marrow transplantation. This damage can be attributed to both chemo-and radiotherapy but a synergistic effect between these treatments could not be excluded. The prepubertal status of patients at the moment of transplantation was not a protective factor against chemo- or radiotherapy-induced gonadal damage in our series.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Improvements in survival from childhood cancer: results of a population based survey over 30 years" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.M. Birch" 1 => "H.B. Marsden" 2 => "P.H. Morris Jones" 3 => "D. Pearson" 4 => "V. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 12 | 15 | 27 |
| 2024 Octubre | 68 | 49 | 117 |
| 2024 Septiembre | 78 | 24 | 102 |
| 2024 Agosto | 69 | 60 | 129 |
| 2024 Julio | 53 | 49 | 102 |
| 2024 Junio | 61 | 39 | 100 |
| 2024 Mayo | 66 | 40 | 106 |
| 2024 Abril | 47 | 30 | 77 |
| 2024 Marzo | 43 | 36 | 79 |
| 2024 Febrero | 40 | 42 | 82 |
| 2024 Enero | 64 | 26 | 90 |
| 2023 Diciembre | 58 | 20 | 78 |
| 2023 Noviembre | 53 | 23 | 76 |
| 2023 Octubre | 54 | 34 | 88 |
| 2023 Septiembre | 30 | 26 | 56 |
| 2023 Agosto | 30 | 21 | 51 |
| 2023 Julio | 49 | 33 | 82 |
| 2023 Junio | 50 | 30 | 80 |
| 2023 Mayo | 53 | 25 | 78 |
| 2023 Abril | 31 | 20 | 51 |
| 2023 Marzo | 46 | 35 | 81 |
| 2023 Febrero | 28 | 21 | 49 |
| 2023 Enero | 31 | 31 | 62 |
| 2022 Diciembre | 29 | 37 | 66 |
| 2022 Noviembre | 54 | 46 | 100 |
| 2022 Octubre | 41 | 53 | 94 |
| 2022 Septiembre | 30 | 28 | 58 |
| 2022 Agosto | 53 | 57 | 110 |
| 2022 Julio | 32 | 51 | 83 |
| 2022 Junio | 23 | 39 | 62 |
| 2022 Mayo | 29 | 37 | 66 |
| 2022 Abril | 42 | 64 | 106 |
| 2022 Marzo | 26 | 56 | 82 |
| 2022 Febrero | 30 | 31 | 61 |
| 2022 Enero | 30 | 46 | 76 |
| 2021 Diciembre | 27 | 57 | 84 |
| 2021 Noviembre | 29 | 48 | 77 |
| 2021 Octubre | 46 | 65 | 111 |
| 2021 Septiembre | 22 | 45 | 67 |
| 2021 Agosto | 22 | 39 | 61 |
| 2021 Julio | 40 | 43 | 83 |
| 2021 Junio | 34 | 54 | 88 |
| 2021 Mayo | 20 | 26 | 46 |
| 2021 Abril | 47 | 67 | 114 |
| 2021 Marzo | 81 | 12 | 93 |
| 2021 Febrero | 67 | 15 | 82 |
| 2021 Enero | 23 | 17 | 40 |
| 2020 Diciembre | 36 | 8 | 44 |
| 2020 Noviembre | 27 | 15 | 42 |
| 2020 Octubre | 28 | 14 | 42 |
| 2020 Septiembre | 31 | 3 | 34 |
| 2020 Agosto | 22 | 18 | 40 |
| 2020 Julio | 39 | 12 | 51 |
| 2020 Junio | 40 | 23 | 63 |
| 2020 Mayo | 26 | 19 | 45 |
| 2020 Abril | 24 | 11 | 35 |
| 2020 Marzo | 23 | 9 | 32 |
| 2020 Febrero | 32 | 18 | 50 |
| 2020 Enero | 52 | 13 | 65 |
| 2019 Diciembre | 32 | 25 | 57 |
| 2019 Noviembre | 27 | 11 | 38 |
| 2019 Octubre | 25 | 5 | 30 |
| 2019 Septiembre | 26 | 11 | 37 |
| 2019 Agosto | 32 | 14 | 46 |
| 2019 Julio | 27 | 37 | 64 |
| 2019 Junio | 29 | 24 | 53 |
| 2019 Mayo | 39 | 33 | 72 |
| 2019 Abril | 75 | 18 | 93 |
| 2019 Marzo | 15 | 16 | 31 |
| 2019 Febrero | 16 | 11 | 27 |
| 2019 Enero | 17 | 13 | 30 |
| 2018 Diciembre | 19 | 19 | 38 |
| 2018 Noviembre | 24 | 16 | 40 |
| 2018 Octubre | 29 | 14 | 43 |
| 2018 Septiembre | 16 | 10 | 26 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Julio | 1 | 0 | 1 |
| 2018 Mayo | 4 | 0 | 4 |
| 2018 Abril | 20 | 0 | 20 |
| 2018 Marzo | 2 | 0 | 2 |
| 2018 Febrero | 11 | 0 | 11 |
| 2018 Enero | 10 | 0 | 10 |
| 2017 Diciembre | 5 | 0 | 5 |
| 2017 Noviembre | 13 | 0 | 13 |
| 2017 Octubre | 13 | 0 | 13 |
| 2017 Septiembre | 12 | 0 | 12 |
| 2017 Agosto | 8 | 0 | 8 |
| 2017 Julio | 12 | 1 | 13 |
| 2017 Junio | 13 | 7 | 20 |
| 2017 Mayo | 20 | 10 | 30 |
| 2017 Abril | 12 | 4 | 16 |
| 2017 Marzo | 15 | 4 | 19 |
| 2017 Febrero | 10 | 4 | 14 |
| 2017 Enero | 4 | 4 | 8 |
| 2016 Diciembre | 13 | 6 | 19 |
| 2016 Noviembre | 21 | 6 | 27 |
| 2016 Octubre | 34 | 12 | 46 |
| 2016 Septiembre | 25 | 3 | 28 |
| 2016 Agosto | 28 | 12 | 40 |
| 2016 Julio | 15 | 8 | 23 |
| 2016 Junio | 1 | 0 | 1 |
| 2016 Mayo | 1 | 0 | 1 |
| 2016 Abril | 1 | 0 | 1 |
| 2016 Marzo | 3 | 0 | 3 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Septiembre | 1 | 0 | 1 |
| 2015 Julio | 9 | 0 | 9 |
| 2015 Junio | 7 | 0 | 7 |
| 2015 Mayo | 14 | 0 | 14 |
| 2015 Abril | 13 | 0 | 13 |
| 2015 Marzo | 16 | 0 | 16 |
| 2015 Febrero | 9 | 0 | 9 |
| 2015 Enero | 11 | 0 | 11 |
| 2014 Diciembre | 9 | 1 | 10 |
| 2014 Noviembre | 10 | 0 | 10 |
| 2014 Octubre | 8 | 0 | 8 |
| 2014 Septiembre | 15 | 0 | 15 |
| 2014 Agosto | 11 | 0 | 11 |
| 2014 Julio | 11 | 1 | 12 |
| 2014 Junio | 22 | 2 | 24 |
| 2014 Mayo | 24 | 2 | 26 |
| 2014 Abril | 13 | 1 | 14 |
| 2014 Marzo | 17 | 5 | 22 |
| 2014 Febrero | 13 | 11 | 24 |
| 2014 Enero | 24 | 9 | 33 |
| 2013 Diciembre | 14 | 9 | 23 |
| 2013 Noviembre | 17 | 4 | 21 |
| 2013 Octubre | 18 | 8 | 26 |
| 2013 Septiembre | 18 | 10 | 28 |
| 2013 Agosto | 10 | 7 | 17 |
| 2013 Julio | 5 | 2 | 7 |
| 2013 Junio | 2 | 4 | 6 |
| 2013 Mayo | 4 | 3 | 7 |
| 2013 Abril | 3 | 2 | 5 |
| 2013 Marzo | 4 | 4 | 8 |
| 2013 Febrero | 22 | 4 | 26 |
| 2013 Enero | 7 | 1 | 8 |
| 2012 Diciembre | 9 | 2 | 11 |
| 2012 Noviembre | 8 | 1 | 9 |
| 2012 Octubre | 8 | 1 | 9 |
| 2012 Septiembre | 2 | 1 | 3 |
| 2000 Septiembre | 2371 | 0 | 2371 |
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