The effect of chemotherapy on growth in the skeletally immature individual Journal Article


Authors: Glasser, D. B.; Duane, K.; Lane, J. M.; Healey, J. H.; Caparros-Sison, B.
Article Title: The effect of chemotherapy on growth in the skeletally immature individual
Abstract: One hundred twenty-two children with nonmetastatic osteogenic or Ewing's sarcoma were studied to assess the effect of multiagent adjuvant chemotherapy on skeletal growth and final stature. No deviations from the height distributions of a normal population were noted at diagnosis. There was a marked retardation of linear growth during the year of intensive chemotherapy. Only 15% of the patients grew at the expected rate during that year. The distribution of nutritional status scores was significantly different at the end of the first year than at baseline. The distribution of ultimate height scores was significantly different than the baseline distribution. The overall final distribution was also significantly different from the normal population expectation. Any absolute difference in height, however, is likely to be small. The subgroups that were observed to full adult stature showed mean heights of 162 cm for girls and 176 cm for boys.
Keywords: osteosarcoma; adolescent; child; controlled study; bone neoplasms; child, preschool; major clinical study; doxorubicin; antineoplastic agent; antineoplastic combined chemotherapy protocols; cyclophosphamide; vincristine; dactinomycin; bleomycin; body height; sarcoma, ewing's; growth; human; male; female; priority journal; article; support, non-u.s. gov't; support, u.s. gov't, p.h.s.
Journal Title: Clinical Orthopaedics and Related Research
Volume: 262
ISSN: 0009-921X
Publisher: Springer  
Date Published: 1991-01-01
Start Page: 93
End Page: 100
Language: English
PUBMED: 1984937
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 27 September 2019 -- Source: Scopus
Citation Impact
MSK Authors
  1. John H Healey
    547 Healey
  2. Joseph M. Lane
    66 Lane
  3. Dale B. Glasser
    14 Glasser