PMID: 2122051Aug 1, 1990Paper

The influence of chemotherapy on testicular function of boys with acute lymphoblastic leukemia

Nihon Hinyōkika Gakkai zasshi. The japanese journal of urology
H Ishii

Abstract

In order to investigate gonadal development of boys after chemotherapy, testicular biopsy specimens, which were obtained from 16 boys within 6 months after completion of the therapy for acute lymphoblastic leukemia, were assessed and their gonadal function was examined. More than half of them showed a decrease of Mean Tubular Diameter and Johnsen's Score Count, but no specimen showed a decrease of Tubular Fertility Index. Seventeen healed patients consisting of 12 biopsied and 5 non-biopsied cases were examined as to the volume of testis, development of the genital organ, skeletal age, plasma LH, FSH, testosterone, LH-RH test and HCG test. The period of follow-up after completion of chemotherapy varied from 1 month to 5 years. All patients showed testis volume, development of external genitalia and skeletal age suitable for their age. Some patients who were examined within 2 years after completion of chemotherapy, showed abnormal endocrine functions, but other patients examined after more than two years showed normal endocrine functions except a case who received testicular irradiation. Semen analysis in one case revealed density and motility within normal range. These data indicate that chemotherapy of acute lymphoblastic leuk...Continue Reading

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