| Naslov: | Long-term adverse effects of neck radiotherapy in childhood on the carotid arteries in survivors of hodgkin lymphoma |
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| Avtorji: | ID Popit, Matjaž (Avtor)
ID Zaletel, Marjan (Avtor)
ID Žvan, Bojana (Avtor)
ID Zadravec-Zaletel, Lorna (Avtor) |
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| Datoteke: |  PDF - Predstavitvena datoteka, prenos (573,88 KB)
MD5: B644CAA261717264A0DCCB47C9461F22
 URL - Izvorni URL, za dostop obiščite https://doi.org/10.3390/cancers15153992
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| Jezik: | Angleški jezik |
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| Tipologija: | 1.01 - Izvirni znanstveni članek |
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| Organizacija: |  UKC LJ - Univerzitetni klinični center Ljubljana
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| Povzetek: | Abstract: Introduction: Survivors of Hodgkin lymphoma are recognized to have an increased risk of stroke and carotid artery disease owing to neck irradiation (RT). However, it remains unclear whether the vascular modifications induced by the treatment of Hodgkin lymphoma during childhood persist over the long term. Methods: Our matched study involved 79 survivors of Hodgkin lymphoma in childhood who received neck RT and 57 healthy controls. Parameters of arterial stiffness (AS), intima-media thickness (IMT), and flow-mediated dilation (FMD) of carotid arteries were assessed using ultrasound. Results: Our patient cohort demonstrated a significant increase in AS compared to controls (p < 0.05), though no such disparity was observed for FMD (p = 0.111). Neck RT intensified AS (B = 0.037, p = 0.000), while anthracyclines attenuated it (B = −0.803, p = 0.000). Multivariate analysis revealed a positive correlation between neck RT (p < 0.001) and AS. However, we found no significant association between neck RT and FMD (p = 0.277). We identified a substantial positive correlation between the dose of neck RT and AS. Conclusions: Vascular changes in survivors of childhood Hodgkin lymphoma after neck RT seem to be long-term. Therefore, these patients may have an increased risk of stroke. We suggest refinement of international guidelines according to our results. |
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| Ključne besede: | Hodgkin lymphoma, childhood, neck radiotherapy |
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| Status publikacije: | Objavljeno |
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| Verzija publikacije: | Objavljena publikacija |
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| Leto izida: | 2023 |
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| Št. strani: | str. 1-11 |
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| Številčenje: | Vol. 15 |
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| PID: | 20.500.12556/DiRROS-31709  |
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| UDK: | 616-053.2 |
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| ISSN pri članku: | 2072-6694 |
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| DOI: | 10.3390/cancers15153992 |
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| COBISS.SI-ID: | 160729603 |
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| Opomba: | Nasl. z nasl. zaslona;
Opis vira z dne 7. 8. 2023;
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| Datum objave v DiRROS: | 06.08.2026 |
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| Število ogledov: | 115 |
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| Število prenosov: | 81 |
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| Metapodatki: |    |
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