Cancer Survivorship Clinic
The impact of a cancer diagnosis and the process of treatment are life altering for children and their families. Diagnosis of endocrine problems may occur at any stage in a child's cancer treatment including appearing years after the end of cancer treatment.
The endocrine system relating to hormones and function of the organs regulated by those hormones touches very broad areas of health in the body and is often impacted by cancer treatment. Damage from the silent presence of these problems may take years to appear.
Worrisome Factors:
Growth and puberty problems are a large part of the problems seen in the clinic with worrisome signs including:
- Abnormally slow growth with short stature
- Early appearance of puberty
- Delayed or absent puberty
Thyroid problems are also quite common with worrisome signs including:
- Extreme fatigue
- Slow growth
Lastly, problems with bone health may occur leading to frequent broken bones or daily problems with bone pain.
What we do:
The clinic offers a number of advantages from traditional endocrine clinic experience:
- An extended focused evaluation and care of endocrine problems
- Detailed dietary assessment
- Additional education on a survivor's endocrine problem(s)
- Ongoing screening for late endocrine effects
- Availability of staff to provide additional coordination of care
Future plans are to help cancer survivors and their families identify healthcare providers in their area who will ultimately assume ongoing endocrine care in the young adult cancer survivor.
Rare problems seen:
- Hypothalamic obesity
- Osteoporosis
Common problems seen:
- Growth hormone deficiency
- Precocious puberty
- Hypothyroidism
A recent study reported that roughly 60% of young adult cancer survivors have at least one chronic health condition as a consequence of their diagnosis and treatment.
Nearly 50% of those chronic health conditions are endocrine-related. Detecting and treating endocrine problems early is essential for good health and quality of life.
The children's cancer survivorship endocrine clinic helps children and their families:
- Who have existing endocrine problems
- Who need ongoing endocrine screening during or shortly after their cancer treatment
- Who are longer-term survivors and need specific screening for late endocrine effects
Your care team
When you bring your child to Cook Children's, you can trust that every aspect of your child's care will be delivered by an amazing medical team, clinicians and caregivers, that includes:
- Board certified physicians
- Certified pediatric nurse practitioners
- Nurse educators
- Nutritionists
- Social workers
- Clinical therapists
- Child Life specialists
Care and treatment
Most endocrinology tests and services are available without a hospital stay; however, children who are seriously ill may be admitted to Cook Children's Medical Center for specialized physician care and monitoring.
We're here to help.
If your child has been diagnosed, you probably have lots of questions. We can help. If you would like to schedule an appointment, refer a patient or speak to our staff, please call our offices at 682-885-7960.