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Was a pleasure to deliver a lecture on neuroendocrine #lateeffects of #childhoodcancer to @LondonPaeds @RCPCHtweets trainees today. Some top tips ICYMI (aka how to make a paediatric endocrinologist happy):
1) Measure children at diagnosis (weight AND height). Very useful for future monitoring. If you can assess puberty too.
2) Do baseline pituitary function (ACTH/cortisol (ideally morning), TFTs, U&Es; IGF-1, LH, FSH, testosterone/ estradiol) ideally for all brain tumours (and definitely for all sellar/ suprasellar tumours) at diagnosis, in that priority order if you can't get enough blood.
