G. TREATMENT-RELATED CONSIDERATIONS

141. The answer is a.

The target organs most commonly affected are the thyroid, ovaries, and testes. Late effects can include alterations in metabolism, growth, secondary sexual characteristics, and reproduction. CNPP, Page 2031.

142. The answer is b.

High doses of radiation to the hypothalamic pituitary axis can damage the hypothalamus and disrupt the production of growth hormone. Growth hormone deficiency with short stature is one of the most common long-term endocrine consequences of radiation to the central nervous system in children. CNPP, Pages 363–364, 1501.

143. The answer is a.

Fatigue is normal for many months following treatment and often occurs with other symptoms. CNPP, Pages 804, 2014. CSM, Pages ...

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