Cover Page The handle http://hdl.handle.net/1887/24412 holds various files of this Leiden University dissertation Author: Willemse, Peter-Paul M. Title: Skeletal and metabolic complications of testicular germ cell tumours Issue Date: 2014-03-06 Skeletal and Metabolic Complications of Testicular Germ Cell Tumours Peter-Paul Michiel Willemse Colophon Skeletal and Metabolic Complications of Testicular Germ Cell Tumours. PhD-Thesis, University of Leiden, The Netherlands. Copyright © 2014 Peter-Paul Michiel Willemse, Rotterdam, The Netherlands. All rights are reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage or retrieval system without permission of the author or the publisher of the included scientific papers. ISBN/EAN: 978-90-5335-804-7 Cover design: P.M. Willlemse Lay out: Buro Gom, Arnhem, the Netherlands Printed by: Ridderprint BV, Ridderkerk, the Netherlands The publication of this thesis was supported by: the Department of Clinical Oncology of the LUMC, Abbvie B.V., Amgen B.V., Astellas B.V., GlaxoSmithKline, Janssen-Cilag B.V. and Pfizer B.V. Cover-illustratie: Meridiaankogels, in het Engels “Boading balls” of “Chinese health balls” genoemd, zijn Chinese massagekogels. Ze staan bekend als één van de “drie schatten van Boading” en stammen uit de tijd van de Ming-dynastie (1368-1644). Meridiaankogels werden oorspronkelijk vervaardigd uit hout, metaal of mineralen, zoals Jade. Volgens de klassieke Chinese geneeskunde zijn alle vitale organen via energiebanen (meridianen) met de vingertoppen verbonden en kunnen zo worden gestimuleerd. Skeletal and Metabolic Complications of Testicular Germ Cell Tumours Proefschrift ter verkrijging van de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof. mr. C.J.J.M. Stolker, volgens besluit van het College voor Promoties te verdedigen op donderdag 6 maart 2014 klokke 16:15 uur door Peter-Paul Michiel Willemse geboren te Rotterdam in 1978 Promotie Commissie Promotores Prof. Dr. S. Osanto Prof. Dr. J. Burggraaf Co-promotor Dr. N.A.T. Hamdy Overige leden Prof. Dr. F.R. Rosendaal Prof. Dr. C.H. Bangma, Erasmus Universiteit Rotterdam Prof. Dr. J.H.M. Schellens, Universiteit Utrecht Table of contents Chapter 1 General Introduction and outline of the thesis 7 Chapter 2Prevalence of metabolic syndrome and cardiovascular disease in chemotherapy-treated testicular germ cell tumour survivors. Br J Cancer. 2013 21 Chapter 3Abdominal visceral and subcutaneous fat increase, insulin resistance and hyperlipidemia in testicular cancer patients treated with cisplatin-based chemotherapy. Acta Oncol. 2013 39 Chapter 4Chemotherapy for testicular cancer induces acute alterations in diastolic heart function. Br J Cancer. 2013 59 Chapter 5Cisplatin-based chemotherapy increased serum iron and nontransferrin bound iron in patients treated for testicular cancer. Submitted 71 Chapter 6Prevalence of vertebral fractures independent of BMD and anticancer treatment in patients with testicular germ cell tumours. J Clin Endocrinol Metab. 2010 87 Chapter 7Natural history of changes in bone mineral density in newly diagnosed testicular cancer patients after anti-cancer treatment. 105 Chapter 8 Summary and general discussion 125 Chapter 9 Dutch summary 135 Appendices References Abbreviations Acknowledgements Curriculum Vitae List of publications 143 144 156 161 163 164