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卵巢组织冷冻保存与移植:一种为患有恶性肿瘤的儿科患者保留生育能力的选择。

Ovarian tissue cryostorage and grafting: an option to preserve fertility in pediatric patients with malignancies.

作者信息

Moffa Federica, Biacchiardi Chiara Perono, Fagioli Franca, Biasin Eleonora, Revelli Alberto, Massobrio Marco, Madon Enrico

机构信息

Reproductive Medicine and IVF Unit, Department of Gynaecological and Obstetrical Sciences, University of Turin, OIRM-S., Anna Hospital, Turin, Italy.

出版信息

Pediatr Hematol Oncol. 2007 Jan-Feb;24(1):29-44. doi: 10.1080/08880010600970468.

Abstract

Fertility preservation in childhood cancer has become an important area of investigation due to increasing survival rates after cancer therapy. For these patients with an increased risk of infertility and premature ovarian failure, cryopreservation of ovarian tissue is a promising tool to preserve at least part of the reproductive potential. In recent years significant improvements have been achieved in this area, and 2 live births after autografting of frozen-thawed ovarian tissue have been reported. However, further research is needed to assess the clinical effectiveness of ovarian cryopreservation, to optimize the technique, and to limit the risk of reintroducing cancer cells in the patient with the graft.

摘要

由于癌症治疗后生存率不断提高,儿童癌症患者的生育力保存已成为一个重要的研究领域。对于这些不孕和卵巢早衰风险增加的患者,卵巢组织冷冻保存是一种有前景的工具,可至少保留部分生殖潜能。近年来,该领域已取得显著进展,已有报道称冻融卵巢组织自体移植后有2例活产。然而,仍需要进一步研究来评估卵巢冷冻保存的临床效果,优化技术,并降低移植时将癌细胞重新引入患者体内的风险。

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