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儿童期和生殖期恶性肿瘤存活者:对生育能力和未来亲职的影响。

Surviving childhood and reproductive-age malignancy: effects on fertility and future parenthood.

机构信息

New York University Fertility Center, Department of Obstetrics and Gynecology, New York University School of Medicine, New York, NY 10015, USA.

出版信息

Lancet Oncol. 2010 May;11(5):490-8. doi: 10.1016/S1470-2045(09)70317-1. Epub 2010 Feb 12.

DOI:10.1016/S1470-2045(09)70317-1
PMID:20153978
Abstract

Annually, more than 50,000 cancer diagnoses are made in the USA in patients under the age of 35 years. Despite this staggering statistic, medical advancements have substantially improved survival rates. Thus, for both male and female patients with cancer, quality-of-life issues, such as fertility preservation and parenthood, have become an essential component of treatment. Unfortunately, many of the treatments to eradicate malignant processes can also compromise reproductive function. In these cases, fertility preservation should be discussed and initiated with early treatment planning, to allow the best chance for future parenthood, when appropriate. The effects of cancer and cancer treatments on fertility and future parenthood, including health risks for patients, their gametes, and offspring are discussed.

摘要

每年,美国有超过 5 万名 35 岁以下的患者被诊断出患有癌症。尽管这一统计数据令人震惊,但医学的进步极大地提高了生存率。因此,对于患有癌症的男性和女性患者来说,生育力保存和为人父母等生活质量问题已成为治疗的重要组成部分。不幸的是,许多消除恶性肿瘤的治疗方法也会损害生殖功能。在这种情况下,应该在早期治疗计划中讨论并开始进行生育力保存,以便在适当的时候为未来的育儿提供最佳机会。本文讨论了癌症和癌症治疗对生育能力和未来育儿的影响,包括患者、其配子和后代的健康风险。

相似文献

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Surviving childhood and reproductive-age malignancy: effects on fertility and future parenthood.儿童期和生殖期恶性肿瘤存活者:对生育能力和未来亲职的影响。
Lancet Oncol. 2010 May;11(5):490-8. doi: 10.1016/S1470-2045(09)70317-1. Epub 2010 Feb 12.
2
Interdisciplinary team to tackle fertility issues in cancer survivors.跨学科团队应对癌症幸存者的生育问题。
J Natl Cancer Inst. 2008 Apr 2;100(7):457-8. doi: 10.1093/jnci/djn094. Epub 2008 Mar 25.
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Preservation of fertility in pediatric and adolescent patients with cancer.癌症患儿及青少年患者生育力的保留
Pediatrics. 2008 May;121(5):e1461-9. doi: 10.1542/peds.2008-0593.
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Frozen hope: fertility preservation for women with cancer.冰封的希望:癌症女性的生育力保存。
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Fertility issues in survivors from adolescent cancers.青少年癌症幸存者的生育问题。
Cancer Treat Rev. 2007 Nov;33(7):646-55. doi: 10.1016/j.ctrv.2007.02.001. Epub 2007 May 11.
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Ethical issues surrounding fertility preservation in cancer patients.癌症患者生育力保存相关的伦理问题。
Clin Obstet Gynecol. 2010 Dec;53(4):717-26. doi: 10.1097/GRF.0b013e3181f96a70.
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Cancer survivors and infertility: a review of a new problem and novel answers.癌症幸存者与不孕不育:新问题与新答案综述
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Legal issues related to parenthood after cancer.与癌症后为人父母相关的法律问题。
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Collaborative multidisciplinary team approach to fertility issues among adolescent and young adult cancer patients.针对青少年及年轻成年癌症患者生育问题的多学科协作团队方法。
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[Protection of reproductive functions in patients with tumors].[肿瘤患者生殖功能的保护]
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"Management of andrological disorders from childhood and adolescence to transition age: guidelines from the Italian Society of Andrology and Sexual Medicine (SIAMS) in collaboration with the Italian Society for Pediatric Endocrinology and Diabetology (SIEDP)-Part-1".从儿童期、青春期到过渡期的男科疾病管理:意大利男科学与性医学学会(SIAMS)与意大利儿科学内分泌与糖尿病学会(SIEDP)合作制定的指南 - 第一部分
J Endocrinol Invest. 2025 Jan;48(1):1-22. doi: 10.1007/s40618-024-02435-x. Epub 2024 Aug 10.
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A 12-year overview of fertility preservation practice in Nordic pediatric oncology centers.
北欧儿科肿瘤中心生育力保存实践的12年综述。
J Cancer Surviv. 2024 Jun 14. doi: 10.1007/s11764-024-01627-x.
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Radiotherapy exposure directly damages the uterus and causes pregnancy loss.放疗暴露会直接损伤子宫,导致妊娠丢失。
JCI Insight. 2023 Mar 22;8(6):e163704. doi: 10.1172/jci.insight.163704.
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Disparities in the use of assisted reproductive technologies after breast cancer: a population-based study.乳腺癌患者辅助生殖技术应用的差异:一项基于人群的研究。
Breast Cancer Res Treat. 2023 Feb;198(1):149-158. doi: 10.1007/s10549-022-06857-0. Epub 2023 Jan 6.
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Outcomes after assisted reproductive technology in women with cancer: a systematic review and meta-analysis.癌症女性接受辅助生殖技术后的结局:系统评价和荟萃分析。
Hum Reprod. 2023 Jan 5;38(1):30-45. doi: 10.1093/humrep/deac235.
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Sociodemographic differences in utilization of fertility services among reproductive age women diagnosed with cancer in the USA.美国诊断患有癌症的育龄妇女在生育服务利用方面的社会人口统计学差异。
J Assist Reprod Genet. 2022 Apr;39(4):963-972. doi: 10.1007/s10815-022-02455-7. Epub 2022 Mar 22.
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Disparities in fertility preservation use among adolescent and young adult women with cancer.癌症青少年和年轻女性生育力保存利用的差异。
J Cancer Surviv. 2023 Oct;17(5):1435-1444. doi: 10.1007/s11764-022-01187-y. Epub 2022 Feb 16.
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Fertility preservation in female patients with hematological disorders.血液系统疾病患者的生育力保存。
BMC Pregnancy Childbirth. 2022 Jan 22;22(1):61. doi: 10.1186/s12884-022-04385-9.
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Attitudes and Perceptions of Parenthood Among Young Adult Survivors of Childhood Cancer.青年期癌症幸存者的父母观和生育观。
J Adolesc Young Adult Oncol. 2022 Apr;11(2):138-145. doi: 10.1089/jayao.2020.0213. Epub 2021 May 17.