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戈舍瑞林致绝经前乳腺癌患者卵巢去势失败并妊娠 1 例报告及文献复习

Failure of ovarian ablation with goserelin in a pre-menopausal breast cancer patient resulting in pregnancy: a case report and review of the literature.

机构信息

Cancer Centre of Southeastern Ontario, Kingston, Canada.

出版信息

Breast Cancer Res Treat. 2011 Aug;129(1):265-8. doi: 10.1007/s10549-011-1542-y. Epub 2011 May 4.

DOI:10.1007/s10549-011-1542-y
PMID:21541703
Abstract

To report an unanticipated pregnancy during ovarian ablation treatment with goserelin (10.8 mg SC every 12 weeks) in a 26-year old female with breast cancer. Review of the current literature and reports in MEDLINE, PubMED, and EMBASE using searches with keywords "goserelin, pregnancy, breast cancer, breast neoplasms, fertility, ovarian ablation, gonadotropin releasing hormone agonists/analogs, leuprolide, pregnancy complications, teratogens" (July-September 2010). Only 3 other reports of failures with goserelin administration at ablative doses in breast cancer patients were discovered. For physicians and breast cancer patients using a GnRH analog, it is important to be aware of the possibility of inadequate ovarian function suppression and the potential for pregnancy.

摘要

报告一例乳腺癌女性患者在接受戈舍瑞林(10.8mg,每 12 周皮下注射)卵巢去势治疗期间发生意外妊娠。检索 MEDLINE、PubMED 和 EMBASE 中的当前文献和报告,使用的关键词为“goserelin,pregnancy,breast cancer,breast neoplasms,fertility,ovarian ablation,gonadotropin releasing hormone agonists/analogs,leuprolide,pregnancy complications,teratogens”(2010 年 7-9 月)。仅发现另外 3 例乳腺癌患者使用戈舍瑞林进行去势剂量治疗失败的报告。对于使用 GnRH 类似物的医生和乳腺癌患者,必须意识到卵巢功能抑制不足的可能性和妊娠的潜在风险。

相似文献

1
Failure of ovarian ablation with goserelin in a pre-menopausal breast cancer patient resulting in pregnancy: a case report and review of the literature.戈舍瑞林致绝经前乳腺癌患者卵巢去势失败并妊娠 1 例报告及文献复习
Breast Cancer Res Treat. 2011 Aug;129(1):265-8. doi: 10.1007/s10549-011-1542-y. Epub 2011 May 4.
2
Failure of goserelin ovarian ablation in premenopausal women with breast cancer: two case reports.戈舍瑞林对绝经前乳腺癌女性卵巢去势失败:两例病例报告
Gynecol Oncol. 2000 Jan;76(1):126-7. doi: 10.1006/gyno.1999.5641.
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Ovarian protection with goserelin during adjuvant chemotherapy for pre-menopausal women with early breast cancer (EBC).戈舍瑞林在绝经前早期乳腺癌(EBC)女性辅助化疗期间对卵巢的保护作用。
Breast Cancer Res Treat. 2008 Aug;110(3):411-6. doi: 10.1007/s10549-007-9745-y. Epub 2007 Sep 13.
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Use of goserelin in the treatment of breast cancer.戈舍瑞林在乳腺癌治疗中的应用。
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[Adjuvant chemotherapy of premenopausal breast cancer with LH-RH analogue for ovarian protection--a case report].[促性腺激素释放激素类似物用于绝经前乳腺癌辅助化疗中的卵巢保护——病例报告]
Gan To Kagaku Ryoho. 2005 Jul;32(7):1069-72.
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Management of premenopausal women with early-stage breast cancer: is there a role for ovarian suppression?绝经前早期乳腺癌女性的管理:卵巢抑制是否起作用?
Clin Breast Cancer. 2002 Oct;3(4):260-7. doi: 10.3816/CBC.2002.n.029.
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Short term results from GHRH analogue use in pre-menopausal breast cancer in Korea.韩国绝经前乳腺癌患者使用生长激素释放激素类似物的短期结果。
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Bone mineral density among premenopausal women with early breast cancer in a randomized trial of adjuvant endocrine therapy.辅助内分泌治疗随机试验中早期乳腺癌绝经前女性的骨矿物质密度
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[Role of ovarian suppression in the combined treatment of breast cancer patients in premenopause].[卵巢抑制在绝经前乳腺癌患者联合治疗中的作用]
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Goserelin (Zoladex)--its role in early breast cancer in pre- and perimenopausal women.戈舍瑞林(诺雷德)——其在绝经前和围绝经期女性早期乳腺癌中的作用。
Br J Cancer. 2001 Nov;85 Suppl 2(Suppl 2):1-5. doi: 10.1054/bjoc.2001.1981.

引用本文的文献

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Delivery of a healthy infant in a woman with breast cancer inadvertently treated with exemestane and goserelin during pregnancy: A case report.一名乳腺癌女性在孕期意外接受依西美坦和戈舍瑞林治疗后产下健康婴儿:病例报告。
Obstet Med. 2025 May 29:1753495X251344768. doi: 10.1177/1753495X251344768.
2
Goserelin Ovarian Ablation Failure in Premenopausal Women With Breast Cancer.戈舍瑞林对绝经前乳腺癌女性的卵巢去势失败
Cureus. 2021 Nov 15;13(11):e19608. doi: 10.7759/cureus.19608. eCollection 2021 Nov.
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Prognostic Value of Chemotherapy-Induced Neutropenia at the First Cycle in Invasive Breast Cancer.
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Medicine (Baltimore). 2016 Mar;95(13):e3240. doi: 10.1097/MD.0000000000003240.