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Fertility preservation issues in pediatric hematopoietic stem cell transplantation: practical approaches from the consensus of the Pediatric Diseases Working Party of the EBMT and the International BFM Study Group.儿童造血干细胞移植中的生育力保存问题:来自 EBMT 儿科疾病工作组和国际 BFM 研究组共识的实用方法。
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本文引用的文献

1
A national study of the provision of oncology sperm banking services among Canadian fertility clinics.一项针对加拿大生育诊所提供肿瘤学精子库服务的全国性研究。
Eur J Cancer Care (Engl). 2013 Jul;22(4):440-9. doi: 10.1111/ecc.12045. Epub 2013 Feb 4.
2
A national study of the provision of oncofertility services to female patients in Canada.一项关于加拿大为女性患者提供生育力保存服务的全国性研究。
J Obstet Gynaecol Can. 2012 Sep;34(9):849-858. doi: 10.1016/S1701-2163(16)35384-1.
3
Canadian trends in cancer prevalence.加拿大癌症流行趋势。
Health Rep. 2012 Mar;23(1):7-16.
4
Oocyte formation by mitotically active germ cells purified from ovaries of reproductive-age women.从生育期妇女的卵巢中纯化的有丝分裂活性生殖细胞形成卵母细胞。
Nat Med. 2012 Feb 26;18(3):413-21. doi: 10.1038/nm.2669.
5
Fertility preservation practices among Ontario oncologists.安大略省肿瘤学家的生育力保存实践。
J Cancer Educ. 2012 Jun;27(2):362-8. doi: 10.1007/s13187-011-0301-4.
6
Congenital anomalies in the children of cancer survivors: a report from the childhood cancer survivor study.癌症幸存者儿童的先天畸形:来自儿童癌症幸存者研究的报告。
J Clin Oncol. 2012 Jan 20;30(3):239-45. doi: 10.1200/JCO.2011.37.2938. Epub 2011 Dec 12.
7
Advanced reproductive age and fertility.高龄生育与生育力
J Obstet Gynaecol Can. 2011 Nov;33(11):1165-1175. doi: 10.1016/S1701-2163(16)35087-3.
8
Adjuvant gonadotropin-releasing hormone analogues for the prevention of chemotherapy induced premature ovarian failure in premenopausal women.辅助性促性腺激素释放激素类似物用于预防绝经前女性化疗引起的卵巢早衰
Cochrane Database Syst Rev. 2011 Nov 9(11):CD008018. doi: 10.1002/14651858.CD008018.pub2.
9
The Gynecologist Has a Unique Role in Providing Oncofertility Care to Young Cancer Patients.妇科医生在为年轻癌症患者提供肿瘤生育力保护治疗方面发挥着独特作用。
US Obstet Gynecol. 2011 Jan 1;6(1):24-34.
10
Acute ovarian failure underestimates age-specific reproductive impairment for young women undergoing chemotherapy for cancer.癌症化疗的年轻女性发生急性卵巢衰竭低估了特定年龄相关的生殖损害。
Cancer. 2012 Apr 1;118(7):1933-9. doi: 10.1002/cncr.26403. Epub 2011 Aug 17.

加拿大的肿瘤生育力保护:癌症对生育力的影响。

Oncofertility in Canada: the impact of cancer on fertility.

机构信息

Department of Obstetrics and Gynecology, Queen's University, Kingston, ON.

出版信息

Curr Oncol. 2013 Aug;20(4):e338-44. doi: 10.3747/co.20.1358.

DOI:10.3747/co.20.1358
PMID:23904772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3728062/
Abstract

BACKGROUND

Cancer can be a devastating diagnosis. In particular, malignancy and its indicated treatments have profoundly negative effects on the fertility of young cancer patients. Oncofertility has emerged as a new interdisciplinary field to address the issue of gonadotoxicity associated with cancer therapies and to facilitate fertility preservation. In Canada, these fertility issues are often inadequately addressed despite the availability of resources. The goal of this four-part series is to facilitate systemic improvements in fertility preservation for adolescent and young adult Canadians with a new diagnosis of cancer.

METHODS

In this article, we review the gonadotoxic effects of cancer treatment on young men and women of reproductive age.

RESULTS

The detrimental effects of cancer on fertility can be severe and may vary depending on the chemotherapy, radiotherapy, or surgical treatments involved.

CONCLUSIONS

Fertility preservation should be addressed in an effort to mitigate the gonadal damage that may come with cancer therapy.

摘要

背景

癌症可能是一个毁灭性的诊断。特别是,恶性肿瘤及其治疗方法对年轻癌症患者的生育能力有深远的负面影响。肿瘤生育学作为一个新的跨学科领域出现,旨在解决与癌症治疗相关的性腺毒性问题,并促进生育力保存。在加拿大,尽管有资源,但这些生育问题往往没有得到充分解决。本系列文章共四部分,旨在为新诊断患有癌症的青少年和年轻成年加拿大人提供生育力保存方面的系统改进。

方法

在本文中,我们回顾了癌症治疗对生育期男女的性腺毒性作用。

结果

癌症对生育力的不利影响可能很严重,并且可能因所涉及的化疗、放疗或手术治疗而有所不同。

结论

应该解决生育力保存问题,以减轻癌症治疗可能带来的性腺损伤。