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[肿瘤生育力与治疗方式。文献综述]

[Oncofertility and therapeutic modalities. Survey of literature].

作者信息

Sápy Tamás, Póka Róbert

机构信息

Szülészeti és Nőgyógyászati Intézet, Debreceni Egyetem, Általános Orvostudományi Kar Debrecen, Nagyerdei krt. 98., 4032.

出版信息

Orv Hetil. 2017 May;158(18):683-691. doi: 10.1556/650.2017.30730.

DOI:10.1556/650.2017.30730
PMID:28468536
Abstract

Surgical and radiological treatment as well as chemotherapy and biological therapy may have harmful effects on young patients' future fertility. Increasingly greater emphasis has been put on ensuring these patients' long-term quality of life, therefore, in addition to survival, preserving their prospective fertility is also among our aims. The term 'oncofertility' has been compounded from two expressions, 'oncology' and attempts to 'fertility preservation'. In gynecology, fertility preservation involves not only special surgical procedures but also interventions intended to preserve gametes, reproductive organs and embryos. Although the term 'oncofertility' was created in the United States of America, it has become an interdisciplinary field of science worldwide. By gaining grounds steadily, it has attracted special attention among experts. In addition to the subdivisions of classical oncology and gynecology, knowledge of oncofertility is broadening so rapidly that one cannot expect experts to be 100% up-to-date in one or another modality. It is special guidance by consultants in oncofertility that can make occasional co-operation among oncologists, radiotherapists, surgeons and infertility specialists really effective. Orv Hetil. 2017; 158(18): 683-691.

摘要

手术、放射治疗以及化疗和生物治疗可能会对年轻患者未来的生育能力产生有害影响。因此,人们越来越重视确保这些患者的长期生活质量,所以,除了生存之外,保护他们未来的生育能力也是我们的目标之一。“肿瘤生育学”这个术语是由“肿瘤学”和“生育力保护”这两个表达组合而成的。在妇科领域,生育力保护不仅涉及特殊的外科手术,还包括旨在保护配子、生殖器官和胚胎的干预措施。尽管“肿瘤生育学”这个术语是在美国创造的,但它已成为全球一个跨学科的科学领域。通过稳步发展,它在专家中引起了特别关注。除了经典肿瘤学和妇科的细分领域外,肿瘤生育学的知识正在迅速扩展,以至于不能期望专家在某一种或另一种模式上做到100%与时俱进。正是肿瘤生育学顾问的特殊指导才能使肿瘤学家、放射治疗师、外科医生和不孕不育专家之间的偶尔合作真正有效。《匈牙利医学周报》。2017年;158(18): 683 - 691。

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