Kids Cancer Centre, Sydney Children's Hospital, Sydney, Australia.
Nelune Comprehensive Cancer Centre, Prince of Wales Hospital, Sydney, Australia.
Pediatr Blood Cancer. 2018 Nov;65(11):e27297. doi: 10.1002/pbc.27297. Epub 2018 Jul 3.
Originally absent from the oncologist's consult, then placed in a 'quality of life' rubric, oncofertility should now be an essential part of a comprehensive cancer treatment plan in patients of reproductive age, including adolescents and young adults (AYAs). Oncofertility encompasses the endocrine health of the patient, as well as fertility management options. Thus, pubertal transitions in males and females, bone health, and menstrual health are all part of this discipline, enabling practitioners to work in interdisciplinary teams to solve problems in reproductive health. This review provides a summary of the essential considerations required for the assessement of reproductive risk and choice of fertility preservation options as well as considerations for developing oncofertility services for AYAs.
起初并未纳入肿瘤医生的咨询范围，而是归入“生活质量”类目，生育力保存现在应成为育龄期（包括青少年和年轻成人）癌症患者综合治疗方案的重要组成部分。生育力保存涵盖患者的内分泌健康和生育力管理选择。因此，男性和女性的青春期过渡、骨骼健康和月经健康都是该学科的一部分，使从业者能够在跨学科团队中合作解决生殖健康问题。这篇综述总结了评估生殖风险和选择生育力保存方案所需的基本注意事项，以及为青少年和年轻成人制定生育力保存服务的注意事项。
