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波兰女性癌症幸存者与生育力保存程序相关的经历。

Polish Female Cancer Survivors' Experiences Related to Fertility Preservation Procedures.

作者信息

Walasik Izabela, Falis Maria, Płaza Olga, Szymecka-Samaha Natalia, Szymusik Iwona

机构信息

1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland.

Students' Scientific Association at the 1st Department of Obstetrics and Gynecology, First Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.

出版信息

J Adolesc Young Adult Oncol. 2023 Oct;12(5):727-734. doi: 10.1089/jayao.2022.0092. Epub 2023 Jan 31.

Abstract

The aim of the study was to assess the experience of Polish female cancer patients related to fertility preservation (FP) after gonadotoxic treatment. A cross-sectional study was performed among young women, who were diagnosed with a neoplasm. The questionnaire was distributed via the Internet. The study group consisted of 299 women. Most of them had breast cancer (34%) or Hodgkin lymphoma (20%). The most popular treatment regimen was a combination of surgery, chemotherapy, and radiation (30%). Almost 78% of study participants underwent potentially gonadotoxic treatment. Fifty-seven percent of study participants admitted that oncologist had not informed them about FP methods, while only 19% were encouraged to visit fertility specialists. Seventeen percent of women decided to preserve fertility before malignancy treatment, 11.8% of women cryopreserved oocytes, 16% cryopreserved embryos, 16% cryopreserved ovarian tissue and 55% had ovarian suppression. The access to fertility counseling in Poland is limited. Emphasis should be placed on the coordination between cancer treatment centers and reproductive specialists.

摘要

该研究的目的是评估波兰女性癌症患者在接受性腺毒性治疗后与生育力保存(FP)相关的经历。对诊断为肿瘤的年轻女性进行了一项横断面研究。问卷通过互联网分发。研究组由299名女性组成。她们中的大多数患有乳腺癌(34%)或霍奇金淋巴瘤(20%)。最常用的治疗方案是手术、化疗和放疗相结合(30%)。近78%的研究参与者接受了可能具有性腺毒性的治疗。57%的研究参与者承认肿瘤学家未告知她们FP方法,而只有19%的人被鼓励去看生育专家。17%的女性在恶性肿瘤治疗前决定保存生育力,11.8%的女性冷冻了卵母细胞,16%的女性冷冻了胚胎,16%的女性冷冻了卵巢组织,55%的女性进行了卵巢抑制。在波兰,获得生育咨询的机会有限。应强调癌症治疗中心与生殖专家之间的协调。

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