Burning Questions in the Oncofertility Counseling of Young Breast Cancer Patients

被引:17
作者
Arecco, Luca [1 ,2 ]
Perachino, Marta [1 ,2 ]
Damassi, Alessandra [1 ,2 ]
Latocca, Maria Maddalena [1 ,2 ]
Soldato, Davide [1 ,2 ]
Vallome, Giacomo [1 ,2 ]
Parisi, Francesca [1 ,2 ]
Razeti, Maria Grazia [1 ,2 ]
Solinas, Cinzia [3 ]
Tagliamento, Marco [1 ,2 ]
Spinaci, Stefano [4 ,5 ]
Massarotti, Claudia [6 ]
Lambertini, Matteo [1 ,2 ]
机构
[1] Univ Genoa, Sch Med, Dept Internal Med & Med Specialties DiMI, Genoa, Italy
[2] Univ Genoa, IRCCS Osped Policlin San Martino, UOC Clin Oncol Med, Dept Med Oncol, Largo Rosanna Benzi 10, I-16132 Genoa, Italy
[3] Hosp A Segni Ozieri, Dept Med Oncol, Azienda Tutela Salute Sardegna, Sassari, Italy
[4] Osped Villa Scassi, Div Breast Surg, Genoa, Italy
[5] ASL3, Genoa, Italy
[6] IRCCS Osped Policlin San Martino, Physiopathol Human Reprod Unit, Genoa, Italy
关键词
Breast cancer; young patients; fertility preservation; pregnancy; BRCA; IN-VITRO FERTILIZATION; INTERNATIONAL CONSENSUS GUIDELINES; CHEMOTHERAPY-INDUCED AMENORRHEA; TEMPORARY OVARIAN SUPPRESSION; LONG-TERM SAFETY; FERTILITY-PRESERVATION; HORMONE AGONIST; AMERICAN-SOCIETY; PREGNANCY ISSUES; GRANULOSA-CELLS;
D O I
10.1177/1178223420954179
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The improved prognosis of breast cancer patients makes survivorship issues an area of crucial importance. In this regard, an increased attention is needed toward the development of potential anticancer treatment-related long-term side-effects, including gonadal failure and infertility in young women. Therefore, fertility preservation and family planning are crucial issues to be addressed in all young women of reproductive age with newly diagnosed cancer. Despite a growing availability of data on the efficacy and safety of fertility preservation options and the fact that conceiving after prior history of breast cancer has become more accepted over time, there are still several gray zones in this field so that many physicians remain uncomfortable to deal with these topics. The purpose of this review is to answer some of the most controversial questions frequently asked by patients during their oncofertility counseling, in order to provide a detailed and up-to-date overview on the evidence available in this field to physicians involved in the care of young women with breast cancer.
引用
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页数:12
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