血液肿瘤患者的生育力保护

Dan Li, Yi-jun Zhao, Qian Wang, Man-wei Chu, Juan-ke Xie, Cui-lian Zhang
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引用次数: 0

摘要

在青少年和年轻人中,血液恶性肿瘤是最常见的恶性肿瘤。虽然青少年血液恶性肿瘤患者的存活率已显著提高,但由于肿瘤诊断和治疗方法的不断改进和发展,细胞毒疗法会大大降低患者的生育能力,导致不可逆的不孕。最成熟的两种解决方案是胚胎冷冻保存和卵母细胞冷冻保存,这两种方法可考虑用于单一女性。对成年男性而言,冷冻保存精子或睾丸组织是可行的方法,但必须在性腺毒性治疗前加以考虑。一旦确诊,与生殖专家进行全面咨询是一个重要问题,这将有助于那些想要孩子的幸存者。本文回顾了血液恶性肿瘤治疗过程中出现的生殖细胞毒性,旨在为年轻的血液恶性肿瘤患者提出安全、有效的生育力保存方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fertility preservation in hematological cancer patients

Among adolescents and young adults, hematological malignancies are the most common malignancies. Although the survival rate of hematological malignancies in young patients has been dramatically improved, due to the continuous improvement and development of tumor diagnosis and treatment options, cytotoxic therapies can significantly reduce a patient’s reproductive capacity and cause irreversible infertility. The most two established solutions are embryo cryopreservation and oocyte cryopreservation which can be considered in single female. Sperm or testicular tissue cryopreservation in adult male are feasible approaches that must be considered before gonadotoxic therapy. A comprehensive consultation with reproductive specialists when once diagnosed is a significantly issue which would help those survivors who want to have children. In this article, we review germ cell toxicity, which happens during the treatment of hematological malignancies, and aims to propose safety, efficacy fertility preservation methods in younger patients with hematological malignancies.

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