癌の女性における生育能力の保全
Michel De Vos1, Johan Smitz2, Teresa K Woodruff3
1Centre for Reproductive Medicine, UZ Brussel, Brussels, Belgium.
Lancet (London, England)
|October 7, 2014
まとめ
若いがん患者には,早急に生育保全カウンセリングが必要です. 卵細胞の結晶化などの技術の進歩は希望をもたらしますが,広範な応用のためにさらなる研究が必要です.
科学分野:
- 生殖医学は,生殖医学である.
- 腫瘍学 腫瘍学
- クリオバイオロジーは,
背景:
- 若い女性のがん生存率の増加は,生育能力の保存を必要としています.
- 生殖医学と冷凍生物学の進歩は,女性がん患者の生育保存への関心を高めています.
研究 の 目的:
- 癌を患っている若い女性の現在の生育保存方法を見直す.
- 新興および実験的な生育保存技術の可能性を議論する.
主な方法:
- オオサイトビトリフィケーションとインビトロオオサイト成熟の現在の臨床応用のレビュー.
- 卵巣組織の冷凍保存,薬理学的保護,in vitroの卵泡の成長,および卵泡移植を含む実験的アプローチの議論.
主要な成果:
- 卵細胞の結晶化とインビトロ成熟は有望ですが,生育保存の初期段階です.
- 卵巣組織の冷凍保存のような実験的テクニックは,さらなる最適化が必要です.
結論:
- 育児保全カウンセリングは,若いがん患者に早期に提供されるべきです.
- 新しい技術のさらなる開発は,今後10年以内に生育保存の選択肢を拡大し,がんの生存者と年齢関連の生育能力低下を経験している女性の両方に利益をもたらすことが期待されています.
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