肺癌基因导向治疗,生育能力和怀孕
Emily Simons1, D Ross Camidge2
1University of Colorado Cancer Center, Aurora, Colorado; Banner MD Anderson Cancer Center, Loveland, Colorado.
概括
在一些接受EGFR,ALK或ROS1抑制剂等向治疗的高级非小细胞肺癌 (NSCLC) 患者中,繁殖可能是可能的. 仔细考虑治疗时间和对生育能力和怀孕的潜在影响至关重要.
科学领域:
- 在瘤学瘤学.
- 生殖医学 生殖医学
- 药理学 药理学是指药理学的学科.
背景情况:
- EGFR,ALK和ROS1瘤基因的变化在所有年龄段的肺癌中都是常见的.
- 怀孕和生育计划可以与高级非小细胞肺癌 (NSCLC) 诊断重叠.
- 对于怀孕期间的细胞毒剂,已有确定的指导方针,但针对性治疗的数据有限.
研究的目的:
- 收集有关怀孕或卵子检索期间针对性肺癌治疗的现有数据.
- 讨论晚期癌基因驱动NSCLC患者的生殖问题.
- 审查EGFR,ALK和ROS1抑制剂对生育能力和怀孕的影响.
主要方法:
- 现体胎盘输液研究的叙述性综述.
- 对药理学特征和致变性数据的分析.
- 检查动物胚胎胎发育研究和病例报告.
主要成果:
- EGFR抑制剂可能会降低女性生育能力;EGFR和ALK抑制剂可能会增加植入后的损失.
- 克里佐替尼布和恩特雷克提尼布在体外表现出突变性潜力.
- 暴露于EGFR/ALK抑制剂的11名婴儿没有严重的不良影响; 报告说,使用crizotinib的代孕成功.
结论:
- 对于一些接受向治疗的高级NSCLC患者来说,繁殖是可能实现的.
- 需要对卵捕获和怀孕的向疗法的影响和最佳时间进行进一步的研究.
- 更广泛的科学和社会讨论在先进的NSCLC生殖是有必要的.
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