年轻的BRCA携带者患有乳腺癌的生育能力和怀孕相关问题
Isotta Martha Magaton1,2, Luca Arecco3, Elene Mariamidze2,4
1Division of Gynaecological Endocrinology and Reproductive Medicine, University Women's Hospital, Inselspital, Bern, Switzerland.
Breast cancer : basic and clinical research
|June 17, 2024
概括
患有乳腺癌的年轻女性携带生殖系BRCA1/2变体可能会面临降低生育能力. 本综述考察了这些患者的生育保护选择和怀孕安全.
科学领域:
- 在瘤学瘤学.
- 遗传学 遗传学 是一个
- 生殖医学 生殖医学
背景情况:
- 10-15%患有乳腺癌的年轻女性具有生殖系BRCA1/2致病变体 (PVs).
- 即使在癌症治疗之前,生殖线BRCA1/2PV也可能对卵巢储备和生殖潜力产生负面影响.
- 抗癌治疗可能会带来淋巴细胞毒性风险.
研究的目的:
- 总结有关乳腺癌患有生殖线BRCA1/2PVs的年轻乳腺癌患者生育潜力的文献.
- 在这个人群中审查与抗癌治疗相关的淋巴细胞毒性风险.
- 描述治疗后的生育保护有效性和怀孕安全性的证据.
主要方法:
- 临床前和临床研究的文献综述.
- 分析目前关于生育保存技术的证据.
- 在gBRCA1/2 PVs载体中治疗乳腺癌后怀孕的安全数据的评估.
主要成果:
- 生殖线BRCA1/2PVs可能会影响生育能力.
- 有各种可用的生育保存方法.
- 治疗后怀孕是可能的,有安全数据.
结论:
- 患有生殖系BRCA1/2PV的年轻乳腺癌患者需要仔细的生育咨询.
- 应该主动讨论生育能力保护的选择.
- 进一步的研究可以优化这一群体的生殖结果.
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