癌症患者的生育能力保护:ASCO指南更新
H Irene Su1, Christina Lacchetti2, Joseph Letourneau3
1University of California, San Diego, San Diego, CA.
概括
癌症患者需要及时的生育保护 (FP) 咨询和选择. 建议涵盖精子,卵子和卵巢组织的冷保存,强调在治疗前进行讨论和接触专家.
科学领域:
- 在瘤学瘤学.
- 生殖医学 生殖医学
- 医学伦理 医学伦理
背景情况:
- 癌症诊断需要讨论生殖风险和生育能力保护 (FP).
- 随着FP技术的不断发展,癌症患者需要更新临床指南.
研究的目的:
- 为癌症患者提供最新的,基于证据的生育保护建议.
- 引导临床医生向癌症患者提供咨询和提供FP选择.
主要方法:
- 对166项研究进行了系统审查.
- 召集一个多学科专家小组,以更新建议.
主要成果:
- 在癌症治疗前,建议男性冷保存精子.
- 对于女性来说,已建立的FP方法包括胚胎,卵细胞和卵巢组织的冷保存.
- 卵巢组织冷保存是前青春期女性唯一确定的FP方法.
结论:
- 癌症患者应在诊断时和生存期间评估生殖风险.
- 向生殖专家推对于考虑FP的患者至关重要.
- 瘤团队必须确保快速获得FP服务,并倡导覆盖.
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