父母癌症史的患病率和体外受精利用率
Abby L Chen1, Shufeng Li1,2, Valerie L Baker3
1Department of Urology, Stanford University School of Medicine, Stanford, CA, United States.
Journal of the National Cancer Institute
|April 29, 2025
概括
父母癌症史在通过体外受精 (IVF) 怀孕的分娩中比自然怀孕的分娩更为常见. 这种患病率随着时间的推移而增加,强调了对生育服务的需求.
科学领域:
- 生殖医学 生殖医学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 癌症存活率正在增加,导致更多的人希望在治疗后生孩子.
- 评估通过辅助生殖技术怀孕后代的父母癌症史至关重要.
研究的目的:
- 为了确定通过体外受精 (IVF) 怀孕的出生与自然怀孕的出生中父母癌症史的流行率.
- 分析随着时间的推移与受孕方法相关的父母癌症史的趋势.
主要方法:
- 利用来自助孕生殖技术协会诊所结果报告系统 (2004-2018) 的数据,与纽约,马萨诸塞州和北卡罗来纳州的出生证明和癌症登记处联系在一起.
- 通过试管婴儿构思的分娩与随后自然构思的分娩进行了比较,分析了孩子出生之前的父母癌症诊断.
主要成果:
- 分析了814,658例分娩 (82,544例试管婴儿,732,114例自然分娩).
- 父母癌症史在试管婴儿受孕的分娩中 (1.2%的母亲,1.8%的父亲) 与自然 (0.5%的母亲,0.4%的父亲) 较高.
- 在研究期间,父母癌症史的患病率有所增加,在试管婴儿父母中,特定的癌症类型更频繁.
结论:
- 在所有分娩的1.1%和在体外受精产生的3.0%中,父母中有一个患有癌症的病史.
- 癌症患病率的增加凸显了癌症幸存者瘤生育计划的关键作用.
- 在通过试管婴儿怀孕的父母中,特定的恶性瘤更为普遍.
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