Adolescent and Young Adult Oncology, Version 2.2014

被引：84

作者：

Coccia, Peter F. ^{[1
]}

Pappo, Alberto S. ^{[2
]}

Altman, Jessica ^{[3
]}

Bhatia, Smita ^{[4
]}

Borinstein, Scott C. ^{[5
]}

Flynn, Joseph ^{[6
,7
]}

Frazier, A. Lindsay ^{[8
]}

George, Suzanne ^{[8
]}

Goldsby, Robert ^{[9
]}

Hayashi, Robert ^{[10
,11
]}

Huang, Mary S. ^{[12
]}

Johnson, Rebecca H. ^{[13
]}

Beaupin, Lynda Kwon ^{[14
]}

Link, Michael P. ^{[15
]}

Oeffinger, Kevin C. ^{[16
]}

Orr, Kathleen M. ^{[17
]}

Reed, Damon ^{[18
]}

Spraker, Holly L. ^{[19
]}

Thomas, Deborah A. ^{[20
]}

von Mehren, Margaret ^{[21
]}

Wechsler, Daniel S. ^{[22
]}

Whelan, Kimberly F. ^{[23
]}

Zebrack, Brad ^{[24
]}

Shead, Dorothy A. ^{[25
]}

Sundar, Hema ^{[25
]}

机构：

[1] Nebraska Med Ctr, Fred & Pamela Buffett Canc Ctr, Omaha, NE 68198 USA

[2] Univ Tennessee, Hlth Sci Ctr, St Jude Childrens Res Hosp, Knoxville, TN 37996 USA

[3] Northwestern Univ, Robert H Lurie Comprehens Canc Ctr, Evanston, IL 60208 USA

[4] City Hope Comprehens Canc Ctr, Duarte, CA USA

[5] Vanderbilt Ingram Canc Ctr, Nashville, TN USA

[6] Ohio State Univ, Ctr Comprehens Canc, James Canc Hosp, Columbus, OH 43210 USA

[7] Ohio State Univ, Ctr Comprehens Canc, Solove Res Inst, Columbus, OH 43210 USA

[8] Dana Farber Brigham & Womens Canc Ctr, Boston, MA USA

[9] Univ Calif San Francisco, Helen Diller Family Comprehens Canc Ctr, San Francisco, CA 94143 USA

[10] Barnes Jewish Hosp, Siteman Canc Ctr, St Louis, MO USA

[11] Washington Univ, Sch Med, St Louis, MO 63130 USA

[12] Massachusetts Gen Hosp, Ctr Canc, Boston, MA 02114 USA

[13] Fred Hutchinson Canc Res Ctr, Seattle Canc Care Alliance, Seattle, WA USA

[14] Roswell Pk Canc Inst, Buffalo, NY USA

[15] Stanford Canc Inst, Stanford, CA USA

[16] Mem Sloan Kettering Canc Ctr, New York, NY USA

[17] Sidney Kimmel Comprehens Canc Ctr Johns Hopkins, Baltimore, MD USA

[18] H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USA

[19] Univ Utah, Huntsman Canc Inst, Salt Lake City, UT 84112 USA

[20] Univ Texas MD Anderson Canc Ctr, Houston, TX USA

[21] Fox Chase Canc Ctr, Philadelphia, PA USA

[22] Duke Canc Inst, Durham, NC USA

[23] Univ Alabama Birmingham, Ctr Comprehens Canc, Birmingham, AL USA

[24] Univ Michigan, Ctr Comprehens Canc, Ann Arbor, MI 48109 USA

[25] Natl Comprehens Canc Network, Ft Washington, PA USA

来源：

JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK | 2014年 / 12卷 / 01期

关键词：

PREMATURE OVARIAN FAILURE; LONG-TERM REDUCTION; BREAST-CANCER; FERTILITY PRESERVATION; CHILDHOOD-CANCER; HORMONE AGONIST; ADJUVANT CHEMOTHERAPY; REPRODUCTIVE HEALTH; PREMENOPAUSAL WOMEN; RADIATION-THERAPY;

D O I：

10.6004/jnccn.2014.0004

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

The NCCN Guidelines Insights on Adolescent and Young Adult (AYA) Oncology discuss the fertility and endocrine issues that are relevant to the management of AYA patients with cancer. Fertility preservation should be an essential part in the treatment of AYA patients with cancer. The NCCN Guidelines recommend discussion of fertility preservation and contraception before the start of treatment. Oophoropexy and embryo cryopreservation are the 2 established options for fertility preservation in women. Semen cryopreservation before the start of treatment is the most reliable and well-established method of preserving fertility in men. AYA women with cancer also have unique contraception needs, depending on the type of cancer, its treatment, and treatment-related complications. Management of cancer during pregnancy poses significant diagnostic and therapeutic challenges for both the patient and the physician. AYA women diagnosed with cancer during pregnancy require individualized treatment from a multidisciplinary team involving medical, surgical, radiation, and gynecologic oncologists; obstetricians; and perinatologists.

引用

页码：21 / 32

页数：12

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