Assessing risks and knowledge gaps on the impact of systemic therapies in early breast cancer on female fertility: A systematic review of the literature

IF 9.6 1区 医学 Q1 ONCOLOGY Cancer treatment reviews Pub Date : 2024-05-22 DOI:10.1016/j.ctrv.2024.102769
Gabriella Gentile , Simone Scagnoli , Luca Arecco , Daniele Santini , Andrea Botticelli , Matteo Lambertini
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Abstract

The therapeutic landscape for early breast cancer (eBC) has expanded by introducing novel anticancer agents into clinical practice. During their reproductive years, women with eBC should be informed of the potential risk of premature ovarian insufficiency (POI) and infertility with the proposed systemic therapy. Although the topic of female fertility is becoming increasingly relevant in patients with cancer, limited information is available on the gonadotoxicity of new agents available for eBC treatment. Analyses from clinical trials and prospective data on ovarian function biomarkers are lacking.

The purpose of this systematic review is to report the available preclinical and clinical data on female fertility risk with the use of the new agents that are part of clinical practice use or under development for eBC management. This review highlights the clear need to perform additional research efforts to improve our understanding on the gonoadtoxicity of new anticancer agents.

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评估早期乳腺癌系统疗法对女性生育能力影响的风险和知识差距:文献系统回顾
通过将新型抗癌药物引入临床实践,早期乳腺癌(eBC)的治疗范围不断扩大。eBC女性患者在育龄期应了解所建议的全身治疗可能带来的卵巢早衰(POI)和不孕的潜在风险。尽管女性生育问题与癌症患者的关系日益密切,但有关用于治疗 eBC 的新药的性腺毒性的信息却很有限。本系统性综述的目的是报告有关使用新药治疗 eBC 的女性生育风险的现有临床前和临床数据,这些新药已在临床实践中使用或正在开发中。本综述强调了开展更多研究工作的明确必要性,以提高我们对新型抗癌药物性腺毒性的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Cancer treatment reviews
Cancer treatment reviews 医学-肿瘤学
CiteScore
21.40
自引率
0.80%
发文量
109
审稿时长
13 days
期刊介绍: Cancer Treatment Reviews Journal Overview: International journal focused on developments in cancer treatment research Publishes state-of-the-art, authoritative reviews to keep clinicians and researchers informed Regular Sections in Each Issue: Comments on Controversy Tumor Reviews Anti-tumor Treatments New Drugs Complications of Treatment General and Supportive Care Laboratory/Clinic Interface Submission and Editorial System: Online submission and editorial system for Cancer Treatment Reviews
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