肿瘤男性生育能力保存:患者概况及临床指导意义

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Scientia Medica Pub Date : 2019-10-21 DOI:10.15448/1980-6108.2019.3.34214
Karin Vasconcelos De Carvalho, F. Baldi, D. Marinowic, M. Hentschke, C. Telöken, Á. Petracco, M. Badalotti
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引用次数: 0

摘要

目的:评估在治疗前/治疗期间进行精液冷冻保存的男性癌症患者的概况,并说明这种方法对生殖健康的重要性。方法:这是一项横向和回顾性研究,使用了巴西生殖医学中心的数据库。2014年1月至2017年12月,共纳入150例因癌症诊断而进行精液冷冻保存的男性患者。结果:在癌症治疗前/治疗期间寻求保留生育能力的男性为年轻、单身、无子女、受过高等教育。报告精液冷冻保存患者较多的是肿瘤科医生,其次是泌尿科医生和血液科医生。在肿瘤诊出率方面,睾丸诊出率最高,其次是霍奇金/非霍奇金淋巴瘤、白血病、前列腺和直肠肿瘤,以及腹膜后肿瘤。结论:数据带来了对完成冷冻保存所涉及的文化和经济障碍的反思。为癌症患者服务的卫生专业人员应该考虑教育和激励活动对预防男性生育的重要性。未来应该对这个问题进行研究。
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Male fertility preservation in oncology: patients’ profile and clinical guidance importance
AIMS: To evaluate the profile of men with cancer who performed semen cryopreservation prior/during treatment and address the importance of this method for reproductive health.METHODS: This was a transversal and retrospective study which used a database from a Reproductive Medicine Center located in Brazil. A total of 150 male patients who performed semen cryopreservation due to cancer diagnosis, from January 2014 to December 2017, were included.RESULTS: The profile of men seeking fertility preservation prior/during treatment for cancer was young adults, single, childless, with higher education. Oncologists were the ones who reported more patients for semen cryopreservation followed by urologists and hematologists. With regards to tumor diagnosis frequency, testicular was the most diagnosed, followed by Hodgkin’s/non-Hodgkin’s lymphoma, leukemia, prostate and rectal tumor, along with retroperitoneal tumor.CONCLUSION: Data brought the reflection on the cultural and financial barriers involved for the accomplishment of cryopreservation. Health professionals attending cancer patients should consider the importance of educational and incentive activities to prevent male fertility. Future research on the subject should carried out.
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来源期刊
Scientia Medica
Scientia Medica MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
20.00%
发文量
14
审稿时长
10 weeks
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