암 환자의 가임력 보존

Fertility preservation for patients with cancer
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초록

Background: The survival rate of cancer patients is increasing owing to the early diagnosis and treatment methods. Radiotherapy and chemotherapy may cause serious complications, such as ovarian failure and infertility. In particular, preservation of fertility in women of reproductive age with cancer could improve their quality of life as well as reduce social and psychological pain. Current Concepts: Embryo or oocyte cryopreservation is a method of fertility preservation; however, it cannot be utilized by all women with cancer because of the complications of the condition and treatment method. Ovarian tissue cryopreservation and transplantation enables fertility preservation in those needing immediate cancer treatment, such as chemotherapy or radiotherapy, or those unqualified for ovarian stimulation. A recent review reported that frozen-thawed ovarian transplantation led to approximately 130 live births with a conception rate of approximately 30%. Endocrine function recovery occurred in 92.9% of the patients between 3.5 and 6.5 months after transplantation. Discussion and Conclusion: In this study, we introduced various methods and strategies for improving the outcomes of ovarian tissue cryopreservation and transplantation. These results could serve as a reference for patients and clinicians to choose the best options for fertility preservation based on the patient’s current situation and condition.

키워드

Fertility preservation; Ovary; Cryopreservation; Tissue transplantation; 가임력 보존; 난소종양; 냉동 보존; 조직 이식; CRYOPRESERVED OVARIAN TISSUE; CERVICAL-CANCER; TRANSPLANTATION; FOLLICLES; CHEMOTHERAPY; RESTORATION; INFERTILITY; SOCIETY; FROZEN; CORTEX
제목
암 환자의 가임력 보존
제목 (타언어)
Fertility preservation for patients with cancer
저자
이상훈; 김탁
DOI
10.5124/jkma.2022.65.6.329
발행일
2022-06
유형
Article
저널명
Journal of the Korean Medical Association
권
65
호
6
페이지
329 ~ 337