摘要
随着乳腺癌疗效的改善,越来越多年轻患者的生存问题得以解决,随之而来的是该患者群体的生育问题。年轻乳腺癌患者的妊娠安全性、生育力保存及生育时机的选择是临床医生和患者共同关注的焦点。本文梳理与上述问题相关的研究现状与进展,指出目前证据提示妊娠不增加年轻乳腺癌患者的复发风险,应把生育力保护纳入年轻乳腺癌患者的诊疗计划,多学科综合评估妊娠时机,以实现年轻乳腺癌患者的生育愿望。
More and more young patients survive from breast cancer with improvement of curative effect.The next challenge is to realize fertility demands of young breast cancer survivors.The safety issue,preservation of fertility and timing of pregnancy are the common focus of clinicians and patients.This review of relative researches points out that,with current evidence,pregnancy does not increase recurrence risk of young breast cancer survivors.To fulfill their wishes of being mothers,fertility protection should be included in their diagnosis and treatment,and multidisciplinary assessment of pregnancy timing is needed.
作者
杨灵津
唐瑞怡
陈蓉
Yang Lingjin;Chen Rong(National Clinical Research Center for Obstetrics and Gynecology,Chinese Academy of Medical Sciences Peking Union Medical College,Department of Gynaecology and Obstetrics,Beijing 100730,China)
出处
《中华内分泌外科杂志》
CAS
2023年第2期129-133,共5页
Chinese Journal of Endocrine Surgery
基金
中央高水平医院临床科研业务费(2022-PUMCH-B-123)
国家自然科学基金(81871141)
国家自然科学基金(82201781)。
关键词
乳腺癌
年轻患者
生育力
妊娠
Breast cancer
Young patients
Fertility
Pregnancy
