Onkologie – 3/2023

ONKOLOGIE / Onkologie. 2023;17(3):164-168 / www.onkologiecs.cz 168 HLAVNÍ TÉMA ZACHOVÁNÍ FERTILITY U MLADÝCH PACIENTEK S KARCINOMEM PRSU VČETNĚ NOSIČEK MUTACÍ V GENECH BRCA1, BRCA2 ritní informovat včas ženy o možnostech, jak plodnost a/nebo funkci vaječníků zachovat. Problematika onkofertility vyžaduje úzkou spolupráci mezi onkology a specialisty pracovišť reprodukční medicíny. Zachování fertility by mělo patřit mezi základní předpoklady komplexní a kvalitní multidisciplinární péče o premenopauzální pacientku s karcinomem prsu. Možnost mít vlastní děti je obrovská motivace a naděje pro mladé ženy, které se ocitly v těžké životní situaci vzhledem k nečekané diagnóze karcinomu prsu. LITERATURA 1. Siegel RL, Miller KD, Fuchs HE, et al. Cancer statistics, 2022. CA Cancer J Clin. 2022;72(1):7-33. doi: 10.3322/caac.21708. 2. Paluch-Shimon S, Cardoso F, Partridge AH, et al. ESO-ESMO 5th international consensus guidelines for breast cancer in young women (BCY5). 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Adjuvant anti- -HER2 therapy, treatment-related amenorrhea, and survival in premenopausal HER2-positive early breast cancer patients. J Natl Cancer Inst. 2019;111(1):86-94. doi: 10.1093/jnci/djy094. 28. Ruddy KJ, Guo H, Barry W, et al. Chemotherapy-related amenorrhea after adjuvant paclitaxel–trastuzumab (APT trial). Breast Cancer Res Treat. 2015;151(3):589-596. doi: 10.1007/ s10549-015-3426-z. 29. Ruddy KJ, Zheng Y, Tayob N, et al. Chemotherapy-related amenorrhea (CRA) after adjuvant ado-trastuzumab emtansine (T-DM1) compared to paclitaxel in combination with trastuzumab (TH) (TBCRC033: ATEMPT Trial). Breast Cancer Res Treat. 2021;189(1):103-110. doi: 10.1007/s10549-021-06267-8. 30. Vukovic´ P, Peccatori FA, Massarotti C, et al. Preimplantation genetic testing for carriers of BRCA1/2 pathogenic variants. Crit Rev Oncol Hematol. 2021;157. doi: 10.1016/j.critrevonc.2020. 103201. 31. Titus S, Li F, Stobezki R, et al. 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Methods of controlled ovarian stimulation for embryo/oocyte cryopreservation in breast cancer patients. Expert Rev Qual Life Cancer Care. 2017;2(1):47-59. doi: 10.1080/23809000.2017.1270760. 41. Cobo A, Diaz C. Clinical application of oocyte vitrification: a systematic review and meta-analysis of randomized controlled trials. Fertil Steril. 2011;96(2):277-285. doi: 10.1016/j. fertnstert.2011.06.030. 42. von Wolff M, Bruckner T, Strowitzki T, et al. Fertility preservation: ovarian response to freeze oocytes is not affected by different malignant diseases – an analysis of 992 stimulations. J Assist Reprod Genet. 2018;35(9):1713-1719. doi: 10.1007/s10815-018-1227-0 43. Lawrenz B, Jauckus J, Kupka M, et al. Efficacy and safety of ovarian stimulation before chemotherapy in 205 cases. Fertil Steril. 2010;94(7):2871-2873. doi: 10.1016/j.fertnstert.2010.06.054. 44. Cobo A, García-Velasco J, Domingo J, et al. Elective and Onco-fertility preservation: factors related to IVF outcomes. Hum Reprod. 2018;33(12):2222-2231. doi: 10.1093/humrep/dey321. 45. Diaz-Garcia C, Domingo J, Garcia-Velasco JA, et al. Oocyte vitrification versus ovarian cortex transplantation in fertility preservation for adult women undergoing gonadotoxic treatments: a prospective cohort study. Fertil Steril. 2018;109(3):478-485.e2. doi: 10.1016/j.fertnstert.2017.11.018. 46. Oktay K, Turan V, Bedoschi G, et al. Fertility preservation success subsequent to concurrent aromatase inhibitor treatment and ovarian stimulation in women with breast cancer. J Clin Oncol. 2015;33(22):2424-2429. doi: 10.1200/ JCO.2014.59.3723. 47. Arecco L, Blondeaux E, Bruzzone M, et al. Safety of fertility preservation techniques before and after anticancer treatments in young women with breast cancer: a systematic review and meta-analysis. Hum Reprod. 2022;37(5):954-968. doi: 10.1093/humrep/deac035. Další literatura u autorky a na www.onkologiecs.cz

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