An investigation of the fertility needs of young patients with breast cancer
10.3760/cma.j.cn112152-112152-20191017-00672
- VernacularTitle:年轻乳腺癌患者生育需求现况调查
- Author:
Jie JU
1
;
Luoxin ZHANG
;
Jian YUE
;
Anjie ZHU
;
Jiayu WANG
;
Yang LUO
;
Fei MA
;
Pin ZHANG
;
Qing LI
;
Peng YUAN
;
Binghe XU
Author Information
1. 国家癌症中心 国家肿瘤临床医学研究中心 中国医学科学院北京协和医学院肿瘤医院肿瘤内科100021
- Keywords:
Breast neoplasms;
Young women;
Fertility needs;
Fertility consultation;
Fertility protection treatment
- From:
Chinese Journal of Oncology
2020;42(5):408-412
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the fertility needs and outcome of pregnancy in patients with young breast cancer in China.Methods:A retrospective cross-sectional investigation was conducted on 374 young breast cancer women from Cancer Hospital, Chinese Academy of Medical Sciences. Young patients with breast cancer were defined as patients who got initial diagnosis of breast cancer at age no more than 40 years old. We conducted a questionnaire survey and collected clinical data from medical chart. Logistic regression model was used to analyze the possible factors influencing patients′ fertility intention.Results:308 young women with breast cancer completed questionnaires, and the response rate was 82.4%. 81 patients (26.3%) had fertility needs after diagnosis. Of them, 6 cases took active measures to preserve fertility. 72 patients (23.4%) received fertility counseling during treatment. 7 patients were successfully pregnant, including four cases who delivered normally. Multivariate logistic regression analysis showed that patients under 35 years old ( OR=4.81), bachelor degree or above ( OR=3.26), receiving breast-conserving surgery ( OR=2.15) and childless patients ( OR=3.03) were more likely to have fertility needs after diagnosis of breast cancer (all P<0.05). Conclusions:The fertility needs of young breast cancer women in China are gradually increasing. Healthcare providers associated with tumor patients should actively offer corresponding fertility consultation and individualized diagnosis and therapy plans for patients with fertility needs.
