Oncofertilité du cancer du sein : d’où vient-on, où allons-nous ?

Abstract : Background: Focusing on the current context of national and international recommendations, techniques development to evaluate and preserve fertility and patients’ claims, this study aims to make a survey about the management of patients’ breast cancer regarding oncofertility. Methods: Retrospective and analytic study of medical practices at Bergonié Institute of health professionals (medical oncologists, surgical oncologists, nurses) dedicated to the care of non-disseminated breast cancer patients younger than 37, needing medical treatment. Results: The number of participants was 230. The most interested practitioners in fertility theme are those of multidisciplinary consultation and surgeons (P < 0.001), with an increasing interest during last years (P < 0.05). The information about hypofertilizing risks of treatments are delivered most of the time by oncologists (57.7%). The motherhood project is expressed by 11 patients (4.9%) before treatment, only 4 of them receive information on the risks and 49 patients (21.7%) during follow-up. Only 24 patients (48% of the 49) are encouraged for motherhood. Conclusion: To satisfy patients’ requests, several improvements have to be made regarding the patients’ information, the health professionals’ awareness and care coordination.
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Aurélie Chirol, Marc Debled, Marion Fournier, Aline Papaxanthos, Stéphanie Hoppe, et al.. Oncofertilité du cancer du sein : d’où vient-on, où allons-nous ?. Bulletin du Cancer, John Libbey Eurotext, 2015, 102 (6), pp.489-496. ⟨10.1016/j.bulcan.2015.04.004⟩. ⟨hal-01477015⟩

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