Uterine transplantation, abdominal trachelectomy, and other reproductive options for cancer patients

Giuseppe Del Priore, J. Richard Smith, Deborah C.M. Boyle, David J. Corless, Faris B.P. Zacharia, David A. Noakes, Thomas Diflo, James A. Grifo, John J. Zhang

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

More and more women with cancer issues are now raising fertility concerns as survival improves and childbearing is delayed. Pregnancy is no longer contraindicated in cancer patients including breast and endometrial cancer survivors. In fact, survival in patients treated for breast cancer who subsequently become pregnant is actually higher than that in patients who do not become pregnant. "Therapeutic" abortions are no longer recommended. Assisted reproductive technology (ART) have been associated with ovarian neoplasms, but the association is probably not causal. Neither ART nor hormone replacement is contraindicated in cancer patients. Our institution is very supportive of patients and the difficult decisions cancer survivors face. Using a program of counseling and close collaboration between oncologists, perinatologists, and reproductive endocrinologists, informed patients are offered every possible option, including ART and uterine transplantation, to achieve their family planning objectives.

Original languageEnglish (US)
Pages (from-to)287-295
Number of pages9
JournalAnnals of the New York Academy of Sciences
Volume943
DOIs
StatePublished - Jan 1 2001

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Keywords

  • Cancer
  • Fertility
  • Transplant

ASJC Scopus subject areas

  • Neuroscience(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • History and Philosophy of Science

Cite this

Del Priore, G., Richard Smith, J., Boyle, D. C. M., Corless, D. J., Zacharia, F. B. P., Noakes, D. A., Diflo, T., Grifo, J. A., & Zhang, J. J. (2001). Uterine transplantation, abdominal trachelectomy, and other reproductive options for cancer patients. Annals of the New York Academy of Sciences, 943, 287-295. https://doi.org/10.1111/j.1749-6632.2001.tb03810.x