P298 Thyroid cancer patient’s fertility after radioactive iodine therapy. / Vabalayte, Kristina; Romanchishen, Anatoly.
In: Archives of Disease in Childhood, Vol. 104, No. Suppl 3, A277, 06.2019.Research output: Contribution to journal › Meeting Abstract › peer-review
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TY - JOUR
T1 - P298 Thyroid cancer patient’s fertility after radioactive iodine therapy
AU - Vabalayte, Kristina
AU - Romanchishen, Anatoly
PY - 2019/6
Y1 - 2019/6
N2 - Background: For patients with differentiated thyroid carcinoma (DTC), the effect of radioactive iodine (RAI) therapy on gona-dal and reproductive function is an important consideration. Objective and methods 127 children were operated on thyroid in case of DTC during 1975-2015. 87 pts were treated by RAI (1-13 times). Average age is 15 years (4-18). Histological types of DTC were papillary (69%), follicular (27%), other (4%). Average follow up period is 3 year (2-40). We analyzed effect of therapeutic RAI on sex steroid level; on ovarian function, menses, ovulation in women; sperm in men; future fertility; pregnancy outcomes. Result(s): Early side effects (during 1stweek after RAI) included-nausea and vomiting(29%), sialoadenitis (22%), temporal bone marrow dysfunction (6%). Late side effects included permanent salivary glands' dysfunction (2%), permanent bone marrow dysfunction (4%), lung fibrosis (5%), second tumors - leucosis, breast cancer (4%), fertility disorder (7%). Fertility was analyzed in 78 pts. Sterility (2%), amenorrhea (4%), changes in menstrual period (5%), miscarriage (4%). Conclusion(s): RAI should be prescribed only for indications. Sexual cell should be cryopreserve before RAI.
AB - Background: For patients with differentiated thyroid carcinoma (DTC), the effect of radioactive iodine (RAI) therapy on gona-dal and reproductive function is an important consideration. Objective and methods 127 children were operated on thyroid in case of DTC during 1975-2015. 87 pts were treated by RAI (1-13 times). Average age is 15 years (4-18). Histological types of DTC were papillary (69%), follicular (27%), other (4%). Average follow up period is 3 year (2-40). We analyzed effect of therapeutic RAI on sex steroid level; on ovarian function, menses, ovulation in women; sperm in men; future fertility; pregnancy outcomes. Result(s): Early side effects (during 1stweek after RAI) included-nausea and vomiting(29%), sialoadenitis (22%), temporal bone marrow dysfunction (6%). Late side effects included permanent salivary glands' dysfunction (2%), permanent bone marrow dysfunction (4%), lung fibrosis (5%), second tumors - leucosis, breast cancer (4%), fertility disorder (7%). Fertility was analyzed in 78 pts. Sterility (2%), amenorrhea (4%), changes in menstrual period (5%), miscarriage (4%). Conclusion(s): RAI should be prescribed only for indications. Sexual cell should be cryopreserve before RAI.
UR - https://www.mendeley.com/catalogue/b1c746ca-7a3e-3952-acd5-d012b76d292f/
UR - https://www.mendeley.com/catalogue/b1c746ca-7a3e-3952-acd5-d012b76d292f/
U2 - 10.1136/archdischild-2019-epa.648
DO - 10.1136/archdischild-2019-epa.648
M3 - тезисы
VL - 104
JO - Archives of Disease in Childhood
JF - Archives of Disease in Childhood
SN - 0003-9888
IS - Suppl 3
M1 - A277
ER -
ID: 73470620