| Literature DB >> 29212733 |
Smaranda Gazdaru1, Lucien Perey2, Anne Rosselet3, Patrice Mathevet4, Yves Chalandon5,6, Nicolas Vulliemoz7.
Abstract
The development of tyrosine-kinase inhibitors (TKIs) has improved survival of patients with chronic myeloid leukemia (CML). Some patients may become resistant to TKIs and require hematopoietic stem cell transplant (HSCT) that is highly gonadotoxic. Fertility preservation with ovarian stimulation might be indicated but is challenging if patients need to remain on TKIs until HSCT because TKIs may compromise follicular development and response to ovarian stimulation. We report the case of a patient with CML resistant to TKI and planned for an HSCT, in which treatment by TKI was replaced by interferon-α before and during ovarian stimulation for fertility preservation. Successful ovarian stimulation was performed, allowing cryopreservation of nine zygotes. Hematopoietic stem cell transplantation was performed, and at present, 3 years later, the patient presents a sustained major molecular response. © AlphaMed Press 2017.Entities:
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Year: 2017 PMID: 29212733 PMCID: PMC6067946 DOI: 10.1634/theoncologist.2017-0381
Source DB: PubMed Journal: Oncologist ISSN: 1083-7159