Successful Ovarian Stimulation for Fertility Preservation in a Patient with Chronic Myeloid Leukemia: Switch from Nilotinib to Interferon-α.
Details
Serval ID
serval:BIB_56D9360E3614
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Successful Ovarian Stimulation for Fertility Preservation in a Patient with Chronic Myeloid Leukemia: Switch from Nilotinib to Interferon-α.
Journal
The oncologist
ISSN
1549-490X (Electronic)
ISSN-L
1083-7159
Publication state
Published
Issued date
06/2018
Peer-reviewed
Oui
Volume
23
Number
6
Pages
719-721
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
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.
Keywords
Adult, Female, Fertility Preservation/methods, Humans, Interferon-alpha/pharmacology, Interferon-alpha/therapeutic use, Leukemia, Myelogenous, Chronic, BCR-ABL Positive/drug therapy, Ovulation Induction/methods, Protein-Tyrosine Kinases/pharmacology, Protein-Tyrosine Kinases/therapeutic use, Pyrimidines/pharmacology, Pyrimidines/therapeutic use
Pubmed
Web of science
Open Access
Yes
Create date
14/12/2017 18:28
Last modification date
28/09/2019 5:08