Cancer in children and AYA Childhood cancer, CAYA
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnose as childhood cancer or disease requiring hematopoietic stem cell transplantation. 2. Without previous chemotherapy and radiotherapy, or with previous treatments which minimally affect ovarian function. 3. Cancer treatments which expected to cause ovarian dysfunction at a high rate are planned. 4. Expected to survive 5-year after cancer treatment (Probability does not matter) 5. Not eligible for other fertility-preserving treatments. 6. One side of the ovary is retained even after ovariectomy. 7. Delay in initiation of cancer treatment due to OTC does not affect cancer outcome. 8. Written informed consent has been obtained from the patients and/or their guardians.
Exclusion criteria
Exclusion criteria: 1. Clear tumor infiltration or metastasis to the ovary. 2. Severe ovarian dysfunction at the time of ovarian tissue cryopreservation because of cancer treatments, etc. 3. No uterus due to tumor resection, etc., or severe uterus dysfunction will be expected due to cancer treatments. 4. Severe neurocognitive impairment is observed or will be expected after cancer treatments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The implementation rate of autologous ovarian transplantation among patients who underwent ovarian tissue cryopreservation. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Days of hospital stay for ovarian tissue cryopreservation and autologous ovarian transplantation. 2. Incidence of complications associated with ovarian tissue cryopreservation and autologous ovarian transplantation. 3. 10-year overall survival of patients who underwent ovarian tissue cryopreservation. 4. Pregnancy rate and production rate after autologous ovarian transplantation. 5. Recovery rate of endocrine function after autologous ovarian transplantation. | — |
Contacts
Osaka City General Hospital