- Cancer du Testicule
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Fertilité et cancer du testicule. Impact des traitements
Fertility and testicular cancer. Impact of treatments
Andrologie volume 12, pages 295–298 (2002)
Resume
Objectifs
Etudier la fertilité des patients atteints de cancer du testicule.
Population et Méthode
une série consécutive de 489 hommes traités pour une tumeur germinale du testicule au niveau de la région Midi-Pyrénées, entre 1978 et 1998, a été explorée du point de vue de la fertilité, grâce à un questionnaire adressé aux patients par courrier. Un taux de participation de 95% a été obtenu.
Résultats
L’information concernant la fertilité a été obtenue pour 446 hommes. Avant le cancer du testicule, 90,1% des patients qui avaient cherché à avoir des enfants y étaient parvenus. Après traitement du cancer, seulement 61,8% des hommes parvenaient à avoir un enfant. La radiothérapie et la chirurgie des masses résiduelles apparaissent comme plus délétères pour la fertilité que la chimiothérapie de type BEP.
Conclusion
La population des hommes traités pour un cancer du testicule est à risque d’infertilité. La fécondabilité de ces patients diminue d’environ 30% après traitement.
Abstract
Objectives
To study the fertility of patients with testicular cancer.
Population and Method
The fertility of a consecutive series of 489 men treated for germ cell tumour of the testis in the Midi-Pyrénées region, between 1978 and 1998, was investigated by means of a questionnaire sent by mail to the patients. A participation rate of 95% was obtained.
Results
Information concerning fertility was obtained for 446 men. 90.1% of patients who had tried to have children prior to their testicular cancer had succeeded, but only 61.8% of men were able to have a child after treatment of their cancer. Radiotherapy and surgery of residual masses appear to be more harmful to fertility than BOE chemotherapy.
Conclusion
The population of men treated for testicular cancer present a high risk of infertility, as the fertility of these men decreases by about 30% after treatment.
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Huyghe, E., Daudin, M., Bujan, L. et al. Fertilité et cancer du testicule. Impact des traitements. Androl. 12, 295–298 (2002). https://doi.org/10.1007/BF03035142
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DOI: https://doi.org/10.1007/BF03035142