[Oncofertility and breast cancer: Where have we come from, where are we going?]

Abstract

Background: Focusing on the current context of national and international recommendations, techniques development to evaluate and preserve fertility and patients' claims, this study aims to make a survey about the management of patients' breast cancer regarding oncofertility.

Methods: Retrospective and analytic study of medical practices at Bergonié Institute of health professionals (medical oncologists, surgical oncologists, nurses) dedicated to the care of non-disseminated breast cancer patients younger than 37, needing medical treatment.

Results: The number of participants was 230. The most interested practitioners in fertility theme are those of multidisciplinary consultation and surgeons (P<0.001), with an increasing interest during last years (P<0.05). The information about hypofertilizing risks of treatments are delivered most of the time by oncologists (57.7%). The motherhood project is expressed by 11 patients (4.9%) before treatment, only 4 of them receive information on the risks and 49 patients (21.7%) during follow-up. Only 24 patients (48% of the 49) are encouraged for motherhood.

Conclusion: To satisfy patients' requests, several improvements have to be made regarding the patients' information, the health professionals' awareness and care coordination.

Keywords: Breast cancer; Cancer du sein; Fertility; Fertilité; Oncofertility; Oncofertilité; Preservation; Préservation; Survey; État des lieux.