Adolescent and young adult oncology, version 2.2014: Featured updates to the NCCN guidelines

Peter F. Coccia, Alberto S. Pappo, Jessica Altman, Smita Bhatia, Scott C. Borinstein, Joseph Flynn, A. Lindsay Frazier, Suzanne George, Robert Goldsby, Robert Hayashi, Mary S. Huang, Rebecca H. Johnson, Lynda Kwon Beaupin, Michael P. Link, Kevin C. Oeffinger, Kathleen M. Orr, Damon Reed, Holly L. Spraker, Deborah A. Thomas, Margaret Von MehrenDaniel S. Wechsler, Kimberly F. Whelan, Brad Zebrack, Dorothy A. Shead, Hema Sundar

Research output: Contribution to journalArticle

68 Scopus citations

Abstract

The NCCN Guidelines Insights on Adolescent and Young Adult (AYA) Oncology discuss the fertility and endocrine issues that are relevant to the management of AYA patients with cancer. Fertility preservation should be an essential part in the treatment of AYA patients with cancer. The NCCN Guidelines recommend discussion of fertility preservation and contraception before the start of treatment. Oophoropexy and embryo cryopreservation are the 2 established options for fertility preservation in women. Semen cryopreservation before the start of treatment is the most reliable and well-established method of preserving fertility in men. AYA women with cancer also have unique contraception needs, depending on the type of cancer, its treatment, and treatment-related complications. Management of cancer during pregnancy poses significant diagnostic and therapeutic challenges for both the patient and the physician. AYA women diagnosed with cancer during pregnancy require individualized treatment from a multidisciplinary team involving medical, surgical, radiation, and gynecologic oncologists; obstetricians; and perinatologists.

Original languageEnglish (US)
Pages (from-to)21-32
Number of pages12
JournalJNCCN Journal of the National Comprehensive Cancer Network
Volume12
Issue number1
DOIs
StatePublished - Jan 1 2014

ASJC Scopus subject areas

  • Oncology

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    Coccia, P. F., Pappo, A. S., Altman, J., Bhatia, S., Borinstein, S. C., Flynn, J., Frazier, A. L., George, S., Goldsby, R., Hayashi, R., Huang, M. S., Johnson, R. H., Beaupin, L. K., Link, M. P., Oeffinger, K. C., Orr, K. M., Reed, D., Spraker, H. L., Thomas, D. A., ... Sundar, H. (2014). Adolescent and young adult oncology, version 2.2014: Featured updates to the NCCN guidelines. JNCCN Journal of the National Comprehensive Cancer Network, 12(1), 21-32. https://doi.org/10.6004/jnccn.2014.0004