生殖器系と性的障害: 現在の研究
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概要

The Link between IVF Children and Cancer: What Do We Know So Far?

Bengt Källén, Orvar Finnström, Karl-Gösta Nygren and Petra Otterblad Olausson

Most studies on the risk for childhood cancer after in vitro fertilization (IVF) found no increased risk. These studies were, however, underpowered to identify a mild or moderate increase in risk. A large study from Sweden found an about 40% increased cancer risk among IVF children which reached statistical significance. This review summarizes characteristics of women undergoing IVF and their children which could possibly influence childhood cancer risk. No major confounding factor was found but some neonatal characteristics may be intermediaries for the increased risk. Further studies are needed to verify or reject the moderate risk increase. Large materials are needed in order to investigate the contribution of the neonatal morbidity which follows IVF. Some rare tumour forms which have been suggested to occur at an increased rate after IVF also need to be studied further.