Long-Term Neurodevelopmental Outcome of Children after in Utero Exposure to Chemotherapy

Cancers

卷:12

Mathilde van Gerwen¹  Frédéric Amant¹  Eleni Zografos²  Meletios-Athanasios Dimopoulos²  Anna-Maria Korakiti²  Flora Zagouri² 

[1] Center for Gynecologic Oncology Amsterdam, Antoni van Leeuwenhoek–Netherlands Cancer Institute, 1066 CX Amsterdam, The Netherlands;

[2] Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, 11528 Athens, Greece;

关键词: neurodevelopment;    child development;    pregnancy;    maternal cancer;    chemotherapy;   

DOI  :  10.3390/cancers12123623

来源: DOAJ

【 摘 要 】

Pregnancy-related cancer management represents a real challenge for both the patients and the physicians. The long-term neurodevelopmental outcome of children in utero exposed to chemotherapeutic agents has only recently been addressed. This review aims to systematically integrate and highlight all existing data from the literature regarding the effect of prenatal exposure to chemotherapy on fetal brain growth and child development. All eligible studies are based on validated neurodevelopmental testing scales (e.g., Bayley Scales of Infant Development, Wechsler Preschool and Primary Scale of Intelligence) and/or well-defined questionnaires. Our systematic review including 17 studies demonstrates that no major consequences on the neurodevelopment of children after in utero exposure to anti-cancer drugs have been reported; nevertheless, longer and more thorough follow-up with large-scale multicenter prospective studies is certainly required in order to draw firm conclusions.

【 授权许可】

Unknown