Abstract
Purpose
To report a live birth from vitrified-warmed oocytes for a Philadelphia chromosome-positive acute lymphoid leukemia (Ph-ALL) patient.
Methods
A 20-year-old single woman with Ph-ALL requested oocyte cryopreservation at a private fertility clinic using assisted reproduction technology (ART). In cases of leukemia, there is a very short time before chemotherapy, follwed shortly by total body irradiation (TBI), and although she had already received the chemotherapy, ten oocytes were vitrified and stored for 59 months before warming. Soon after the oocyte cryopreservation, she received TBI and bone marrow transplant (BMT). During the storage, a magnitude 9.0 earthquake occurred making oocyte transport necessary. The embryo transfer was planned in a hormone replacement cycle, and intracytoplasmic sperm injection (ICSI) was performed on the vitrified-warmed oocytes. On day 3, two embryos were transferred.
Results
The patient became pregnant and delivered a healthy girl after ICSI using vitrified-warmed oocytes.
Conclusions:
Oocyte cryopreservation is the best option for fertility preservation of young single women with leukemia. Oncologists and gynecologists who conduct ART should cooperate to improve the quality of life of cancer patients.
Similar content being viewed by others
References
National Cancer Institute SEER. Cancer statistics review, 1975–2009. Available from: http://seer.cancer.gov/csr/1975_2009_pops09/browse_csr.php. Accessed 1 June 2012.
Jemal A, Siegel R, Xu J, Ward E. Cancer statistics. CA Cancer J Clin. 2010;60:277–300.
Noyes N, Porcu E, Borini A. Over 900 oocyte cryopreservation babies born with no apparent increase in congenital anomalies. Reprod Biomed Online. 2009;18:769–76.
Kyono K, Fuchinoue K, Yagi A, Nakajo Y, Yamashita A, Kumagai S. Successful pregnancy and delivery after transfer of a single blastocyst derived from a vitrified mature human oocyte. Fertil Steril. 2005;84:1017.
Zamah AM, Mauro MJ, Druker BJ, Oktay K, Egorin MJ, Cedars MI, et al. Will imatinib compromise reproductive capacity? Oncologist. 2011;16:1422–7.
Martin J, Ramesh A, Devadasan L, Palaniappan, Martin JJ (2011) An uneventful pregnancy and delivery, in a case with chronic myeloid leukemia on imatinib. Indian J Med Paediatr Oncol 32:109–11.
Dolmans MM, Demylle D, Martinez-Madrid B, Donnez J. Efficacy of in vitro fertilization after chemotherapy. Fertil Steril. 2005;83:897–901.
Lee SJ, Schover LR, Partridge AH, Patrizio P, Wallace WH, Hagerty K, et al. American Society of Clinical Oncology recommendations on fertility preservation in cancer patients. J Clin Oncol. 2006;24:2917–31.
Loren AW, Chow E, Jacobsohn DA, Gilleece M, Halter J, Joshi S, et al. Pregnancy after hematopoietic cell transplantation: a report from the late effects working committee of the Center for International Blood and Marrow Transplant Research (CIBMTR). Biol Blood Marrow Transplant. 2011;17:157–66.
Chao HT, Wang PH, Yuan CC, Lee WL. Successful pregnancy in a woman with acute myeloid leukemia treated with high-dose whole-body irradiation. J Reprod Med. 1998;43:703–6.
Wang WS, Tzeng CH, Hsieh RK, Chiou TJ, Liu JH, Yen CC, et al. Successful pregnancy following very high-dose total body irradiation (1575 cGy) and bone marrow transplantation in a woman with acute myeloid leukemia. Bone Marrow Transplant. 1998;21:415–7.
Yoon TK, Chung HM, Lim JM, Han SY, Ko JJ, Cha JJ. Pregnancy and delivery of healthy infants developed from vitrified oocytes in a stimulated in vitro fertilization–embryo transfer program. Fertil Steril. 2000;74:180–1.
Porcu E, Venturoli S, Damiano G, Ciotti PM, Notarangelo L, Paradisi R, et al. Healthy twins delivered after oocyte cryopreservation and bilateral ovariectomy for ovarian cancer. Reprod Biomed Online. 2008;17:265–7.
Yang D, Brown SE, Nguyen K, Reddy V, Brubaker C, Winslow KL. Live birth after the transfer of human embryos developed from cryopreserved oocytes harvested before cancer treatment. Fertil Steril. 2007;87(1469):e1–4.
Kim MK, Lee DR, Han JE, Kim YS, Lee WS, Won HJ, et al. Live birth with vitrified-warmed oocytes of a chronic myeloid leukemia patient nine years after allogenic bone marrow transplantation. J Assist Reprod Genet. 2011;28:1167–70.
Grifo JA, Noyes N. Delivery rate using cryopreserved oocytes is comparable to conventional in vitro fertilization using fresh oocytes: potential fertility preservation for female cancer patients. Fertil Steril. 2010;93:391–6.
Roberts JE, Oktay K. Fertility Preservation: a Comprehensive Approach to the Young Woman With Cancer. J Natl Cancer Inst Monogr. 2005;34:57–9.
Oktay K, Cil AP, Bang H. Efficiency of oocyte cryopreservation: a meta-analysis. Fertil Steril. 2006;86:70–80.
Practice Committees of the American Society for Reproductive Medicine and the Society for Assisted Reproductive Technology. Mature oocyte cryopreservation: a guideline. Fertil Steril. (2013);99:37–43.
Zhen X, Qiao J, Ma C, Fan Y, Liu P. Intraperitoneal bleeding following transvaginal oocyte retrieval. Int J Gynaecol Obstet. 2010;108:31–4.
Kyono K. Risk management for natural disaster in assisted reproductive technology from the experience of the Great East Japan earthquake. J Mammalian Ova Res. 2011;28:180–9.
Ishihara O, Yoshimura Y. Damages at Japanese assisted reproductive technology clinics by the Great Eastern Japan earthquake of 2011. Fertil Steril. 2011;95:2568–70.
Acknowledgments
The authors would like to thank the entire IVF team at the Ladies’ Clinic Kyono and Kyono ART Clinic.
Conflict of interest
We have no conflict of interest
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Doshida, M., Nakajo, Y., Toya, M. et al. A live birth from vitrified-warmed oocytes in a Philadelphia chromosome-positive acute lymphoid leukemia patient 5 years following allogenic bone marrow transplantation and after a magnitude 9.0 earthquake in Japan. Reprod Med Biol 12, 187–191 (2013). https://doi.org/10.1007/s12522-013-0154-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12522-013-0154-0