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Sri Mulatsih
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Journal : paediatrica indonesiana

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Cumulative cyclophosphamide dose and serum anti-Mullerian hormone levels in adolescent cancer survivors in Indonesia Mulatsih, Sri; Ayuandari, Sarrah; Rahmawati, Naafi Rizqi; Oktasari, Rizki; Dewanto, Agung
Paediatrica Indonesiana Vol. 63 No. 5 (2023): September 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.5.2023.376-82

Abstract

Background As both the prevalence and survival rates of cancer in children and adolescents has risen, longer-term effects of cancer treatment must be investigated. High-risk gonadotoxic chemotherapeutic agents such as cyclophosphamide may affect the ovarian reserve and impact female adolescent fertility. Anti-Mullerian hormone is a reliable marker to assess ovarian reserve. Objective To assess for a possible correlation between the cumulative dose of cyclophosphamide and serum anti-Mullerian hormone (AMH) levels among adolescent cancer patients. Methods This cross-sectional study included 12-18-year-old adolescent female cancer patients who had experienced menarche and received cyclophosphamide therapy. We recorded the patients’ full history, including menstrual history, computed the cumulative dose of cyclophosphamide received, and measured serum AMH levels. The correlation test was performed to evaluate for a possible correlation between the cumulative dose of cyclophosphamide and ovarian reserve as represented by AMH levels. Results Out of 12 female adolescent cancer patients, three complained of disturbances in their menstrual cycles. Low levels of AMH (<1.5 ng/mL) were noted in five patients. Median cumulative cyclophosphamide dose was 1,000 mg/m2 (range 1,000 to 5,250 mg/m2). Cumulative cyclophosphamide dose was negatively correlated with serum AMH levels, but this correlation was not statistically significant (r=-0.316, P=0.318). Conclusion This study has not been able to show a correlation between cumulative cyclophosphamide dose and serum AMH level. Regular evaluation of fertility and involvement of fertility team is recommended in adolescents receiving high-risk gonadotoxic chemotherapeutic agents.
Co-Authors . Nuva Abdullah, Zaki Adisono, Muhamad Tulodo ahmad yani Aji, Samudra Akhmad Fauzi ALI MUQODDAS Alla Asmara Anak Agung Gede Sugianthara Anisa Rahma, Anisa Annazah, Nur Siti Asfaruddin Asfaruddin Asfaruddin Asti Istiqomah Astuti, Dwi Anggun Ayu, Sakuntala Devi Ayuandari, Sarrah Bambang Juanda Boedi Tjahjono Carolin Lulik Tafsia Cinta, Mutiara Dedi Budiman Hakim Desyandri Desyandri Dewanto, Agung Dian Verawati Panjaitan Didy Sopandie Dina, Karina Farkha Eko Sri Wiyono Erika Devi Udayanti Erviana, Astri Faletehan, Faroby Farida Aryani Habibie, Badrun Faridz Hadikumara, Fikri Hanifah, Atikah Harianto Harianto Hariyadi, Hariyadi Hariyadi, nfn Hartoyo Hartoyo Hermanto Siregar Ida Nur Istina, Ida Nur Ignatius Purwanto Indah Kartika Murni Irfan Syauqi Beik Iwan Dwiprahasto Jabani, Burhan Asril Khalifah Muhamad Ali Khawa, Zenith Yufa Nafilah Komaruddin Idris Kusdiyantoro Kusumawati, Sri Ambar Lala M Kolopaking Laoli, Nilam Cahyani Br. Lestari Agusalim Lestari, Febby Lina Karlinasari Listiana, Yufita Lukman M. Baga Lukytawati Anggraeni Mariana Mariana Mubarok, Huzni Muhammad Al-Jabri Muhammad Firdaus Muhammad Guntur, Muhammad Naafi Rizqi Rahmawati, Naafi Rizqi Ninik Umi Hartanti Nurhayati, Ely Nurjanah , Nurjanah . Oktasari, Rizki Omo Rusdiana Paripurna, Arbi Wardana Pini Wijayanti Pratama, Teguh Aditia PUDJO HAGUNG WIDJAJANTO, PUDJO HAGUNG PURWANTO, DIAN A.P R. Sapto Hendri Boedi Soesatyo Raden Arief Nugroho Rika Setiabudi Rini Dwi Lestari, Rini Dwi Risvan Anwar, Risvan Rita Mutia Rivan Danuaji Samodra Laya, Willie Santoso, Rika Setiabudi Serasiamy Ritonga, Serasiamy SITI AURELIA NURMALASARI, SITI AURELIA Soerjowardhana, Aloysius Soesanto, Iman Rahayu Hidayati SOETARYO -, SOETARYO Sofana, Nofi Fitria Sofyan Sjaf Sri Sri Rustianti Rustianti, Sri Rustianti Sri Wahyuni Sudirman Yahya Suhendarwan, Bhakti Sul, Suliamin Kasnar Sumardjo Suroyo Junior, Raden Sonny Susetyowati Sutaman Suyetno, Suyetno SUYONO Syartinilia . Tanti Novianti Teguh Triyono Utami, Neiva Cahya Valentina Widya Suryaningtyas, Valentina Widya Voltri, Fransisca WA’U, DAVID VICTORY Wahju Q. Mugnisjah Widada, Rasyid Widyanto, Adi Widyastutik Wilianto, Aris Wiwiek Rindayati Yeti Lis Purnamadewi Yudi Yudi Setiawan Yudo, Lukman Pranoto Yukiman Yuli Retnani Yuliani, Meida Z. Karim, Taufik