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Decreased spermatogonial numbers in boys with severe haematological diseases

Summary This study examines spermatogonial numbers in testicular samples from 43 prepubertal patients undergoing haematopoietic stem cell transplantation (HSCT). High‐dose chemotherapy and/or radiation during HSCT can impact spermatogenesis requiring fertility preservation. Results show that 49% of...

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Bibliographic Details
Published in:British journal of haematology 2024-07, Vol.205 (1), p.229-235
Main Authors: Lahtinen, Atte K., Funke, Miriam, Krallmann, Claudia, Wyrwoll, Margot J., Jarisch, Andrea, Yang, Yifan, Bjarnason, Ragnar, Romerius, Patrik, Sundin, Mikael, Norén‐Nyström, Ulrika, Langenskiöld, Cecilia, Cremers, Jann‐Frederik, Kliesch, Sabine, Stukenborg, Jan‐Bernd, Neuhaus, Nina, Jahnukainen, Kirsi
Format: Article
Language:English
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Summary:Summary This study examines spermatogonial numbers in testicular samples from 43 prepubertal patients undergoing haematopoietic stem cell transplantation (HSCT). High‐dose chemotherapy and/or radiation during HSCT can impact spermatogenesis requiring fertility preservation. Results show that 49% of patients have decreased and 19% severely depleted spermatogonial pool prior to HSCT. Patients with Fanconi anaemia exhibit significantly reduced spermatogonial numbers. Patients with immunodeficiency or aplastic anaemia generally present within the normal range, while results in patients with myelodysplastic syndrome or myeloproliferative neoplasm vary. The study emphasizes the importance of assessing spermatogonial numbers in patients with severe haematological diseases for informed fertility preservation decisions.
ISSN:0007-1048
1365-2141
1365-2141
DOI:10.1111/bjh.19572