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Fertility Preservation: Convergence of Newly Diagnosed Breast Cancer, Desired Fertility, and Polycystic Ovary Syndrome

  • Michael S. Mersol-BargEmail author
  • Jeffrey H. Margolis
Chapter

Abstract

A 34-year-old nulliparous female presented with a self-discovered 4 cm, firm, mobile mass in the upper, outer quadrant of her right breast. Her mother is a breast cancer survivor, diagnosed at age 45, and was BRCA negative. The patient also had polycystic ovary syndrome based on a long history of irregular menstrual cycles, mild facial and lower abdominal hair, acne, and mild acanthosis nigricans on the nape of the neck. She last used hormonal contraception 4 years prior to initial presentation. Menstrual cycles were more regular in the past year. Current medications to treat anxiety and depression included sertraline, lamotrigine, and oxcarbazepine. She had no other medical illness in the past or at presentation. The patient and her husband were just beginning efforts to become pregnant at the time she discovered her breast mass.

Keywords

Onco-fertility Fertility preservation Breast cancer Polycystic ovary syndrome 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Michigan Reproductive MedicineBloomfield HillsUSA
  2. 2.Division of Clinical Hematology and Medical OncologyRose Cancer Treatment Center, William Beaumont HospitalRoyal OakUSA

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