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. 2023 Feb 13;29(4):486–517. doi: 10.1093/humupd/dmad002

Table I.

Anti-Müllerian hormone and antral follicle count in childhood or adolescent females diagnosed with Hodgkin lymphoma.

Study N patients Age at diagnosis Age at time of study Follow-up Treatment Outcome
(years) (years) (years)
Pre-treatment
van Dorp et al., 2014 32 6.6 (0–17.4) NA NA NA Pre-treatment, n = 9/32 (28%) patients with low AMH (i.e. <p10 percentile of healthy controls)
Post-treatment
Charpentier et al., 2014 29 11.9 (1.8–17.3) 23.3 (18.2–34.2) 11.5 (1.4–25.1)* Chemo: n.s. n = 16/29 (55%) females with low AMH (i.e. <14 pmol/l)
No pelvic RT
van Beek et al., 2007b 30 14.0 (5.0–17.2) 25 (19.2–40.4) 11.6 (5.7–24.5) Chemo: ABVD, EBVD, MOPP n = 10/17 (59%) patients with low AMH (i.e. <95% CI of healthy controls)
No pelvic RT
  • Survivors without MOPP had higher AMH levels compared to survivors treated with MOPP (1.40ug/l vs 0.39ug/l, P=0.01)

  • All women with increased FSH levels had decreased AMH levels

Decrease in AMH or AFC pre-/post -treatment
Berjeb et al., 2020 32 21.6 ± 4.4 n.s. (1.3–1.5) Chemo: BEACOPP, DHAOX, ABVD Significant decrease in AMH before and after chemotherapy. 2.30 ± 1.96 and 1.54±1.96 ng/ml; P = 0.002
No pelvic RT In n = 7/32 (22%) women, AMH values were higher after chemotherapy, when compared to AMH values pre-treatment
Krawczuk-Rybak et al., 2013a 13 14 ± 3.45 20.1 ± 3.5 (6–10) Chemo: MVPP + BDOPA Significant decrease in AMH before and after treatment 2.96 ng/ml ± 2.05 and 1.26 ng/ml ± 0.84, P = 0.001
Pelvic RT: n = 8/13 (62%), 15 Gy
Policiano et al., 2020 44 22.6 (IQR 18.8–26.4) n.s. 2.8 Chemo: ABVD Decrease in AMH before and after treatment 2.2 ng/ml (IQR 1.4–4.4 ng/ml) and 1.3 ng/ml (IQR 0.9–2.5 ng/ml), P not given
No pelvic RT Decrease in AFC before and after treatment 19 (IQR 14–23), and 10 (IQR 7–15), P not given
Patients with AFC <6 or AMH <0.84 ng/ml at baseline were excluded
*

Follow-up period defined as years off treatment.

ABVD, Adriamycin (Doxorubicin), Bleomycin, Vinblastine, Dacarbazine; AMH, anti-Müllerian hormone; AFC, antral follicle count; BDOPA, Bleomycin, Dacarbazine, Vincristine (Oncovin), Adriamycin, Prednisone; BEACOPP, Bleomycin, Etoposide, Adiamycin (Doxorubicin), Cyclophosphamide, Vincristine (Oncovin), Procarbazine, Prednisone; Chemo, chemotherapy; DHAOX, Dexamethasone, high-dose Cytarabine, and Oxaliplatin; EBVD, Epirubicin, Bleomycin, Vinblastine, Dacarbazine; Gy, Gray; IQR, interquartile range; MOPP, Mechlorethamine, Vincristine (Oncovin), Procarbazine, Prednisone; MVPP, Mechlorethamine, Vinblastine, Procarbazine, Prednisone; NA, not applicable; n.s., not specified; N, number; RT, radiotherapy.

Age at diagnosis and time of study reported in median years (range) or mean ± SD.

The number of patients that received pelvic radiotherapy as (part of their) cancer treatment is reported. If mentioned in the article (pelvic) radiation dosage is specified.