{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:17:30Z","timestamp":1787761050343,"version":"build-2784847793"},"reference-count":26,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Cancer predisposition syndromes (CPS) are identified in up to 20% of pediatric cancers and create dual fertility concerns: gonadotoxicity from therapy and heritable transmission risk. We present a practical framework to embed fertility counseling in pediatric, adolescent, and young adult CPS care for patients with a new cancer diagnosis and for those in surveillance without active malignancy. We recommend initiating proactive discussions surrounding fertility preservation (FP) in mid\u2010to\u2010late adolescence for patients with higher\u2010risk syndromes, and referring interested patients for FP. 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