Ren Xianghai, Chen Baoxiang, Hong Yuntian, Liu Weicheng, Jiang Qi, Yang Jingying, Qian Qun, Jiang Congqing
Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071, China.
Graduate School of Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
Ann Transl Med. 2020 Apr;8(7):498. doi: 10.21037/atm.2020.03.158.
It has been over 2 months since the start of the Coronavirus disease 2019 (COVID-19) outbreak. The epidemic stage of COVID-19 has brought great challenges to the diagnosis and management of colorectal cancer (CRC) patients. Symptoms, such as fever and cough caused by cancer, and the therapeutic process (including chemotherapy and surgery) should be differentiated from some COVID-19 related characteristics. Besides, clinical workers should not only consider the therapeutic strategy for cancer, but also emphasize COVID-19's prevention. Moreover, the detailed therapeutic regimens of CRC patients may be different from the usual. Also, treatment principles may various for CRC patients with or without severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, as well as patients with or without an emergency presentation. In this paper, we want to discuss the above-mentioned problems based on previous guidelines, the current working status and our experiences, to provide a reference for medical personnel.
自2019年冠状病毒病(COVID-19)疫情爆发以来,已经过去了两个多月。COVID-19的流行阶段给结直肠癌(CRC)患者的诊断和管理带来了巨大挑战。癌症引起的发热和咳嗽等症状以及治疗过程(包括化疗和手术)应与一些COVID-19相关特征相区分。此外,临床工作者不仅应考虑癌症的治疗策略,还应强调COVID-19的预防。而且,CRC患者的详细治疗方案可能与往常不同。同样,对于感染或未感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的CRC患者以及有或无急诊表现的患者,治疗原则可能也有所不同。在本文中,我们想根据以往的指南、当前的工作状况和我们的经验来讨论上述问题,为医务人员提供参考。