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2019冠状病毒病大流行期间宫颈癌患者的管理:发展中国家面临的一项挑战。

Management of cervical cancer patients during the COVID-19 pandemic: a challenge for developing countries.

作者信息

Del Pilar Estevez-Diz Maria, Bonadio Renata Colombo, Miranda Vanessa Costa, Carvalho Jesus Paula

机构信息

Instituto do Cancer do Estado de Sao Paulo-Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo 01246-000 2, Brazil.

Oncologia D'Or, Sao Paulo 04501-000, Brazil.

出版信息

Ecancermedicalscience. 2020 Jun 17;14:1060. doi: 10.3332/ecancer.2020.1060. eCollection 2020.

Abstract

During the COVID-19 pandemic, health services worldwide are going through important adaptations to assist patients infected with COVID-19, at the same time as continuing to provide assistance to other potentially life-threatening diseases. Although patients with cancer may be at increased risk for severe events related to COVID-19 infection, their oncologic treatments frequently cannot be delayed for long periods without jeopardising oncologic outcomes. Considering this, a careful consideration for treatment management of different malignancies is required. Cervical cancer is concentrated mainly in low-middle income countries (LMICs), which face particular challenges during the COVID-19 pandemic due to the scarcity of health resources in many places. Although cervical cancer is the fourth cause of cancer death among women, it receives little attention from international Oncology societies and scientific research studies. In this review paper, we discuss the cervical cancer landscape and provide specialists recommendations for its management during the COVID-19 pandemic, particularly focused on LMICs' reality.

摘要

在新冠疫情期间,全球医疗卫生服务正在进行重大调整,以帮助新冠病毒感染者,同时继续为其他可能危及生命的疾病提供援助。尽管癌症患者感染新冠病毒后发生严重事件的风险可能会增加,但他们的肿瘤治疗常常不能长时间推迟,否则会危及肿瘤治疗效果。考虑到这一点,需要对不同恶性肿瘤的治疗管理进行审慎考量。宫颈癌主要集中在低收入和中等收入国家(LMICs),由于许多地方卫生资源匮乏,这些国家在新冠疫情期间面临特殊挑战。尽管宫颈癌是女性癌症死亡的第四大原因,但国际肿瘤学会和科研研究对其关注甚少。在这篇综述论文中,我们探讨了宫颈癌的现状,并针对新冠疫情期间的管理提供专家建议,特别关注低收入和中等收入国家的实际情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e97c/7302891/f03257217cb6/can-14-1060fig1.jpg

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