Agbarya Abed, Khoury Rasha, Nasser Nicola J, Lazri Sahar, Volovik Ilya, Gorenberg Miguel
Oncology Unit, Bnai-Zion Medical Center, Haifa, Israel.
Department of Radiotherapy, Montefiore Medical Center, Bronx, NY, USA.
Harefuah. 2020 Jul;159(7):470-474.
Lung cancer patients who contract the new coronavirus, appear to have a greater risk for severe COVID-19 illness along with early deterioration and death. However, the prognosis may depend on the cancer stage and the type of treatment administered.
Establishing updated treatments and care management regulations for lung cancer patients during the COVID-19 pandemic, based on worldwide clinical experience.
This article reviews the main recommendations described by the American and European Oncology Societies managing lung cancer patients infected by COVID-19.
In the current pandemic setting, attempts should be made to avoid jeopardizing the prognosis of lung cancer patients, by maintaining current guidelines in oncology practice. In cases of patients with active infection, the recommendation is to hold treatment until recovery. For other patients, due to the aggressive nature of lung cancer, the guidelines suggest not to delay curative treatments in non-metastatic disease and provide palliative treatment in shortened protocols.
The present summary of guideline recommendations provides different management strategies for patients with lung cancer. These care approaches attempt to solve new challenges raised by the COVID-19 pandemic. Each specific case must be considered individually.
感染新型冠状病毒的肺癌患者,似乎患重症 COVID-19 的风险更高,且病情会较早恶化并导致死亡。然而,预后可能取决于癌症分期和所接受的治疗类型。
基于全球临床经验,制定 COVID-19 大流行期间肺癌患者的最新治疗和护理管理规范。
本文回顾了美国和欧洲肿瘤学会针对感染 COVID-19 的肺癌患者所描述的主要建议。
在当前大流行背景下,应通过维持肿瘤学实践中的现行指南,避免危及肺癌患者的预后。对于正在感染的患者,建议暂停治疗直至康复。对于其他患者,鉴于肺癌的侵袭性,指南建议对于非转移性疾病不延迟根治性治疗,并以缩短的方案提供姑息治疗。
本指南建议总结为肺癌患者提供了不同的管理策略。这些护理方法试图解决 COVID-19 大流行带来的新挑战。每个具体病例都必须单独考虑。