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《癌症在新冠疫情时代:癌症管理面临的挑战》

Cancerona: Challenges of Cancer Management in Times of COVID-19 Pandemic.

作者信息

Ballout Farah, Daouk Reem, Azar Joseph, Timonian Michael, Araji Tarek, Bahmad Hisham F, Abou-Kheir Wassim

机构信息

Department of Anatomy, Cell Biology, and Physiological Sciences, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.

Arkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, 4300 Alton Rd, Miami Beach, FL 33140 USA.

出版信息

SN Compr Clin Med. 2020;2(11):2005-2014. doi: 10.1007/s42399-020-00549-w. Epub 2020 Sep 30.

Abstract

Coronavirus disease 2019 (COVID-19) has infected millions of people worldwide and emerged to be the biggest global health threat claiming hundreds of thousands of lives at exponential rates. The severity of the disease increases with old age and presence of underlying health conditions, such as cancer. Managing cancer patients under these circumstances is rather challenging, given their compromised immunity and the overwhelmed health care services by COVID-19 community transmission. Thus, it is prudent to establish common guidelines for the monitoring and treatment of cancer patients. In this review, we comprehensively investigate the various aspects of cancer care during the COVID-19 pandemic, discuss challenges faced while treating cancer patients, and propose potential approaches to manage COVID-19 among this vulnerable population. We also discuss molecular aberrations and genetic changes associated with cancer and their role in affecting the virus' infectivity and severity. Lastly, we shed light on therapeutic approaches that can encompass both diseases without compromising one over the other.

摘要

2019冠状病毒病(COVID-19)已在全球感染了数百万人,并成为最大的全球健康威胁,正以指数级速度夺走数十万人的生命。该疾病的严重程度随着年龄增长以及诸如癌症等潜在健康状况的存在而增加。在这种情况下管理癌症患者颇具挑战性,因为他们的免疫力受损,且COVID-19的社区传播使医疗服务不堪重负。因此,制定癌症患者监测和治疗的通用指南是审慎之举。在本综述中,我们全面研究了COVID-19大流行期间癌症护理的各个方面,讨论了治疗癌症患者时面临的挑战,并提出了在这一弱势群体中管理COVID-19的潜在方法。我们还讨论了与癌症相关的分子畸变和基因变化及其在影响病毒传染性和严重程度方面的作用。最后,我们阐明了能够兼顾两种疾病而不偏袒任何一方的治疗方法。

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本文引用的文献

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The impact of the COVID-19 pandemic on cancer care.新冠疫情对癌症护理的影响。
Nat Cancer. 2020 Jun;1(6):565-567. doi: 10.1038/s43018-020-0074-y.
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Crosstalk between COVID-19 and prostate cancer.新冠病毒与前列腺癌的相互作用。
Prostate Cancer Prostatic Dis. 2020 Dec;23(4):561-563. doi: 10.1038/s41391-020-0262-y. Epub 2020 Jul 24.
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COVID-19 Testing in Patients with Cancer: Does One Size Fit All?癌症患者的 COVID-19 检测:一刀切可以吗?
Clin Cancer Res. 2020 Sep 15;26(18):4737-4742. doi: 10.1158/1078-0432.CCR-20-2224. Epub 2020 Jul 2.
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Androgen deprivation and SARS-CoV-2 in men with prostate cancer.前列腺癌男性患者的雄激素剥夺与新型冠状病毒肺炎
Ann Oncol. 2020 Oct;31(10):1417-1418. doi: 10.1016/j.annonc.2020.06.015. Epub 2020 Jun 29.
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New approaches to cancer care in a COVID-19 world.新冠疫情背景下癌症治疗的新方法。
Lancet Oncol. 2020 Jul;21(7):e339-e340. doi: 10.1016/S1470-2045(20)30340-5.

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