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癌症患者与 COVID-19:死亡率、严重并发症、生物标志物和前进方向。

Cancer patients and COVID-19: Mortality, serious complications, biomarkers, and ways forward.

机构信息

Kasturba Medical College, Light House Hill Road, Mangalore, KA 575001, India.

Roswell Park Comprehensive Cancer Center, Buffalo, NY 14203, USA.

出版信息

Cancer Treat Res Commun. 2021;26:100285. doi: 10.1016/j.ctarc.2020.100285. Epub 2020 Dec 13.

Abstract

The SARS-CoV-2 (COVID-19) pandemic has particularly serious consequences for cancer patients, as they are at high risk for severe complications and mortality due to the virus since cancer patients are immunocompromised. Preliminary evidence suggests that patients with hematological, and metastatic malignancies are particularly susceptible to developing severe COVID-19 illness, which leads to poor prognosis. Biomarkers including C-reactive protein and interleukin-6 may be predictors of outcome and, therefore, crucial in assessing COVID-19 illness severity in cancer patients. A patient-specific risk and benefit inventory should be completed, and expert guidelines consulted when deciding to continue or postpone therapeutic interventions. This review presents preliminary evidence of COVID-19 infection and its impact on cancer, as well as discussion of general guidelines for the treatment and management of cancer patients with COVID-19.

摘要

SARS-CoV-2(COVID-19)大流行对癌症患者造成了特别严重的后果,因为他们因病毒而面临严重并发症和死亡率的高风险,因为癌症患者的免疫系统较弱。初步证据表明,患有血液学和转移性恶性肿瘤的患者特别容易患上严重的 COVID-19 疾病,这导致预后不良。包括 C 反应蛋白和白细胞介素 6 在内的生物标志物可能是预后的预测因素,因此对于评估癌症患者 COVID-19 疾病的严重程度至关重要。在决定继续或推迟治疗干预时,应完成患者特定的风险和收益清单,并咨询专家指南。这篇综述介绍了 COVID-19 感染及其对癌症的影响的初步证据,以及讨论了治疗和管理 COVID-19 癌症患者的一般指南。

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