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秘鲁的介入细胞病理学与癌症:在新冠疫情期间如何应对?

Interventional cytopathology and cancer in Peru: how to act during COVID-19?

作者信息

Abad-Licham Milagros, Astigueta Juan, Fernández Caddie Laberiano, Torres Himelda Chávez, Torres Grisnery Maquera, Figueroa Edwin, Bardales Ricardo

机构信息

School of Medicine, Antenor Orrego Private University, Trujillo 13007, Peru.

Pathological Oncology Department, Northern Regional Institute of Neoplastic Diseases, Trujillo 13600, Peru.

出版信息

Ecancermedicalscience. 2020 Dec 7;14:1152. doi: 10.3332/ecancer.2020.1152. eCollection 2020.

Abstract

The worldwide health crisis due to SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) has affected all healthcare systems. Low- and middle-income countries have needed to establish health strategies to combat the pandemic, many of which have collaterally affected the diagnosis and treatment of other illnesses. One of these other illnesses is cancer, which in Peru represents the primary cause of mortality. In recent decades, interventional cytopathology with fine-needle biopsy techniques has emerged as a minimally invasive, rapid, economical and effective procedure for diagnosing and staging cancer. However, in the current health context, it is confronted by the challenge of continuing to function in spite of the pandemic. This article reviews the existing literature on interventional cytopathology, the risk of infection from SARS-CoV-2 and biosafety and provides recommendations for carrying out said procedures for the benefit of the patient and the safety of healthcare staff.

摘要

由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发的全球健康危机已对所有医疗系统造成影响。低收入和中等收入国家需要制定应对这一疫情的卫生战略,其中许多战略对其他疾病的诊断和治疗产生了附带影响。这些其他疾病之一就是癌症,在秘鲁,癌症是主要死因。近几十年来,采用细针活检技术的介入性细胞病理学已成为一种用于癌症诊断和分期的微创、快速、经济且有效的方法。然而,在当前的卫生环境下,尽管面临疫情,它仍面临着继续发挥作用的挑战。本文回顾了关于介入性细胞病理学、SARS-CoV-2感染风险和生物安全的现有文献,并就实施上述操作以造福患者和保障医护人员安全提出建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c557/7864686/ce539a02fb7c/can-14-1152fig1.jpg

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