COVID-19 疫情期间卵巢癌管理的挑战与机遇:中国武汉的经验教训。

Challenges and opportunities for ovarian cancer management in the epidemic of Covid-19: lessons learned from Wuhan, China.

机构信息

Department of Obstetrics and Gynecology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, No. 26 Shengli Street, Jiangan District, Wuhan, 430014, China.

Department of Obstetrics and Gynecology and Cellular and Molecular Medicine, University of Ottawa, and Chronic Disease Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.

出版信息

J Ovarian Res. 2021 Feb 18;14(1):35. doi: 10.1186/s13048-021-00784-2.

Abstract

China and the rest of the world are experiencing an outbreak of the 2019 novel coronavirus disease (COVID-19). Patients with cancer are more susceptible to viral infection and are more likely to develop severe complications, as compared to healthy individuals. The growing spread of COVID-19 presents challenges for the clinical care of patients with gynecological malignancies. Ovarian debulking surgery combined with the frequent need for chemotherapy is most likely why ovarian cancer was rated as the gynecologic cancer most affected by COVID-19. Therefore, ovarian cancer presents a particular challenging task. Concerning the ovarian cancer studies with confirmed COVID-19 reported from large-scale general hospitals in Wuhan, we hold that the treatment plan was adjusted appropriately and an individualized remedy was implemented. The recommendations discussed here were developed mainly based on the experience from Wuhan. We advise that the management strategy for ovarian cancer patients should be adjusted in the light of the local epidemic situation and formulated according to the pathological type, tumor stage and the current treatment phase. Online medical service is an effective and convenient communication platform during the pandemic.

摘要

中国乃至世界其他地区正爆发 2019 年新型冠状病毒病(COVID-19)疫情。与健康个体相比,癌症患者更容易受到病毒感染,并且更容易发生严重并发症。COVID-19 的不断传播给妇科恶性肿瘤患者的临床护理带来了挑战。卵巢肿瘤细胞减灭术联合频繁化疗可能是卵巢癌被评为受 COVID-19 影响最大的妇科癌症的原因。因此,卵巢癌带来了一个特别具有挑战性的任务。关于来自武汉大型综合医院报告的已确诊 COVID-19 的卵巢癌研究,我们认为治疗方案进行了适当调整并实施了个体化治疗。这里讨论的建议主要是基于武汉的经验。我们建议应根据当地疫情调整卵巢癌患者的管理策略,并根据病理类型、肿瘤分期和当前治疗阶段制定相应的治疗方案。在线医疗服务是疫情期间一种有效的、方便的沟通平台。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/553d/7893734/190d92e63564/13048_2021_784_Fig1_HTML.jpg

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