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多中心研究淋巴瘤患者体内针对 COVID-19 的抗体血清阳性率:肿瘤治疗和淋巴瘤研究组(Gotel)的分析。

Multicenter Study of the Seroprevalence of Antibodies against Covid-19 in Patients with Lymphoma: An Analysis of the Oncological Group for the Treatment and Study of Lymphomas (Gotel).

机构信息

Medical Oncology Department, Hospital Universitario Puerta de Hierro, 28222 Majadahonda, Spain.

Medical Oncology Department, Hospital General Universitario de Elche, 03203 Elche, Spain.

出版信息

Curr Oncol. 2021 Mar 16;28(2):1249-1255. doi: 10.3390/curroncol28020118.

Abstract

The new Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) coronavirus has generated a pandemic, in which there are population groups at higher risk and who are potentially fatal victims of the disease. Cancer patients have been considered a group with special susceptibility, particularly patients with lung tumour involvement and haematological neoplasms. The Spanish Lymphoma Oncology Group (GOTEL) carried out a multicenter study of SARS-CoV-2 seroprevalence in patients with lymphoma. Results: A total of 150 patients were included between 22 May and 11 June 2020. The mean age was 65 years (range 17-89), 70 women (46.5%) and 80 men (53, 5%). At the time of diagnosis of lymphoma, 13 cases were stage I (9%), 27 (18%) stage II, 37 (24.5%) stage III, and 73 (48.5%) stage IV, while 6.6% had a primary extranodal origin. A total of 10 cases with positive serology for SARS-CoV-2 were identified, which is a prevalence of 6% in this population. None of the patients required intensive care unit management and all fully recovered from the infection. Conclusion: IgG antibody seroprevalence in lymphoma patients appears similar to that of the general population and does not show greater aggressiveness.

摘要

新型严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引发了一场大流行,其中有一些高危人群,他们可能是这种疾病的致命受害者。癌症患者被认为是一个具有特殊易感性的群体,特别是肺部肿瘤受累和血液系统肿瘤的患者。西班牙淋巴瘤肿瘤学组(GOTEL)对淋巴瘤患者中 SARS-CoV-2 血清流行率进行了一项多中心研究。结果:2020 年 5 月 22 日至 6 月 11 日期间共纳入 150 例患者。平均年龄为 65 岁(范围 17-89),女性 70 例(46.5%),男性 80 例(53.5%)。在诊断淋巴瘤时,13 例为Ⅰ期(9%),27 例为Ⅱ期(18%),37 例为Ⅲ期(24.5%),73 例为Ⅳ期(48.5%),而 6.6%有原发性结外起源。共发现 10 例 SARS-CoV-2 血清学阳性,该人群的患病率为 6%。无一例患者需要重症监护室治疗,所有患者均从感染中完全康复。结论:淋巴瘤患者 IgG 抗体血清流行率似乎与普通人群相似,并未显示出更高的侵袭性。

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The molecular virology of coronaviruses.冠状病毒的分子病毒学。
J Biol Chem. 2020 Sep 11;295(37):12910-12934. doi: 10.1074/jbc.REV120.013930. Epub 2020 Jul 13.

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