Cancer Immunology Project (CIP), Universal Scientific Education and Research Network (USERN), Tehran, Iran.
School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Adv Exp Med Biol. 2021;1318:315-331. doi: 10.1007/978-3-030-63761-3_18.
With more than 5 million cases and 333,212 deaths, COVID-19 (or SARS-CoV-2) continues to spread. General symptoms of this disease are similar to that of many other viral respiratory diseases, including fever, cough, dyspnea, and fatigue, with a chance of progression to more severe complications. However, the virus does not affect all people equally, and cases with comorbidities such as malignancies, cardiovascular diseases, respiratory diseases, and kidney diseases are at higher risk of developing severe events, including requiring intensive ventilation, intensive care unit (ICU) admission, and death. Patients with cancer are more likely to be infected with COVID-19, which is possibly due to their immunological dysfunction or frequent clinic visits. Also, there is a higher chance that these patients experience severe events because of the medication they receive. In this chapter, we will review the main clinical manifestations of COVID-19 in patients with cancer. Recommendations and challenges for managing resources, organizing cancer centers, treatment of COVID-19-infected cancer patients, and performing cancer research during this pandemic will also be discussed.
全球已有超过 500 万例 COVID-19(或 SARS-CoV-2)确诊病例,造成 333212 人死亡。该疾病的一般症状与许多其他病毒性呼吸道疾病相似,包括发热、咳嗽、呼吸困难和乏力,并有发展为更严重并发症的可能。然而,病毒并非对所有人群一视同仁,患有合并症(如恶性肿瘤、心血管疾病、呼吸系统疾病和肾脏疾病)的病例发生严重事件的风险更高,包括需要强化通气、入住重症监护病房(ICU)和死亡。癌症患者更易感染 COVID-19,这可能与他们的免疫功能障碍或经常就诊有关。此外,由于他们接受的治疗,这些患者发生严重事件的可能性更高。在本章中,我们将回顾癌症患者 COVID-19 的主要临床表现。还将讨论在大流行期间管理资源、组织癌症中心、治疗 COVID-19 感染癌症患者以及开展癌症研究的建议和挑战。