Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, TX, 77030, USA.
Royal Infirmary Hospital, Foresterhill Health Campus, Foresterhill Rd, Aberdeen, AB25 2ZN, UK.
Cancer Immunol Immunother. 2023 Nov;72(11):3427-3444. doi: 10.1007/s00262-023-03524-1. Epub 2023 Aug 29.
Since 2019, the world has been experiencing an outbreak of a novel beta-coronavirus, severe acute respiratory syndrome coronavirus (SARS-CoV)-2. The worldwide spread of this virus has been a severe challenge for public health, and the World Health Organization declared the outbreak a public health emergency of international concern. As of June 8, 2023, the virus' rapid spread had caused over 767 million infections and more than 6.94 million deaths worldwide. Unlike previous SARS-CoV-1 and Middle East respiratory syndrome coronavirus outbreaks, the COVID-19 outbreak has led to a high death rate in infected patients; this has been caused by multiorgan failure, which might be due to the widespread presence of angiotensin-converting enzyme 2 (ACE2) receptors-functional receptors of SARS-CoV-2-in multiple organs. Patients with cancer may be particularly susceptible to COVID-19 because cancer treatments (e.g., chemotherapy, immunotherapy) suppress the immune system. Thus, patients with cancer and COVID-19 may have a poor prognosis. Knowing how to manage the treatment of patients with cancer who may be infected with SARS-CoV-2 is essential. Treatment decisions must be made on a case-by-case basis, and patient stratification is necessary during COVID-19 outbreaks. Here, we review the management of COVID-19 in patients with cancer and focus on the measures that should be adopted for these patients on the basis of the organs or tissues affected by cancer and by the tumor stage.
自 2019 年以来,世界一直在经历一种新型的贝塔冠状病毒,即严重急性呼吸系统综合征冠状病毒(SARS-CoV-2)的爆发。这种病毒在全球范围内的传播对公共卫生构成了严重挑战,世界卫生组织宣布该疫情为国际关注的突发公共卫生事件。截至 2023 年 6 月 8 日,该病毒的快速传播已在全球范围内导致超过 7.67 亿例感染和超过 694 万人死亡。与之前的 SARS-CoV-1 和中东呼吸系统综合征冠状病毒爆发不同,COVID-19 爆发导致感染患者的死亡率较高;这是由于多器官衰竭引起的,这可能是由于 SARS-CoV-2 的功能性受体血管紧张素转换酶 2(ACE2)受体广泛存在于多个器官中。癌症患者可能特别容易感染 COVID-19,因为癌症治疗(例如化疗、免疫疗法)会抑制免疫系统。因此,癌症和 COVID-19 患者的预后可能较差。了解如何管理可能感染 SARS-CoV-2 的癌症患者的治疗至关重要。必须根据具体情况做出治疗决策,并且在 COVID-19 爆发期间需要对患者进行分层。在这里,我们回顾了 COVID-19 在癌症患者中的管理,并重点介绍了应根据癌症影响的器官或组织以及肿瘤阶段为这些患者采取的措施。