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新型冠状病毒肺炎(SARS-CoV-2感染)乳腺癌患者抗肿瘤治疗要点

Key points of anti-tumor treatment in breast cancer patients with SARS-CoV-2 infection.

作者信息

Ge Rui

机构信息

Department of General Surgery, Huadong Hospital Affiliated to Fudan University, Shanghai, China.

出版信息

Transl Breast Cancer Res. 2023 Apr 17;4:13. doi: 10.21037/tbcr-23-10. eCollection 2023.

Abstract

Internationally, the outbreak of coronavirus disease 2019 (COVID-19) has become the most serious public health emergency. With the adjustment of the prevention and control policies, China downgraded the management of COVID-19 from Class A to Class B, causing new challenges in the clinical management of patients with breast cancer. It is necessary to formulate clinical strategies for timely and reasonable anti-tumor treatment after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. By combing the relevant evidence and summarizing the anti-tumor treatment experience for breast cancer patients with SARS-CoV-2 infection in various regions, the expert panel of the Breast Cancer Professional Committee of the Chinese Society of Clinical Oncology (CSCO-BC) discussed and voted on hot and difficult issues of this situation timely. Based on the vote results, combined with domestic and foreign guidelines and consensus, the key points of treatment and management of breast cancer patients who were infected with COVID-19 have been established to provide suggestions and recommendations for clinical practice, such as restart time of anti-tumor treatment, application of anti-tumor drugs and other considerations. In the formulation of this key point, we mainly focus on mild to moderate and asymptomatic infection patients who account for the largest proportion of COVID-19 patients, and propose diagnosis and treatment recommendations for breast cancer patients with different infections and after SARS-CoV-2 infection, aiming to provide a reference for clinical diagnosis and treatment.

摘要

在国际上,2019年冠状病毒病(COVID-19)疫情已成为最严重的突发公共卫生事件。随着防控政策的调整,中国将COVID-19的管理从甲类调整为乙类,这给乳腺癌患者的临床管理带来了新的挑战。有必要制定针对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染后及时、合理进行抗肿瘤治疗的临床策略。中国临床肿瘤学会乳腺癌专业委员会(CSCO-BC)专家小组通过梳理相关证据并总结各地区SARS-CoV-2感染乳腺癌患者的抗肿瘤治疗经验,及时对这种情况下的热点和难点问题进行了讨论和表决。基于表决结果,结合国内外指南和共识,制定了COVID-19感染乳腺癌患者治疗和管理的要点,为临床实践提供建议和推荐,如抗肿瘤治疗的重启时间、抗肿瘤药物的应用等注意事项。在制定本要点时,我们主要关注占COVID-19患者比例最大的轻症和无症状感染患者,并针对不同感染情况及SARS-CoV-2感染后的乳腺癌患者提出诊疗建议,旨在为临床诊疗提供参考。

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