Kawamoto Hirofumi, Saito-Sasaki Natsuko, Sawada Yu
Dermatology, University of Occupational and Environmental Health, Kitakyushu, JPN.
Cureus. 2024 Jul 18;16(7):e64863. doi: 10.7759/cureus.64863. eCollection 2024 Jul.
Merkel cell carcinoma (MCC) is an aggressive neuroendocrine skin cancer influenced by the immune system. Recent studies suggest that viral infections, notably COVID-19, may exacerbate such malignancies. This case report explores potential mechanisms by which SARS-CoV-2, the virus responsible for COVID-19, could influence the behavior and proliferation of malignant tumor cells. Emerging evidence indicates that COVID-19 may disrupt immune surveillance and modulation, which are critical in controlling the spread and severity of cancers, including MCC. Additionally, the cytokine storm induced by COVID-19 is proposed to facilitate tumorigenic activity, potentially enhancing MCC aggressiveness. By integrating clinical findings with contemporary immunological and virological theories, this report aims to contribute to the understanding of COVID-19's impact on cancer progression, specifically MCC, emphasizing the need for comprehensive management strategies in cancer patients during the pandemic.
默克尔细胞癌(MCC)是一种受免疫系统影响的侵袭性神经内分泌皮肤癌。最近的研究表明,病毒感染,尤其是新冠病毒感染,可能会加剧此类恶性肿瘤。本病例报告探讨了导致新冠病毒病的严重急性呼吸综合征冠状病毒2(SARS-CoV-2)可能影响恶性肿瘤细胞行为和增殖的潜在机制。新出现的证据表明,新冠病毒病可能会扰乱免疫监视和调节,而免疫监视和调节对于控制包括MCC在内的癌症的扩散和严重程度至关重要。此外,有人提出,新冠病毒病引发的细胞因子风暴会促进致瘤活性,可能增强MCC的侵袭性。通过将临床发现与当代免疫学和病毒学理论相结合,本报告旨在促进对新冠病毒病对癌症进展,特别是对MCC的影响的理解,强调在疫情期间癌症患者需要全面的管理策略。