Management of lung cancer in the COVID-19 pandemic:a review

作     者：Fernando Maroto Piñeiro Carmen Trinidad López Javier de la Fuente Aguado 

作者机构：Department of Internal Medicine Hospital Povisa Ribera Salud Salamanca 5Vigo 36211Spain Radiology Service Hospital Povisa Ribera Salud Salamanca 5Vigo 36211Spain. 

出 版 物：《Journal of Cancer Metastasis and Treatment》 (癌症转移与治疗（英文版）)

年 卷 期：2021年第7卷第1期

页      面：145-157页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：COVID-19 cancer ethics CT thorax lung cancer cancer treatment chemotherapy immunotherapy 

摘      要：Since its inception,the COVID-19 pandemic has affected health care as a whole.Cancer patients in general and those suffering from lung cancer in particular are a vulnerable group because of their many intrinsic characteristics and care needs.How SARS-CoV-2(COVID-19)infection affects these patients regarding their risk of infection and outcome in this patient cohort is still to be determined.In this review,we tried to summarize our main concerns regarding COVID-19 in the context of cancer patients from a clinical and multidisciplinary approach.Different types of lung cancer treatments(chemotherapy,radiation therapy and immunotherapy)may also influence the risk of infection and condition the patient´s risk of having a worse outcome.Lung cancer patients require frequent radiologic study follow-ups,which may be affected by COVID-19 pandemic.COVID-19 related incidental radiologic findings can appear in routinely scheduled radiology tests,which may be difficult to interpret.Also cancer treatment induced pneumonitis may have similar radiologic features similar to those in acute SARS-CoV-2 pneumonia and lead to a wrong diagnosis.The different health care needs,the requirement for continuous health care access and follow-ups,and the clinical traials in which this patient population might be enrrolled are all being affected by the current COVID-19 health crisis.The COVID-19 pandemic has put health care providers and institutions in difficult situations and obliged them to face challenging ethical scenarios.These issues,in turn,have also affected the psychological well-being of health care workers.