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Published on: September 11, 2021
[Surgical treatment for esophageal cancer during the outbreak of COVID-19]
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
Insights
The COVID-19 pandemic significantly impacted cancer care, particularly for esophageal cancer patients in China. New treatment and emergency response strategies are needed for these advanced-stage patients.
Area of Science:
- Oncology
- Infectious Diseases
- Public Health
Background:
- The emergence of COVID-19 (Coronavirus Disease 2019) in late 2019 caused a global health crisis.
- The pandemic severely disrupted healthcare systems worldwide, affecting patient care across various medical disciplines.
- Esophageal cancer, a prevalent malignancy in China, often presents at advanced stages, characterized by immunosuppression and poor prognosis, complicating treatment during the pandemic.
Purpose of the Study:
- To highlight the challenges posed by COVID-19 to the management of esophageal cancer.
- To emphasize the need for collaborative efforts among thoracic surgeons to develop effective surgical treatment and emergency response systems.
Main Methods:
- Review of the impact of the COVID-19 pandemic on cancer treatment protocols.
- Analysis of the specific challenges in managing advanced-stage esophageal cancer within the context of the pandemic.
Main Results:
- COVID-19 has created significant obstacles for cancer patients, demanding adaptations in clinical practice.
- The management of esophageal cancer, especially in advanced stages, requires careful consideration of surgical procedures and perioperative care.
Conclusions:
- Thoracic surgeons must collaborate to establish robust surgical treatment and emergency response frameworks for esophageal cancer patients during the COVID-19 pandemic.
- Adapting cancer care strategies is crucial to mitigate the pandemic's adverse effects on patient outcomes.
Abstract:
Since December 2019, unexplained pneumonia has appeared in Wuhan City, Hubei Province, and a new type of coronavirus infection was confirmed as COVID-19. COVID-19 spread rapidly nationwide and abroad. The COVID-19 has brought huge impacts to all the people and walks of life, especially to the medical and health systems. It has also brought great challenges to the treatment of patients with cancer. Esophageal cancer is a common malignant tumor in China and most of the patients are in the middle and advanced stage when diagnosed, with immunosuppressive and poor prognosis. The selection of surgical procedures and perioperative managements of esophageal cancer require all thoracic surgeons work together to figure out a reasonable system of surgical treatment and emergency response.
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