2019年コロナウイルス病 (COVID-19) パンデミックが尿道性悪性腫瘍の進行に及ぼす影響:比較研究
Alper Keskin1, Enis Mert Yorulmaz2, Kursad Donmez3
1Department of Urology, Denizli State Hospital, Denizli, Türkiye.
Frontiers in urology
|August 22, 2025
まとめ
COVID-19 パンデミック中の治療の遅れは,前立腺がんと腎臓がんの病理的段階を悪化させた. 膀と丸の癌は影響を受けず,回復力のあるがん治療の必要性を強調した.
科学分野:
- 泌尿器科
- 腫瘍学
- 公衆衛生
背景:
- COVID-19 パンデミックは,世界的に医療サービスに重大な障害をもたらしました.
- これらの障害は様々ながんの早期診断と治療に影響を与え,病気の進行につながる可能性があります.
研究 の 目的:
- COVID-19 パンデミック中の治療の遅延が泌尿器の悪性腫瘍の病理的段階の進行と関連しているかどうかを調査する.
- 前立腺癌,膀癌,腎臓癌, testicular がんにおけるパンデミック前とパンデミック後の手術結果を比較する.
主な方法:
- 泌尿器官がんの急性手術を受けた368人の患者を比較した.
- 患者は,流行前 (PREP) と流行後 (POSTP) のコホート (2019年4月~2022年3月) に分けられました.
- 適切な統計検査 (p<0. 05) を用いて臨床的,実験的,病理学的データを分析した.
主要な成果:
- POSTP前立腺切除の患者は,より高いPSA,より大きな腫瘍の関与,および増加した前立腺外伸縮を示しました.
- パンデミック時代の腎臓腫瘍は より大きなもので 手術前ヘモグロビンが低かったので 病気が進行したことを示しています
- コホート間の膀または testicular がんの有意な病理的段階の違いは見つかりませんでした.
結論:
- COVID-19に関連するケア障害は,前立腺がんや腎臓がんにおける有害な病理的特徴と関連していた.
- 膀および testicular がんは,パンデミックに関連した遅延のために重要な段階の移行を示さなかった.
- 発見は,健康危機の進行を緩和するために堅固ながん治療の必要性を強調しています.
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