COVID-19对快速增长的胸腺瘤病例的影响
Neeraja Narayanan1, Shoaleh Motamedi1, Christian Lalonde2
1The University of North Texas Health Science Center at Forth Worth, Texas College of Osteopathic Medicine, Forth Worth, TX.
HCA healthcare journal of medicine
|November 16, 2023
概括
由于COVID-19导致胸腺瘤的延迟诊断导致瘤生长和手术并发症. 这一案例凸显了与流行病相关的医疗延迟对罕见癌症患者结果的关键影响.
科学领域:
- 在瘤学瘤学.
- 胸部外科手术 胸部外科手术
- 病理学 病理学 病理学
背景情况:
- 胸腺瘤是一种罕见的前端中质体,起源于胸腺上皮细胞.
- 它们可以无症状呈现,也可以带有压缩症状和神经瘤综合征,如严重骨髓灰质炎.
- 随着COVID-19的流行,对各种疾病的及时医疗干预产生了影响.
研究的目的:
- 报告因COVID-19流行病而延迟诊断和治疗的胸腺瘤病例.
- 为了说明延迟癌症治疗对瘤进展和手术结果的潜在后果.
- 强调多学科护理在治疗复杂胸部恶性瘤方面的重要性.
主要方法:
- 一个71岁的男性的病例报告,偶然发现了前中间骨质.
- 审查患者的病史,包括由于COVID-19而延迟的手术咨询.
- 描述治疗规划和手术干预的多学科团队方法 (根性甲状腺切除术与中枢淋巴结剖析).
主要成果:
- 最初的偶然发现是3.8厘米x6.0厘米的前端中质量.
- 由于延迟治疗,质量在一年内显著增长至8.2厘米x7.7厘米.
- 手术后的并发症包括胸心脏和缺氧呼吸衰竭导致了患者的死亡.
结论:
- 由于COVID-19大流行加剧了胸腺瘤的诊断和治疗的延迟,导致瘤生长和治疗能力降低.
- 在一个衰弱的病人身上进行广泛的手术增加了术后风险,并导致致命的并发症.
- 这一案例强调了尽管存在公共卫生危机,但仍然需要继续获得癌症护理的关键需求.
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