China Oncology ›› 2022, Vol. 32 ›› Issue (6): 499-511.doi: 10.19401/j.cnki.1007-3639.2022.06.004

• Specialists' Commentary • Previous Articles     Next Articles

COVID-19 and systemic anti-cancer therapy

HU Xichun1,#()(), HU Zhihuang2,#()(), WANG Biyun3, WANG Jialei2, TAO Rong4, ZHANG Jian5, GUO Weijian6, CHEN Jie7, LUO Zhiguo1, LI Ting3, HUANG Mingzhu6, QIU Lixin6, SANG Youzhou7   

  1. 1. Department of Medical Oncology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
    2. Department of Thoracic Oncology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
    3. Department of Breast and Urinary Oncology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
    4. Department of Lymphoma, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
    5. Department of Phase Ⅰ Clinical Trial Ward, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
    6. Department of Gastroenterological Oncology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
    7. Department of Head, Neck and Neuroendocrine Oncology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
  • Received:2022-05-08 Revised:2022-05-20 Online:2022-06-30 Published:2022-07-21
  • Contact: HU Xichun E-mail:xchu2009@hotmail.com;ZhihuangHu@hotmail.com

Abstract:

The corona virus disease 2019 (COVID-19) pandemic continues to severely impact healthcare systems around the world, and patients with cancer are even worse affected owing to compromised immune status and greater exposure risk. In the present review, we retrieved the relevant literature including guidelines and consensuses directly related to the purpose of this study from the PubMed database, and then summarized the research data on cancer and COVID-19, aiming to discuss the personal protection, systemic anti-cancer therapy, outcome of co-infection, and the clinical management strategy in this population. We found that patients with malignant tumors had a higher chance of suffering COVID-19, co-infection of whom had an even worse clinical prognosis, especially for those with lung cancer or hematologic cancers. Systemic chemotherapy may delay the clearance of severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) virus of human body, and thus have a negative impact on the clinical outcomes of COVID-19, while certain endocrine therapy and targeted drugs having limited or no impact. There has been no sufficient evidence for the impact of immune checkpoint therapy on the outcomes of COVID-19 till now. It is of great value to strengthen the personal protection of patients, adjust the anti-tumor treatments rationally and optimize the clinical management processes.

Key words: COVID-19, Malignant tumors, Chemotherapy, Anti-tumor therapy, Clinical outcome

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