Abstract
COVID-19 pandemisi sırasında ulusal sağlık sisteminin imkân ve kabiliyetlerini temel olarak yeni tip corona virüs ile ilişkili hastalık yüküne yönlendirmek en mantıklı yaklaşımdır. Ancak bu durumda teyit edilmiş jinekolojik kanser tanısı olan ya da jinekolojik kanser şüphesi bulunan hastaların yönetimiyle ilgili yeni stratejilerin geliştirilmesi gerekir. Kanser tanısı olan kimselerin COVID-19’a yakalanma riski kanser tanısı olmayanlara göre daha yüksektir ve kanser tanısı olan COVID-19 olgularındaki akıbet kötüdür. Bu nedenle, endemik alanlarda, kanser cerrahisinin ve adjuvan kemoterapinin bilinçli olarak ertelenmesi önerilmiştir. Bu derlemede, COVID-19 pandemisi sırasında jinekolojik kanser olgularında cerrahi seçim kriterleri tartışılmış ve pandemi süresince jinekolojik kanserlerin nasıl yönetilmesine ilişkin öneriler gözden geçirilmiştir. COVID-19 pandemisi sırasında kurumsal ve ulusal otoritelerinin koyacağı kurallar ve belirleyeceği stratejiler, jinekolojik kanserli olguların tedavilerinin bireyselleştirilmesinde belirleyici olacaktır.
Keywords
References
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Abstract
References
- 1. Liang W., Guan W., Chen R. et al. Cancer patients in SARS-Cov-1 infection: A nationwide analysis of China. Lancet Oncol. 2020;21:335-37 2. Kambuj M., Sepkowitz KA. Nasocomial infections in patients with cancer. Lancet Oncol. 2009;10:589-92 3. Li JY., Duan XF., Wang LP. Et al. Selective depletion of regulatory T cell subsets by docetaxel treatment in patients with non-small cell lung cancer. J Immunol Rev. 2014;20/4:286170 4. Sica A., Massarotti M. Myeloid suppressor cells in cancer and autoimmunity. J Autoimmun. 2017;85:117-25 5. Cortilla F., Pettke A., Bartoletti M. et al. Managing COVID-19 in the oncology clinic and avoiding the dissection effect. Ann Oncol. 2020:doi/10.1016/J.annone.2020.03.286 6. American College of Surgeons. COVID 19: Elective Case Triage Guidelines for Surgical Care, Gynecology. (online access) 7. Dowdy S. and Fader A.N. Surgical Considerations for Gynecologic Oncologists During the COVID-19 Pandemic. Society of Gynecologic Oncology. (online access) 8. European Society of Medical Oncology. ESMO Management and Treatment Adapted Recommendations in the COVID-19 Era: Gynecologic Oncology Guidelines. (online access) 9. Ramirez PT., Chiva L., Eriksson AGZ. et al. COVID-19 Global Pandemic: Options for Management of Gynecologic Cancers. Int J Gynecol Cancer. 2020;0;1-3. doi:10.1136/ijgc-2020-00149 10. Society of Gynecologic Oncology. Gynecologic Oncology Considerations during the COVID-19 Pandemic. (online access) 11. European Society for Gynaecological Endoscopy. ESGE Recommendations on Gynaecological Laparoscopic Surgery during Covid-19 Outbreak. (online access) 12. American Association of Gynecologic Laparoscopists. Joint Society Statement on Minimally Invasive Gynecologic Surgery During the COVID-19 Pandemic. (online access)
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Obstetrics and Gynaecology |
| Journal Section | Review |
| Authors | |
| Publication Date | June 25, 2020 |
| Submission Date | April 13, 2020 |
| Acceptance Date | April 19, 2020 |
| Published in Issue | Year 2020 Volume: 17 Issue: 2 |
